*NURSING > EXAM > NURSING 6005 CHAPTER 44: DRUGS ACTING ON THE RENIN-ANGIOTENSIN-ALDOSTERONE SYSTEM (All)

NURSING 6005 CHAPTER 44: DRUGS ACTING ON THE RENIN-ANGIOTENSIN-ALDOSTERONE SYSTEM

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NURSING 6005 CHAPTER 44: DRUGS ACTING ON THE RENIN-ANGIOTENSIN-ALDOSTERONE SYSTEM Test Bank MULTIPLE CHOICE 1. A patient with hypertension is prescribed an angiotensin-converting enzyme (ACE) ... inhibitor. The nurse reviewing this patient’s chart before administering the medication will be most concerned about which other disease process? a. Bronchial asthma b. Coronary artery disease c. Diabetes mellitus d. Renal artery stenosis 2. A nurse administers an ACE inhibitor to a patient who is taking the drug for the first time. What will the nurse do? a. Instruct the patient not to get up without assistance. b. Make sure the patient takes a potassium supplement. c. Report the presence of a dry cough to the prescriber. d. Request an order for a diuretic to counter the side effects of the ACE inhibitor. 3. A patient who has been taking an antihypertensive medication for several years is recovering from a myocardial infarction. The prescriber changes the patient’s medication to an ACE inhibitor. The patient asks the nurse why a new drug is necessary. What is the nurse’s response? a. “ACE inhibitors can prevent or reverse pathologic changes in the heart’s structure.” b. “ACE inhibitors help lower LDL cholesterol and raise HDL cholesterol.” c. “ACE inhibitors increase venous return to the heart, improving cardiac output.” d. “ACE inhibitors regulate electrolytes that affect the cardiac rhythm.” 4. A prescriber orders ramipril (Altace) for an obese patient with type 2 diabetes mellitus who has developed hypertension. The nurse provides teaching before dismissing the patient home. Which statement by the patient indicates understanding of the teaching? a. “I am less likely to develop diabetic nephropathy when taking this medication.” b. “I should check my blood sugar more often, because hyperglycemia is a side effect of this drug.” c. “Taking this medication helps reduce my risk of stroke and heart attack.” d. “This medication will probably prevent the development of diabetic retinopathy.” 5. A patient begins taking an ACE inhibitor and complains of a dry cough. What does the nurse correctly tell the patient about this symptom? a. It indicates that a serious side effect has occurred. b. It is a common side effect that occurs in almost all patients taking the drug. c. It may be uncomfortable enough that the drug will need to be discontinued. d. It occurs frequently in patients taking the drug but will subside over time. 6. A patient with hypertension who has been taking captopril (Capoten) for several months is admitted to the hospital. The patient reports that food “tastes funny.” What will the nurse do? a. Compare the patient’s admission weight to a previous weight. b. Notify the provider to request a different antihypertensive medication. c. Reassure the patient that this is a temporary side effect of the drug. d. Request an order for a white blood cell count (WBC) with differential. [Show More]

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