pharmacology- ACE ARBS & BLOCKERS

A patient on ACE inhibitors should be closely monitored for (SATA): A. excessive sweating B. vomiting C. Diarrhea D. Dehydration E. Hypotensive crisis

A B C D E

Which side effects indicate a need to discontinue medication therapy for captopril? SATA A. Rash B. Distorted taste C. Swelling of the tongue D. Photosensitivity E. Dry Cough

A B C E

Client is taking an ACE inhibitor to treat hypertension calls the nurse and reports a dry, nonproductive cough that is very bothersome. The nurse would respond by making which statement? A. "The medication may need to be changed" B. "The cough must be the start of a respiratory infection" C. "Take the medication with large amounts of water to prevent the cough" D. "This happens sometimes and you will need to take a cough med with each dose of the medication."

A. "The medication may need to be changed"

the nurse is providing education to a client who is being started on atenolol. which statement by the client indicates that teaching has been effective? A. I am taking this medication for hypertension B. It is to help manage my rheumatoid arthritis C. this medication will help my ulcerative colitis D. this medication will reverse my second-degree heart block

A. I am taking this medication for hypertension

Nurse is monitoring an ARB in a patient. Which statement indicates an understanding of the medications side effects? A. I need to avoid food high in potassium, such as bananas and oranges B. this med can cause swelling in my legs and feet, which I should monitor C. I can stop taking the medication if I feel better, as long as my BP is controlled D. I don't need to worry about kidney function while taking

A. I need to avoid food high in potassium, such as bananas and oranges

A nurse is caring for a client who is taking captopril. Which of the following adverse effects should the nurse instruct the client to report because it can indicate a need to discontinue medication therapy? SATA A. Rash B. Distorted taste C. Swelling of the tongue D. Photosensitivity E. Dry Cough

A. Rash B. Distorted taste C. Swelling of the tongue E. Dry cough

A nurse is teaching a client taking losartan that which finding is an adverse reaction to the medication and needs to be reported? A. facial edema B. sleepiness C. peripheral edema D. constipation

A. facial edema

atenolol has been prescribed for a client, and the client asks the nurse about the action of the medication. How would the nurse respond regarding the action of this medication? A. slows the heart rate B. increases cardiac output C. increases myocardial oxygen demand D. maintains the blood pressure at a level within the 140/90 mmHg range

A. slows the heart rate

A client is taking an ACE inhibitor to treat hypertension and calls the nurse to report a dry, nonproductive cough that is very bothersome. The nurse would respond by making which statement? A. the medication may need to be changed B. the cough must be the start of a respiratory infection C. take medication with large amounts of water to prevent the cough D. this happens sometimes and you will need to take a cough medicine

A. the med may need to be changed

A patient is taking a calcium channel blocker for angina. Which instruction should the nurse include when educating the patient about this medication? A. take the medication on an empty stomach to improve absorption B. avoid consuming grapefruit juice while taking this medication C. this medication may cause your blood pressure to increase initially D. you can stop the medication if your chest pain resolves

B avoid consuming grapefruit juice while taking this medication

Atenolol is prescribed for a client. which statement by the client indicates the need for further teaching? A. I need to rise slowly from a lying to a sitting position B. If i feel that my heart rate is too low, i need to stop the medication C. it will take 1-2 weeks before my blood pressure becomes controlled D. i need to avoid tasks that require alertness until I know how the medication will affect my body

B. If i feel that my heart rate is too low, i need to stop the medication

Atenolol has been prescribed for a hospitalized client. The nurse would check which items before administering this medication? A. Pedal pulses B. apical heart rate C. most recent potassium level D. most recent electrolyte levels

B. apical heart rate

The PHCP writes a prescription for atenolol for a client who was admitted to the hospital. The nurse contacts the PHCP to verify the prescription if which finding is noted in the assessment data? A. temperature is 100.1F B. apical heart rate is 48 beats/min C. BP is 138/82 mmHg D. pedal pulses are bounding and strong

B. apical heart rate is 48 beats/min

A patient has been prescribed nifedipine for angina. Which of the following instructions should the nurse include when teaching the patient about this medication? A. you may crush the tablet if you have trouble swallowing B. avoid sudden changes in position to prevent dizziness C. increase your intake of high-potassium foods D. you may experience a slow heart rate while on this medication

