NURS 150- MEDICATIONS FOR EXAM 2 WITH
DETAILED ANSWERS 2024
Renin Inhibitors action - CORRECT ANSWER-inhibition of renin and resulting in
decreased formation of angiotensin II a vasoconstrictor
Renin Inhibitors nursing implications - CORRECT ANSWER--monitor BP and HR
-correct hyponatremia before administration
-monitor labs - renal function, electrolytes, BUN, creatinine, uric acid, creatine kinase,
hematocrit, hemoglobin
-high fat meals may cause decreased absorption
Renin Inhibitors side effects - CORRECT ANSWER--angioedema
-hypotension
-abdominal pain/diarrhea
-dyspnea
-acute renal failure
-reflux
-cough
-dizziness
Vasodilators action - CORRECT ANSWER--causes relaxation of blood vessels
-dilates blood vessels
-decreases extracellular fluid volume via sodium excretion
vasodilators drug examples - CORRECT ANSWER--tadalafil
-sacubitril/valsartan - Entresto
-Iloprost
-Selexipag
-Hydralazine
Vasodilators nursing implications - CORRECT ANSWER--assess orthostatic BP
-monitor daily weights
-assess pt for angioedema (dyspnea, orofacial swelling)
-monitor labs - BUN/creatinine
-caution pt to avoid high levels of potassium and sodium
-if switching to entresto from ace inhibitor/allow 36 hrs between
-change position slowly
vasodilators side effects - CORRECT ANSWER--tachycardia
-sodium retention
-dizziness
-headache
-drug-induced lupus syndrome
-N/V/D
, -rash
ARBs (Angiotensin Receptor Blocker) action - CORRECT ANSWER-blocks the
vasoconstrictor and aldosterone-secreting effects of angiotensin II at various receptor
sites, including vascular smooth muscle and adrenal glands
ARBs drug examples - CORRECT ANSWER--valsarTAN
-LosarTAN
-IrbesarTAN
ARBs nursing implications - CORRECT ANSWER--assess BP/pulse
-assess for signs of angioedema (dyspnea, facial swelling)
-monitor labs - BUN/creatinine, may cause hyperkalemia, may cause slight decrease in
H/H
ARBs common side effects - CORRECT ANSWER--angioedema
-hyperkalemia
-dizziness
-N/V/D
-back pain
-impaired renal function
Beta Blockers action - CORRECT ANSWER-compete with adrenergic neurotransmitters
at the adrenergic receptor sites and block the stimulation of the beta-1 receptors located
primarily in the heart
Beta Blockers medication examples - CORRECT ANSWER--nadol
-EsmoLOL
-PindoLOL
-TimoLOL
-AcebutoLOL
-LabetaLOL
Beta Blockers nursing implications - CORRECT ANSWER--take BP/HR 30 minutes
before administering drug
-monitor I&Os and daily weights
-monitor labs - glucose, cholesterol, triglyceride levels, potassium, ABGs
beta blockers side effects - CORRECT ANSWER--bradycardia
-hypotension
-heart failure
-N/V/D
-weakness
-pulmonary edema fatigue
-dizziness
-constipation
DETAILED ANSWERS 2024
Renin Inhibitors action - CORRECT ANSWER-inhibition of renin and resulting in
decreased formation of angiotensin II a vasoconstrictor
Renin Inhibitors nursing implications - CORRECT ANSWER--monitor BP and HR
-correct hyponatremia before administration
-monitor labs - renal function, electrolytes, BUN, creatinine, uric acid, creatine kinase,
hematocrit, hemoglobin
-high fat meals may cause decreased absorption
Renin Inhibitors side effects - CORRECT ANSWER--angioedema
-hypotension
-abdominal pain/diarrhea
-dyspnea
-acute renal failure
-reflux
-cough
-dizziness
Vasodilators action - CORRECT ANSWER--causes relaxation of blood vessels
-dilates blood vessels
-decreases extracellular fluid volume via sodium excretion
vasodilators drug examples - CORRECT ANSWER--tadalafil
-sacubitril/valsartan - Entresto
-Iloprost
-Selexipag
-Hydralazine
Vasodilators nursing implications - CORRECT ANSWER--assess orthostatic BP
-monitor daily weights
-assess pt for angioedema (dyspnea, orofacial swelling)
-monitor labs - BUN/creatinine
-caution pt to avoid high levels of potassium and sodium
-if switching to entresto from ace inhibitor/allow 36 hrs between
-change position slowly
vasodilators side effects - CORRECT ANSWER--tachycardia
-sodium retention
-dizziness
-headache
-drug-induced lupus syndrome
-N/V/D
, -rash
ARBs (Angiotensin Receptor Blocker) action - CORRECT ANSWER-blocks the
vasoconstrictor and aldosterone-secreting effects of angiotensin II at various receptor
sites, including vascular smooth muscle and adrenal glands
ARBs drug examples - CORRECT ANSWER--valsarTAN
-LosarTAN
-IrbesarTAN
ARBs nursing implications - CORRECT ANSWER--assess BP/pulse
-assess for signs of angioedema (dyspnea, facial swelling)
-monitor labs - BUN/creatinine, may cause hyperkalemia, may cause slight decrease in
H/H
ARBs common side effects - CORRECT ANSWER--angioedema
-hyperkalemia
-dizziness
-N/V/D
-back pain
-impaired renal function
Beta Blockers action - CORRECT ANSWER-compete with adrenergic neurotransmitters
at the adrenergic receptor sites and block the stimulation of the beta-1 receptors located
primarily in the heart
Beta Blockers medication examples - CORRECT ANSWER--nadol
-EsmoLOL
-PindoLOL
-TimoLOL
-AcebutoLOL
-LabetaLOL
Beta Blockers nursing implications - CORRECT ANSWER--take BP/HR 30 minutes
before administering drug
-monitor I&Os and daily weights
-monitor labs - glucose, cholesterol, triglyceride levels, potassium, ABGs
beta blockers side effects - CORRECT ANSWER--bradycardia
-hypotension
-heart failure
-N/V/D
-weakness
-pulmonary edema fatigue
-dizziness
-constipation
