NURS 3119 Antihypertensive Meds Exam 4 Questions With Correct Answers

©BRIGHTSTARS EXAM SOLUTIONS 11/16/2024 10:16 AM 1 | P a g e NURS 3119 Antihypertensive Meds Exam 4 Questions With Correct Answers What is Hypertension? - answerForce of pumped blood pushing against the artery walls is consistently too high >The heart has to work harder to pump blood What does Hypertension Affect? - answer>Body's arteries >Heart What is Primary Hypertension? Causes? - answerMost common type of hypertension >Genetics >Obesity >Alcohol use >Smoking >Unknown etiology What is Secondary Hypertension Caused by? - answer>Kidney disease >Pregnancy >Endocrine What are Classifications of Anti-Hypertensives? - answer>Diuretics >ACE Inhibitors >ARB's >Aldosterone Antagonists >Direct Renin Inhibitors >Calcium Channel Blockers ©BRIGHTSTARS EXAM SOLUTIONS 11/16/2024 10:16 AM 2 | P a g e >Alpha Adrenergic Blockers >Centrally Acting Alpha 2 Agonists >Beta Adrenergic Blockers >Vasodilators What are Examples of ACE Inhibitors? - answer>Lisinopril >Captopril >Enalapril >Enlaprilat >Fosinopril >Lisonopril >Ramipril >Moexipril >Benzaepril What is the Mechanism of Action of ACE Inhibitors? - answerBlock conversion of angiotensin I to angiotensin II leading to vasodilation. Excretes sodium and water but retains potassium in the kidneys What are the Complications of ACE Inhibitors? - answer>Diuretic effect --> take in the morning, caution if combined with another diuretic >Orthostatic hypotension >Hyperkalemia - monitor K+ levels, avoid salt substitutes containing K+ >Cough - increases bradykinin resulting in a dry cough >Contraindicated during pregnancy - fetal injury >Angioedema - sign of allergic reaction (swelling of mouth/tongue) What are Nursing Interventions for ACE Inhibitors? - answer>If the client is already taking a diuretic, the medication should be stopped temporarily for 2-3 days prior to the start of the ACE inhibitor