B. avoid sudden changes in position to prevent dizziness

Atenolol is prescribed for a hospitalized client. The nurse would perform which action as a priority before administering this medication? A. listen to the client's lung sounds B. check the client's blood pressure C. assess client for muscle weakness D. check client's most recent electrolyte levels

B. check client's BP

A patient is taking a calcium channel blocker for hypertension. Which following side effects should the nurse monitor for this patient? A. Bradycardia B. Constipation C. Hyperkalemia D. increased blood glucose levels

B. constipation

A client taking losartan asks about stopping contraception and starting a family. You inform the client that losartan is unsafe to take during pregnancy due to which risk? A. macrosomia B. fetal injury C. gestational diabetes D. thromboembolic disease

B. fetal injury

A nurse is talking with a client who is taking losartan for hypertension. The client asks the nurse about stopping contraception and starting a family. You inform the client that losartan is unsafe to take during pregnancy due to which risk? A. macrosomia B. fetal injury C. gestational diabetes D. thromboembolic disease

B. fetal injury

A client is taking an ACE inhibitor for hypertension. Which electrolyte imbalance is the most important for in this patient? A. hypocalcemia B. hyperkalemia C. hyponatremia D. hypermagnesemia

B. hyperkalemia

A client who has been taking 25 mg metoprolol twice daily for 2 years receives a checkup. The nurse monitors the client for what symptom indicating a possible drug intolerance? A. bradycardia B. hypertension C. oliguria D. weight gain

B. hypertension

48 year old client, BP 198/112, severe headache and drowsiness. Disoriented and begins to vomit. What is the primary nursing goal for client experiencing a hypertensive emergency? A. assess the level of head pain B. implement interventions to lower BP C. administer antiemetic medication D. monitor client's level of consciousness

B. implement interventions to lower BP

Which medication blocks the beta-adrenergic receptors in the heart and blood vessels? A. hydrochlorothiazide B. metoprolol C. losartan D. lisinopril

B. metoprolol

The patient has a history of myocardial infarction. Which of the following is a therapeutic effect of beta blockers in this patient? A. increased cardiac output B. reduced myocardial oxygen demand C. increased heart rate D. reduced risk of hypoglycemia

B. reduced myocardial oxygen demand

A hypertensive client is started on atenolol. The nurse instructs the client to immediately report which of these findings? A. rapid breathing B. slow, bounding pulses C. jaundiced sclera D. weight gain

B. slow, bounding pulses

A patient is prescribed captopril for hypertension. Which of the following should the nurse include when teaching about this medication? A. take the medication with a meal to improve absorption B. you may experience a persistent cough as a side effect C. you do not need to monitor your BP at home D. discontinue the medication if you develop dizziness or light-headedness

B. you may experience a persistent cough as a side effect

The client nurse is providing instructions to a client with hypertension who will be taking captopril. Which statement by the client indicates a need for further instruction? A. "I need to change positions slowly" B. "I need to avoid taking hot baths and showers" C. "I need to drink at least 4 quarts of water daily" D. "I need to sit down and rest if dizziness or light-headedness occurs"

C. "I need to drink at least 4 quarts of water daily"

A nurse is giving instructions to a patient taking metoprolol for hypertension. Which statement indicates a need for further teaching? A. I will check my pulse regularly while taking this medication B. I should change positions slowly to avoid feeling lightheaded C. I can stop taking the medication once my blood pressure returns to normal D. I may feel tired when I first starting taking this medication

C. I can stop taking the medication once my blood pressure returns to normal

A nurse is providing instructions to a client with hypertension who will be taking captopril. Which statement by the client indicates a need for further instruction? A. i need to change positions slowly B. i need to avoid taking hot baths and showers C. i need to drink at least 4 quarts of water daily D. i need to sit down and rest if dizziness or light-headedness occurs

C. I need to drink at least 4 quarts of water daily

A female client with hypertension has been prescribed captopril 25 mg orally 3x daily. What education should the nurse provide? A. sometimes this medication causes disturbing nightmares for some clients B. to prevent falls, take all your meds 30 min before bed C. it is common for clients to develop a dry cough when taking this medication D. you may develop urinary frequency while your body adjusts to this new medication

