Lehne's Pharmacology CH 44

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Administer the medications as scheduled.

A patient who is taking spironolactone [Aldactone] is prescribed losartan [Cozaar]. The nurse should take which action?

Sodium 132 mg/dL

It would be a priority to teach orthostatic BP precautions to a patient before the first dose of an ACE inhibitor if laboratory tests include which result?

It causes more adverse effects

Spironolactone is less selective than eplerenone. The nurse knows that this means what about spironolactone?

Lithium level

The nurse is caring for a patient with bipolar disorder treated with lithium [Eskalith]. The patient has a new prescription for captopril [Capoten] for hypertension. The combination of these two drugs makes which assessment particularly important?

Avoid potassium salt substitutes. A persistent dry cough may occur. Report difficulty in breathing immediately.

The nurse is teaching a patient prescribed captopril [Capoten] for the treatment of hypertension. Which instructions should the nurse include?

-pril

The nurse recognizes that the generic names of ACE inhibitor drugs end in which suffix?

-sartan

The nurse recognizes that the generic names of ARB drugs end in which suffix?

"I use NoSalt instead of salt to season foods."

The nurse teaches a patient about benazepril [Lotensin]. Which statement by the patient is false and requires an intervention by the nurse?

"What do you use to season your food?"

When taking a history from a patient who is prescribed an ACE inhibitor, ARB, or eplerenone, which question would be the most important for the nurse to ask?

Dry cough

Which adverse effect, reflecting accumulation of bradykinin, may a patient may experience from taking an ACE inhibitor?


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