NSG6005 Week 6 Study Guide.

NSG6005 Week 6 Study Guide. Chapter 16. Drugs Affecting the Cardiovascular and Renal Systems ____ 1. Ray has been diagnosed with hypertension and an angiotensin-converting enzyme inhibitor is determined to be needed. Prior to prescribing this drug, the NP should assess for: , , ____ 2. Angiotensin-converting enzyme inhibitors are the drug of choice in treating hypertension in diabetic patients because they: ____ 3. A potentially life-threatening adverse response to angiotensin-converting enzyme inhibitors is angioedema. Which of the following statements is true about this adverse response? ____ 4. Angiotensin-converting enzyme inhibitors are useful in a variety of disorders. Which of the following statements are true about both its usefulness in the disorder and the reason for its use? ____ 5. Despite good blood pressure control, an NP might change a patient’s drug from an angiotensin-converting enzyme (ACE) inhibitor to an angiotensin II receptor blocker (ARB) because the ARB: ____ 6. While taking an angiotensin II receptor blocker (ARB), patients need to avoid certain over-the-counter drugs without first consulting the provider because: ____ 7. Laboratory monitoring for patients on angiotensin-converting enzyme inhibitors or angiotensin II receptor blockers should include: ____ 8. Jacob has hypertension, for which a calcium channel blocker has been prescribed. This drug helps control blood pressure because it: ____ 9. Which of the following adverse effects may occur due to a dihydropyridine-type calcium channel blocker? ____ 10. Patient teaching related to amlodipine includes: ____ 11. Vera, age 70, has isolated systolic hypertension. Calcium channel blocker dosages for her should be: ____ 12. Larry has heart failure, which is being treated with digoxin because it exhibits: ____ 13. Furosemide is added to a treatment regimen for heart failure that includes digoxin. Monitoring for this combination includes: ____ 14. Which of the following create a higher risk for digoxin toxicity? Both the cause and the reason for it must be correct. ____ 15. Serum digoxin levels are monitored for potential toxicity. Monitoring should occur: ____ 16. Rodrigo has been prescribed procainamide after a myocardial infarction. He is monitored for dyspnea, jugular venous distention, and peripheral edema because they may indicate: ____ 17. Which of the following is true about procainamide and its dosing schedule? ____ 18. Amiodarone has been prescribed in a patient with a supraventricular dysrhythmia. Patient teaching should include all of the following EXCEPT: ____ 19. The NP orders a thyroid panel for a patient on amiodarone. The patient tells the NP that he does not have thyroid disease and wants to know why the test is ordered. Which is a correct response? ____ 20. Isosorbide dinitrate is prescribed for a patient with chronic stable angina. This drug is administered twice daily, but the schedule is 7 a.m. and 2 p.m. because: ____ 21. Art is a 55-year-old smoker who has been diagnosed with angina and placed on nitrates. He complains of headaches after using his nitrate. An appropriate reply might be: ____ 22. In teaching about the use of sublingual nitroglycerine, the patient should be instructed: ____ 23. Donald has been diagnosed with hyperlipidemia. Based on his lipid profile, atorvastatin is prescribed. Rhabdomyolysis is a rare but serious adverse response to this drug. Donald should be told to: ____ 24. Which of the following diagnostic studies would NOT indicate a problem related to a reductase inhibitor? ____ 25. Because of the pattern of cholesterol synthesis, reductase inhibitors are given: ____ 26. Janice has elevated LDL, VLDL, and triglyceride levels. Niaspan, an extended-release form of niacin, is chosen to treat her hyperlipidemia. Due to its metabolism and excretion, which of the following laboratory results should be monitored? ____ 27. Niaspan is less likely to cause which side effect that is common to niacin? ____ 28. Dulcea has type 2 diabetes and a high triglyceride level. She has gemfibrozil prescribed to treat her hypertriglyceridemia. A history of which of the following might contraindicate the use of this drug? ____ 29. Many patients with hyperlipidemia are treated with more than one drug. Combining a fibric acid derivative such as gemfibrozil with which of the following is not recommended? The drug and the reason must both be correct for the answer to be correct. ____ 30. Felicity has been prescribed colestipol to treat her hyperlipidemia. Unlike other anti-lipidemics, this drug: ____ 31. Because of their site of action, bile acid sequestering resins: ____ 32. Colestipol comes in a powdered form. The patient is taught to: ____ 33. The choice of diuretic to use in treating hypertension is based on: ____ 34. Direct renin inhibitors have the following properties. They: ____ 35. When comparing angiotensin-converting enzyme (ACE) and angiotensin II receptor blocker (ARB) medications, which of the following holds true? ____ 36. What does the provider understand about the issue of “Diabetic Renal Protection” with angiotensin-converting enzyme (ACE) medications? Diabetes mellitus patients: ____ 37. What dermatological issue is linked to Amiodarone use? ____ 38. Commercials on TV for erectile dysfunction (ED) medications warn about mixing them with nitrates. Why? Chapter 20. Drugs Affecting the Gastrointestinal System