Maryville /
NURS
/ /
615- Exam Questions With Correct Answers
/ // // // // //
What /
/assessments /
/should /
/be /
/made /
/before /
/prescribing /
/any /
/antihypertensive //agent? //- //CORRECT //ANSWERS(S)✔✔BP, //RF, //and //head //to //toe //assessment.
//Assess /
/diet, /
/sodium /
/intake, /
/electrolytes, /
/and /
/potassium /
/levels. /
/Prior /
/to /
/prescribing /
/any /
/antihypertensives, /
/creatinine /
/and /
/BUN /
/levels /
/should /
/be /
/evaluated. /
/Confirmation /
,/of /
/elevated /
/BP /
/at //
3/
/different /
/times. //Children //over //3 //years //old //should //be //assessed //at //least //once //at //every //visit-
preferred /
/method /
/for /
/children /
/is //by //auscultation, //the //correct //measurement //requires //using //a //cuff //that //is //appropriate //to
//the //child's //upper //arm. //12 //lead //EKG. //UA, //albumin, //albumin/creatinine //ratio. //Diabetics //or
//those /
/with /
/renal /
/disease /
/should /
/have /
/the /
/albumin/creatinine /
/ratio /
/annually. /
/The /
/presence /
/of //albuminuria, //micro //albuminuria //even //in //the //setting //of //normal //GFR //is //associated //with
//increased //cardiovascular //risk. //Blood //sugar, //hct, //serum //calcium, //and //lipid //profile.
Why /
/are /
/ACE /
/inhibitors /
/the /
/drug //of //choice //in //diabetic //patients //with //hypertension? //- //CORRECT //ANSWERS(S)✔✔ACE-
Is /
/will /
/improve /
,/insulin /
/sensitivity, /
/as /
/well /
/as /
/reduce /
/the /
/effects /
/of /
/DM /
/on /
/the /
/kidneys. /
/Protect /
/the /
/kidneys, /
/watch /
/for /
/renal /
/function, /
/any /
/creatinine /
/>2.5 /
/requires /
/dose /
/reduction. /
/Prevents /
/diabetic /
/nephropathy /
/or /
/slow /
/its /
/progression. /
/Reduce /
/albuminuria /
/and /
/BP. /
/ACEIs /
, /and /
/ARBs /
/should /
/be /
/used /
/to /
/treat /
/the /
/HTN. /
/Renal //protection, //reduces //the //conversion //of //AT //II //and //improve //the //insulin //sensitivity.
What /
/is /
/the /
/drug /
/of /
/choice /
/to /
/improve /
/symptoms //for //patients //taking //propranolol? //- //CORRECT //ANSWERS(S)✔✔Ipratropium
What /
/is /
/the /
/most /
/common /
/adverse /
/effect /
/of /
/an /
/ACE /
/inhibitor? //- /
/CORRECT /
/ANSWERS(S)✔✔Dry, /
/hacking /
/cough /
NURS
/ /
615- Exam Questions With Correct Answers
/ // // // // //
What /
/assessments /
/should /
/be /
/made /
/before /
/prescribing /
/any /
/antihypertensive //agent? //- //CORRECT //ANSWERS(S)✔✔BP, //RF, //and //head //to //toe //assessment.
//Assess /
/diet, /
/sodium /
/intake, /
/electrolytes, /
/and /
/potassium /
/levels. /
/Prior /
/to /
/prescribing /
/any /
/antihypertensives, /
/creatinine /
/and /
/BUN /
/levels /
/should /
/be /
/evaluated. /
/Confirmation /
,/of /
/elevated /
/BP /
/at //
3/
/different /
/times. //Children //over //3 //years //old //should //be //assessed //at //least //once //at //every //visit-
preferred /
/method /
/for /
/children /
/is //by //auscultation, //the //correct //measurement //requires //using //a //cuff //that //is //appropriate //to
//the //child's //upper //arm. //12 //lead //EKG. //UA, //albumin, //albumin/creatinine //ratio. //Diabetics //or
//those /
/with /
/renal /
/disease /
/should /
/have /
/the /
/albumin/creatinine /
/ratio /
/annually. /
/The /
/presence /
/of //albuminuria, //micro //albuminuria //even //in //the //setting //of //normal //GFR //is //associated //with
//increased //cardiovascular //risk. //Blood //sugar, //hct, //serum //calcium, //and //lipid //profile.
Why /
/are /
/ACE /
/inhibitors /
/the /
/drug //of //choice //in //diabetic //patients //with //hypertension? //- //CORRECT //ANSWERS(S)✔✔ACE-
Is /
/will /
/improve /
,/insulin /
/sensitivity, /
/as /
/well /
/as /
/reduce /
/the /
/effects /
/of /
/DM /
/on /
/the /
/kidneys. /
/Protect /
/the /
/kidneys, /
/watch /
/for /
/renal /
/function, /
/any /
/creatinine /
/>2.5 /
/requires /
/dose /
/reduction. /
/Prevents /
/diabetic /
/nephropathy /
/or /
/slow /
/its /
/progression. /
/Reduce /
/albuminuria /
/and /
/BP. /
/ACEIs /
, /and /
/ARBs /
/should /
/be /
/used /
/to /
/treat /
/the /
/HTN. /
/Renal //protection, //reduces //the //conversion //of //AT //II //and //improve //the //insulin //sensitivity.
What /
/is /
/the /
/drug /
/of /
/choice /
/to /
/improve /
/symptoms //for //patients //taking //propranolol? //- //CORRECT //ANSWERS(S)✔✔Ipratropium
What /
/is /
/the /
/most /
/common /
/adverse /
/effect /
/of /
/an /
/ACE /
/inhibitor? //- /
/CORRECT /
/ANSWERS(S)✔✔Dry, /
/hacking /
/cough /
