NSG 6005 Week 3 Assignment 2 Quiz

Question 1 .

Ray has been diagnosed with hypertension, and an ACE inhibitor is determined to be needed .Prior to prescribing this drug, the nurse practitioner should assess for:

Hypokalemia
Impotence
Decreased renal function
Inability to concentrate

Question 2 .

A potentially life-threatening adverse response to ACE inhibitors is angioedema .Which of the following statements is true about this adverse response?

Swelling of the tongue and hoarseness are the most common symptoms .
It appears to be related to a decrease in aldosterone production .
The presence of a dry, hacky cough indicates a high risk for this adverse response .
Because it takes time to build up a blood level, it occurs after being on the drug for about one week .

Question 3 . Rodrigo has been prescribed procainamide after an episode of MI .He is monitored for dyspnea, jugular venous distention, and peripheral edema because they may indicate:

Widening of the area of infarction
Onset of congestive heart failure
An electrolyte imbalance involving potassium
Renal dysfunction

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Question 4 .

Which of the following is true about procainamide and its dosing schedule?

It produces bradycardia and should be used cautiously in patients with cardiac conditions that a slower heart rate might worsen .
GI adverse effects are common, so the drug should be taken with food .
Adherence can be improved by using a sustained-release formulation that can be given once daily .
Doses of this drug should be taken evenly spaced around the clock to keep an even blood level .

Question 5 .

Furosemide is added to a treatment regimen for heart failure, which includes digoxin .Monitoring for this combination includes:

Hemoglobin
Serum potassium
Blood urea nitrogen
Serum glucose