NUR 315 Questions With Solutions
Lisinopril adverse Don't take when pregnant, cough, angioedema, first dose hypotension,
hyperkalemia
Angiotensin 2 receptor blockers Losartan, volsartan
Losartan uses HTN, diabetic neuropathy, stroke prevention
Losartan adverse Angioedema, fetal harm, renal failure
Valsartan uses HTN, HF, MI
Valsartan contraindications No pregnancy, no renal stenosis
Valsartan pt edu Check BP before admin
Advantage of using Angiotensin 2 receptor blockers Lower incidence of cough &
hyperkalemia compared to ACE-1
, NUR 315 Questions With Solutions
Calcium channel blockers use Vasodilation
Calcium channel blockers Verapamil & diltiazem, nifedipine
Verapamil diltiazem uses Slowing of SA nodal automaticity, delta of AV nodal
conduction, reduction of myocardial contractility
Verapamil & diltiazem indications A fib, a flutter, terminal SVT
Verapamil & diltiazem adverse Bradycardia, AV block, HF, peripheraledema
Nifedipine indications HTN, angina
nifedipine adverse Reflex tachycardia
Vasodilators Hydralazine, sodium nitruprusside
, NUR 315 Questions With Solutions
Hydralazine uses Arteriodilation, HTN, HTN crisis, helps w HF
Hydralazine adverse Reflex tachycardia, increased blood volume, lupus like syndrome,
headache, dizziness, weakness and fatigue
Sodiu nitruprusside uses Venous and arterial simulation, hypertensive emergencies
Sodium nitruprusside adverse Excessive hypotension, prolonged infusion can cause
cyanide poisoning & thiocyanate toxicity
K+ sparing diuretics Spironolactone
Spironolactone uses HTN, edema, HF
Spironolactone adverse Hyperkalemia, endocrine effects gynemastia, mentrual
irruglarities, impotence, hirtuism)
, NUR 315 Questions With Solutions
Spironolactone nursing considerations Serum potassium levels, weight, vitals (BP), take w
or after meals, menstrual irregularities
Spironolactone safe handling Can cause fetal harm to pt to pregnant nurse administering
Cardinal glycosides Digoxin/digitalis
Digoxin/digitalis uses HF, increase contraction & cardiac dysrythmias
Digoxin/digitalis adverse Dysrythmias, hypokalemia, digoxin toxicity
Digoxin/digitalis nursing considerations Narrow therapeutic index, maintenance levels of
dig, eliminated in kidneys so watch kidney function
Sodium channel blockers Lidocaine
Lidocaine uses Ventricular dysrythmias
Lisinopril adverse Don't take when pregnant, cough, angioedema, first dose hypotension,
hyperkalemia
Angiotensin 2 receptor blockers Losartan, volsartan
Losartan uses HTN, diabetic neuropathy, stroke prevention
Losartan adverse Angioedema, fetal harm, renal failure
Valsartan uses HTN, HF, MI
Valsartan contraindications No pregnancy, no renal stenosis
Valsartan pt edu Check BP before admin
Advantage of using Angiotensin 2 receptor blockers Lower incidence of cough &
hyperkalemia compared to ACE-1
, NUR 315 Questions With Solutions
Calcium channel blockers use Vasodilation
Calcium channel blockers Verapamil & diltiazem, nifedipine
Verapamil diltiazem uses Slowing of SA nodal automaticity, delta of AV nodal
conduction, reduction of myocardial contractility
Verapamil & diltiazem indications A fib, a flutter, terminal SVT
Verapamil & diltiazem adverse Bradycardia, AV block, HF, peripheraledema
Nifedipine indications HTN, angina
nifedipine adverse Reflex tachycardia
Vasodilators Hydralazine, sodium nitruprusside
, NUR 315 Questions With Solutions
Hydralazine uses Arteriodilation, HTN, HTN crisis, helps w HF
Hydralazine adverse Reflex tachycardia, increased blood volume, lupus like syndrome,
headache, dizziness, weakness and fatigue
Sodiu nitruprusside uses Venous and arterial simulation, hypertensive emergencies
Sodium nitruprusside adverse Excessive hypotension, prolonged infusion can cause
cyanide poisoning & thiocyanate toxicity
K+ sparing diuretics Spironolactone
Spironolactone uses HTN, edema, HF
Spironolactone adverse Hyperkalemia, endocrine effects gynemastia, mentrual
irruglarities, impotence, hirtuism)
, NUR 315 Questions With Solutions
Spironolactone nursing considerations Serum potassium levels, weight, vitals (BP), take w
or after meals, menstrual irregularities
Spironolactone safe handling Can cause fetal harm to pt to pregnant nurse administering
Cardinal glycosides Digoxin/digitalis
Digoxin/digitalis uses HF, increase contraction & cardiac dysrythmias
Digoxin/digitalis adverse Dysrythmias, hypokalemia, digoxin toxicity
Digoxin/digitalis nursing considerations Narrow therapeutic index, maintenance levels of
dig, eliminated in kidneys so watch kidney function
Sodium channel blockers Lidocaine
Lidocaine uses Ventricular dysrythmias
