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The action of angiotensin-converting enzyme inhibitors (ACEIs),
angiotensin II receptor blockers (ARBs), and direct renin inhibitors on the
renin-angiotensin-aldosterone (RAA) system lowers blood pressure and
reduces the adverse effects of which disease on the kidney? - 🧠 ANSWER
✔✔Diabetes
Which factor can lead to increased serum digoxin levels? - 🧠 ANSWER
✔✔Taking antibiotics to treat an infection
A patient presents to the clinic for follow-up on hypertension. He states that
he has noticed a dry "hacking" cough since he started lisinopril 4 weeks
ago. He denies other respiratory or cardiovascular symptoms. Which action
,taken by the APN is most appropriate? - 🧠 ANSWER ✔✔Stop the lisinopril
and start losartan.
Which finding illustrates the concept of remodeling in response to cardiac
damage? - 🧠 ANSWER ✔✔Thickening of the myocardium
An adult patient with diabetes is being treated for hypertension (HTN).
Which medication may require adjustment by the APN? - 🧠 ANSWER
✔✔HCTZ
An elderly patient being treated for chronic heart failure (CHF) has been
placed on a multidrug combination treatment plan, furosemide and
lisinopril. Which test should the APN monitor? - 🧠 ANSWER ✔✔Serum
creatinine level
Based on current evidence-based practice (EBP) findings, which
component is more relevant to assigning risk for the development of
cardiovascular disease (CVD)? - 🧠 ANSWER ✔✔HDL
Which medication would the APN order for an adult patient who has a
triglyceride level (TG) of 600 mg/dL? - 🧠 ANSWER ✔✔Fibric acid derivative
The APN is reviewing the lab results for a clean-catch urine for an adult
patient who has a suspected urinary tract infection (UTI). Which finding
, would alert the APN to the presence of a UTI? - 🧠 ANSWER ✔✔Leukocyte
esterase
Which physiological effect do nitrates have on cardiac function? - 🧠
ANSWER ✔✔Increase transport of oxygen.
The patient is an older adult who has a diagnosis of type 2 diabetes
mellitus and hypertension. The APN is prescribing her a beta blocker today.
The APN should teach her that which symptom is an indication of
hypoglycemia that is not masked by beta blockers? - 🧠 ANSWER
✔✔Diaphoresis
Which medication regimen should the APN consider for a patient who has
had a myocardial infarction (MI)? - 🧠 ANSWER ✔✔Lisinopril, metoprolol,
clopidogrel, and atorvastatin calcium
Which drug blocks synthesis of cholesterol in the liver by competitively
inhibiting HMG-CoA reductase activity and induces an increase in high-
affinity low-density lipoprotein (LDL) receptors, resulting in an increased
catabolism of LDL and an increase in the liver's extraction of LDL
precursors? - 🧠 ANSWER ✔✔Fluvastatin (Lescol)
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