click below
click below
Normal Size Small Size show me how
Pharm 2
Drugs Impacting the Renin-Angiotensin-Aldosterone System
Question | Answer |
---|---|
The nurse is teaching a class on angiotensin receptor blockers (ARBs). What would the nurse include in the teaching? | -ARBs lower blood pressure by preventing vasoconstriction. -ARBs prevent angiotensin II from stimulating the release of aldosterone. -ARBs can prevent angiotensin II from inducing structural changes to the heart. |
-- | -ARBs are generally well absorbed. -Valsartan crosses the placenta and can cause fetal death. |
The nurse administered a dose of lisinopril at 0800, and the patient’s blood pressure was 189/96 mm Hg. Based on the pharmacodynamics of the drug, at which time would the nurse anticipate the greatest reduction in blood pressure? | 1400 |
A patient who is prescribed lisinopril asks the nurse, “Will this drug help the swelling in my legs?” Which nursing response is appropriate? | “Lisinopril may help the edema from progressing, as this drug suppresses aldosterone, which promotes sodium and water excretion.” |
The nurse is completing discharge teaching, which includes the direction, “Do not stop the angiotensin-converting enzyme (ACE) inhibitor abruptly.” Which effect would the nurse tell the patient to expect if the medication were stopped suddenly? | Dramatic increase in blood pressure |
For which patients is the use of an angiotensin-converting enzyme (ACE) inhibitor contraindicated? | -32-year-old female patient who is 4 months pregnant -62-year-old male patient with a history of renal artery stenosis -29-year-old female patient with a potassium level of 5.2 mEq/L |
The nurse is providing education to a patient who is being discharged on valsartan. Which patient responses indicate that more education is required? | -"Which one of those medications is for my blood pressure?" -"I have to take it with food or it won’t work." -"I take it only when my blood pressure is over 180/80 mm Hg." |
A patient who is hospitalized following a planned orthopedic surgery has been taking a routine dose of lisinopril since the operative day. Which action will the nurse take when a sudden onset of facial swelling is noted? | Prepare to administer epinephrine subcutaneously. |