Q & A DRUGS FOR CARDIOLOGY

Q & A DRUGS FOR CARDIOLOGY 1. A patient who has just begun taking an angiotensin converting enzyme (ACE) inhibitor calls the nurse and reports feeling very dizzy when standing up and asks if the medication should be discontinued. What is the nurses best response? b. Rise to a sitting or standing position slowly; your symptoms will resolve. 2. Which nursing assessment confirms that the angiotensin II receptor blocker (ARB) that a patient is taking is effective? d. Blood pressure has decreased. 3. How does propranolol (Inderal) control hypertension? c. Reduces the sympathetic stimulation in cardiac muscle 4. Which class of antihypertensive agents should be avoided by patients with asthma? d. Beta adrenergic blocking agents 5. Which is true about postural hypotension during therapy with direct vasodilators? b. It gradually resolves with continued medication use. 6. The nurse instructs the patient to avoid the sudden discontinuation of beta adrenergic blockers so as to avoid which symptom? c. increased angina. 7. What is mean arterial pressure (MAP)? c. The average pressure throughout each cycle of the heartbeat 8. Which agents are preferred for the initial treatment of hypertension? c. Thiazide diuretics and beta-adrenergic blockers 9. Prior to the administration of a beta-adrenergic blocker, the nurse notes the patient to have a heart rate of 52 beats/min, peripheral edema, crackles in the bases of the lungs, and mottled skin. Which is the priority nursing action? d. Withhold the medication and notify the health care provider. 10. When displayed by the patient, which symptom would be most indicative to the nurse to withhold a recently prescribed beta adrenergic blocker? d. Wheezing 11. The nurse has provided information to a patient with diabetes who has been prescribed a beta adrenergic blocker. Which statement by the patient indicates a need for further teaching? a. If I get dizzy, I will stop taking the medication. 12. The nurse is providing instruction to a patient who was recently prescribed an ACE inhibitor for hypertension. Which is an adverse effect of this medication? b. Chronic cough 13. The nurse is explaining to a patient how ACE inhibitors affect blood pressure. Which statement accurately describes the action of these medications? b. They inhibit vasoconstriction