norwich NR552A week 3 quiz 2022 Graded

Ray has been diagnosed with hypertension and it is determined that an angiotensin-converting enzyme inhibitor is needed. Prior to prescribing this drug, the nurse practitioner (NP) should assess for:

Select one:

 

a.

Hypokalemia

 

b.

Impotence

 

c.

Decreased renal function

 

d.

Inability to concentrate

 

Question 2

 

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Because of their site of action, bile acid sequestering resins:

 

Select one:

 

a.

Should be administered separately from other drugs by at least four hours

 

 

b.

May increase the risk for bleeding

 

 

c.

Both a. and b.

 

 

d.

Neither a. or b.

 

 

Question 3

 

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Adherence to beta blocker therapy may be affected by their:

Select one:

 

a.

Short half-lives requiring twice daily dosing

 

b.

Tendency to elevate lipid levels

 

c.

Effects on the male genitalia, which may produce impotence

 

d.

None of the possible choices

Question 4

 

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Which of the following adverse effects may occur due to a dihydropyridine-type calcium channel blocker?

Select one:

 

a.

Bradycardia

 

b.

Hepatic impairment

 

c.

Increased contractility

 

d.

Edema of the hands and feet

Question 5

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While taking an ARB, patients need to avoid certain over-the-counter drugs without first consulting the provider because:

Select one:

 

a.

Salt substitutes may contain potassium and put the patient at risk for hyperkalemia.

 

b.

Nonsteroidal anti-inflammatory drugs reduce may reduce effect of the ARB.

 

c.

Taking an ARB with an antacid will decrease the effectiveness.

 

d.

Both 1 and 2

Question 6

 

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The choice of diuretic to use in treating hypertension is based on:

Select one:

 

a.

Presence of diabetes with loop diuretics being used for these patients

 

b.

Level of kidney function with a thiazide diuretic being used for an estimated glomerular filtration rate higher than the mid-40 mL/min range

 

c.

Ethnicity with aldosterone antagonists best for African Americans and older adults

 

d.

Presence of hyperlipidemia with higher doses needed for patients with low-density lipoproteins (LDL) above 130 mg/dL

Question 7

 

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Jim is being treated for hypertension. Because he has a history of heart attack, the drug prescribed is atenolol. Beta blockers treat hypertension by:

Select one:

 

a.

Increasing heart rate to improve cardiac output

 

b.

Reducing vascular smooth muscle tone

 

c.

Increasing aldosterone-mediated volume activity

 

d.

Reducing aqueous humor production

Question 8

 

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Despite good blood pressure control, an NP might change a patient's drug from an ACE inhibitor to an angiotensin II receptor blocker (ARB) because the ARB:

 

Select one:

 

a.

Is stronger than the ACE inhibitor

 

 

b.

Does not produce a dry, hacking cough

 

 

c.

Has no effect on the renal system

 

 

d.

Reduces sodium and water retention

 

Question 9

 

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Which of the following diagnostic results would NOT indicate a problem related to a reductase inhibitor?

Select one:

 

a.

Elevated serum transaminase

 

b.

Increased serum creatinine

 

c.

Elevated creatinine kinase

 

d.

Increased white blood cell count

Question 10

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To reduce potential adverse effects, patients taking a peripherally acting-1 antagonist should do which of the following?

 

Select one:

 

a.

Take the dose at bedtime

 

 

b.

Take the dose in the am without food.

 

 

c.

Monitor their blood pressure and skip a dose if the pressure is less than 120/80

 

 

d.

Weigh themselves daily and report weight gain of greater than two pounds in one day