Advanced pharmacology for NP Exam 2 300+QUESTIONS AND ANSWERS ALL CORRECT

Advanced pharmacology for NP Exam 2 300+QUESTIONS AND ANSWERS ALL CORRECT Ray has been diagnosed with hypertension and it is determined that an angiotensin-converting enzyme inhibitor is needed. Prior to prescribing this drug, the nurse practitioner (NP) should assess for: Decreased renal function Angiotensin-converting enzyme (ACE) inhibitors are the drug of choice in treating hypertension in diabetic patients because they: All of the above: Improve insulin sensitivity Improve renal hemodynamics Reduce the production of angiotensin II Brainpower 0:07 / 0:15 A potentially life-threatening adverse response to an ACE inhibitor is angioedema. Which of the following statements is true about this adverse response? Swelling of the tongue and hoarseness are the most common symptoms. ACE inhibitors are useful in a variety of disorders. Which of the following statements is true about both their usefulness in a particular disorder and the reason for their use? Both 1 and 2 are true: 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. Despite good blood pressure control, an NP might change a patient's drug from an ACE inhibitor to an angiotensin II receptor blocker (ARB) because the ARB: Does not produce a dry, hacking cough While taking an ARB, patients need to avoid certain over-the-counter drugs without irst consulting the provider because: Both 1 and 2: 1. Cimetidine is metabolized by the CYP3A4 isoenzymes 2. Nonsteroidal anti-inflammatory drugs reduce prostaglandin levels Laboratory monitoring for patients on ACE inhibitors or ARBs should include: Serum creatinine levels with the drug dosage reduced for values greater than 2.5 mg/dL Jacob has hypertension, for which a calcium channel blocker has been prescribed. This drug helps control blood pressure because it: Decreases the amount of calcium inside the cell Which of the following adverse effects may occur due to a dihydropyridine-type calcium channel blocker? Edema of the hands and feet Patient teaching related to amlodipine includes: Avoid grapefruit juice as it affects the metabolism of this drug. Vera, age 70, has isolated systolic hypertension. Calcium channel blocker dosages for her should be: Started at about half the usual dosage Larry has heart failure, which is being treated with digoxin because it exhibits: Negative inotropism Furosemide is added to a treatment regimen for heart failure that includes digoxin. Monitoring for this combination includes: Serum potassium Which of the following create a higher risk for digoxin toxicity? Both the cause and the reason for it must be correct. Administration to older adults because of reduced renal function Serum digoxin levels are monitored for potential toxicity. Monitoring should occur: Because a reference point is needed to adjust dosage Which of the following is true about procainamide and its dosing schedule? Rodrigo has been prescribed procainamide after a myocardial infarction. He is monitored for dyspnea, jugular venous distention, and peripheral edema because they may indicate: Onset of congestive heart failure