C. It is common for clients to develop a dry cough when taking this med

A client just began captopril. Which assessment is most important for the nurse to monitor in the first few hours after the first dose? A. serum potassium levels B. urine output C. blood pressure D. heart rate

C. blood pressure

Atenolol is prescribed to a client with hypertension. What would the nurse tell the client is an occasional side effect of this medication? A. dry skin B. flushing C. decreased libido D. increased blood pressure

C. decreased libido

While talking with a client who is taking captopril to treat hypertension, which instructions should the nurse include to give the client to help manage the medication's adverse effects? A. check your heart rate prior to taking the med B. wear sunscreen and protective clothing while outdoors C. do not use salt substitutes to season your food D. take the medication with a meal

C. do not use salt substitutes to season your food

While talking with a client who is taking captopril to treat hypertension, which instructions should the nurse include to give the client to help manage the medications adverse effects? A. check your heart rate prior to taking the medication B. wear sunscreen and protective clothing while outdoors C. do not use salt substitutes to season your food D. take the medication with a meal

C. do not use salt substitutes to season your food

A client is prescribed atenolol. The nurse assesses what parameter as most relevant to the mechanism of action of atenolol? A. blood pressure B. breath sounds C. heart rate D. heart sounds

C. heart rate

A patient is prescribed a beta-blocker. What must be assessed prior to administration of the medication? A. heart rate and temperature B. BP and respiratory rate C. heart rate and BP C. RR and HR

C. heart rate and BP

A client admitted to the hospital is taking atenolol. the nurse monitors the client for which sign or symptom of an adverse effect of the medication? A. nausea B. diaphoresis C. hypotension D. tachycardia

C. hypotension

Which of the following best describes the action of beta blockers as cardiac medications? A. decreasing preload to reduce the work of the heart B. increasing sodium and water reabsorption C. impeding the sympathetic nervous system to reduce vasoconstriction D. regulating the cardiac conduction system to stabilize heart rhythms

C. impeding the sympathetic nervous system to reduce vasoconstriction

A patient is prescribed nifedipine for hypertension. Which side effects should the nurse prioritize monitoring for in this patient? A. Hyperkalemia B. Gingival hyperplasia C. Peripheral edema D. Hypoglycemia

C. peripheral edema

A client is taking captopril. Which lab value should the nurse assess before administering the medication? A. hemoglobin B. blood glucose C. serum potassium D. white blood cell count

C. serum potassium

A client is taking captopril. Which should the nurse emphasize as a reason to notify the HCP immediately? A. dry, persistent cough B. mild dizziness upon standing C. swelling of the face, lips, or tongue D. fatigue and drowsiness

C. swelling of the face, lips, or tongue

Which question would be most important for a nurse to ask a female client who is starting on an angiotensin ll receptor blocker for hypertension? A. how much physical exercise do you get? B. do you eat something when you take your meds? C. when was your last menstrual period? D. have you always weighed 150 pounds?

C. when was your last menstrual period

A 54 year old with CHF is admitted to the unit. the nurse knows that what physiologic changes will affect a client's stroke volume? A. changes in heparin dose B. changes in walking patterns C. changes in respiratory rate D. changes in heart contraction

D. changes in heart contraction

A nurse is monitoring a patient taking nifedipine for hypertension. Which adverse effect should the nurse report to the HCP immediately? A. facial flushing B. peripheral edema C. reflex tachycardia D. severe hypotension

D. severe hypotension

A nurse is teaching client taking losartan that which of the following findings could indicate an adverse reaction to the medication and needs to be reported? A. facial edema B. sleepiness c. peripheral edema d. constipation

a. facial edema

A client with angina is taking nifedipine. The nurse should teach the client to: A. monitor BP monthly B. perform daily weights C. inspect gums daily D. limit intake of green leafy vegetables

c. inspect gums daily

You are caring for a hypertensive client with a new order for captopril. Which information should the nurse include in client teaching? A. avoid green leafy vegetables B. restrict fluids to 1000 cc/day C. avoid the use of salt substitutes D. take the medication with meals

avoid the use of salt substitutes

A nurse is preparing to administer losartan. Which lab value should the nurse closely monitor? A. blood glucose levels B. serum potassium levels C. serum creatinine levels D. hemoglobin levels

serum potassium levels