Pharmacotherapeutics for Advanced Practice Nurse
Prescribers: Chapter 13. Drugs Affecting the
Cardiovascular and Renal Systems exam
Terms in this set (43)
Ray has been diagnosed with hypertension ANS: 3
and it is determined that an angiotensin-
converting enzyme inhibitor is needed. Prior
to prescribing this drug, the nurse
practitioner (NP) should assess for:
1. Hypokalemia
2.Impotence
3.Decreased renal function
4. Inability to concentrate
, Angiotensin-converting enzyme (ACE) ANS: 4
inhibitors are the drug of choice in treating
hypertension in diabetic patients because
they:
1. Improve insulin sensitivity
2.Improve renal hemodynamics
3.Reduce the production of angiotensin II
4.All of the above
A potentially life-threatening adverse ANS: 1
response to an ACE inhibitor is angioedema.
Which of the following statements is true
about this adverse response?
1. Swelling of the tongue and
hoarseness are the most common
symptoms.
2.It appears to be related to the decrease
in aldosterone production.
3.Presence of a dry, hacking cough
indicates a high risk for this adverse
response.
4. Because it takes time to build up a
blood level, it occurs after being on the
drug for about one week
ACE inhibitors are useful in a variety of ANS: 3
disorders. Which of the following statements
is true about both their usefulness in a
particular disorder and the reason for their
use?
1. They are useful to prevent stable
angina because they decrease the
thickening of vascular walls due to
decreased modified release.
2. They are useful to prevent heart
failure because they reduce remodeling of
injured myocardial tissues.
3.Both 1 and 2 are true
4. Neither 1 nor 2 are true.
Despite good blood pressure control, an ANS: 2
NP might change a patient's drug from an
ACE inhibitor to an angiotensin II receptor
blocker (ARB) because the ARB:
1. Is stronger than the ACE inhibitor
2.Does not produce a dry, hacking cough
3.Has no effect on the renal system
4. Reduces sodium and water retention
Prescribers: Chapter 13. Drugs Affecting the
Cardiovascular and Renal Systems exam
Terms in this set (43)
Ray has been diagnosed with hypertension ANS: 3
and it is determined that an angiotensin-
converting enzyme inhibitor is needed. Prior
to prescribing this drug, the nurse
practitioner (NP) should assess for:
1. Hypokalemia
2.Impotence
3.Decreased renal function
4. Inability to concentrate
, Angiotensin-converting enzyme (ACE) ANS: 4
inhibitors are the drug of choice in treating
hypertension in diabetic patients because
they:
1. Improve insulin sensitivity
2.Improve renal hemodynamics
3.Reduce the production of angiotensin II
4.All of the above
A potentially life-threatening adverse ANS: 1
response to an ACE inhibitor is angioedema.
Which of the following statements is true
about this adverse response?
1. Swelling of the tongue and
hoarseness are the most common
symptoms.
2.It appears to be related to the decrease
in aldosterone production.
3.Presence of a dry, hacking cough
indicates a high risk for this adverse
response.
4. Because it takes time to build up a
blood level, it occurs after being on the
drug for about one week
ACE inhibitors are useful in a variety of ANS: 3
disorders. Which of the following statements
is true about both their usefulness in a
particular disorder and the reason for their
use?
1. They are useful to prevent stable
angina because they decrease the
thickening of vascular walls due to
decreased modified release.
2. They are useful to prevent heart
failure because they reduce remodeling of
injured myocardial tissues.
3.Both 1 and 2 are true
4. Neither 1 nor 2 are true.
Despite good blood pressure control, an ANS: 2
NP might change a patient's drug from an
ACE inhibitor to an angiotensin II receptor
blocker (ARB) because the ARB:
1. Is stronger than the ACE inhibitor
2.Does not produce a dry, hacking cough
3.Has no effect on the renal system
4. Reduces sodium and water retention
