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Pharm 2

Drugs Impacting the Renin-Angiotensin-Aldosterone System

QuestionAnswer
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.
Created by: Lightnning54
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