N180 WCU Week 6 Exam UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
What are some non-pharmacologic methods to treating hypertension? (hint: 8 methods) - CORRECT
ANSWER -Limit ETOH
-Restrict Na+ consumption
-Reduce saturated fat & cholesterol
-Inc. fruit & vegetable intake
-Inc. aerobic physical activity
-Stop tobacco use
-Reduce stress
-Maintain optimum weight
ACE Inhibitors
(hint: all ACE Inhibitors will end in "pril") - CORRECT ANSWER captopril (Capoten)
ACE Inhibitors
What do they do? - CORRECT ANSWER Used for the treatment of HTN and HF
Goal is to decrease blood pressure
captopril (Capoten)
MOA - CORRECT ANSWER Blocks the production of angiotensin II causing
VASODILATION
captopril (Capoten)
Adverse effects - CORRECT ANSWER Severe hypotension after 1st dose
***Dry, nonproductive cough
***Angioedema
-Rash
,-Metallic taste
***Hyperkalemia
-Neutropenia
captopril (Capoten)
Nursing interventions - CORRECT ANSWER -Start with low dose
-Diuretics may be stopped before 1st dose
***Monitor BP, dry cough, & angioedema
***Monitor K levels & WBC
captopril (Capoten)
Administration - CORRECT ANSWER -PO only
-Give 1 hr before meals
captopril (Capoten)
Education - CORRECT ANSWER ***Report swelling of mouth or throat
-Hypotension may occur
***Avoid K supplements
-Report signs of infection
***Report dry cough if interfere with ADLs
captopril (Capoten)
Contraindications - CORRECT ANSWER -Pregnancy Category risk D
-Angioedema
-Hypotension
captopril (Capoten)
Drug interactions - CORRECT ANSWER ***Potassium-sparing diuretics
-Antihypertensives, diuretics, & nitrates inc. risk for hypotension
, ACE acronym for adverse affects - CORRECT ANSWER A-ngioedema
C-ough (severe/persistent)
E-lectrolye imbalance (K+)
What is angioedema? - CORRECT ANSWER An allergic reactions that causes swelling under
the skin of lips and eyes.
What is the treatment for angioedema? - CORRECT ANSWER For mild cases treat with
diphenhydramine (Benadryl) and for severe cases treat with IV epinephrine
What is the key nursing intervention when angioedema occurs? - CORRECT ANSWER Hold
the medication and notify MD
ARBs (Angiotensin2 receptor blockers) - CORRECT ANSWER losartan (Cozaar)
ARBs (Angiotensin2 receptor blockers)
What do they do? - CORRECT ANSWER Treats HTN
Goal is to decrease blood pressure
losartan (Cozaar)
MOA - CORRECT ANSWER Blocks angiotensin II receptors and causes VASODILATION
losartan (Cozaar)
Adverse effects - CORRECT ANSWER ***Angioedema
-Headache
-Insomnia
***Severe hypotension
(<90/70)
QUESTIONS AND CORRECT ANSWERS
What are some non-pharmacologic methods to treating hypertension? (hint: 8 methods) - CORRECT
ANSWER -Limit ETOH
-Restrict Na+ consumption
-Reduce saturated fat & cholesterol
-Inc. fruit & vegetable intake
-Inc. aerobic physical activity
-Stop tobacco use
-Reduce stress
-Maintain optimum weight
ACE Inhibitors
(hint: all ACE Inhibitors will end in "pril") - CORRECT ANSWER captopril (Capoten)
ACE Inhibitors
What do they do? - CORRECT ANSWER Used for the treatment of HTN and HF
Goal is to decrease blood pressure
captopril (Capoten)
MOA - CORRECT ANSWER Blocks the production of angiotensin II causing
VASODILATION
captopril (Capoten)
Adverse effects - CORRECT ANSWER Severe hypotension after 1st dose
***Dry, nonproductive cough
***Angioedema
-Rash
,-Metallic taste
***Hyperkalemia
-Neutropenia
captopril (Capoten)
Nursing interventions - CORRECT ANSWER -Start with low dose
-Diuretics may be stopped before 1st dose
***Monitor BP, dry cough, & angioedema
***Monitor K levels & WBC
captopril (Capoten)
Administration - CORRECT ANSWER -PO only
-Give 1 hr before meals
captopril (Capoten)
Education - CORRECT ANSWER ***Report swelling of mouth or throat
-Hypotension may occur
***Avoid K supplements
-Report signs of infection
***Report dry cough if interfere with ADLs
captopril (Capoten)
Contraindications - CORRECT ANSWER -Pregnancy Category risk D
-Angioedema
-Hypotension
captopril (Capoten)
Drug interactions - CORRECT ANSWER ***Potassium-sparing diuretics
-Antihypertensives, diuretics, & nitrates inc. risk for hypotension
, ACE acronym for adverse affects - CORRECT ANSWER A-ngioedema
C-ough (severe/persistent)
E-lectrolye imbalance (K+)
What is angioedema? - CORRECT ANSWER An allergic reactions that causes swelling under
the skin of lips and eyes.
What is the treatment for angioedema? - CORRECT ANSWER For mild cases treat with
diphenhydramine (Benadryl) and for severe cases treat with IV epinephrine
What is the key nursing intervention when angioedema occurs? - CORRECT ANSWER Hold
the medication and notify MD
ARBs (Angiotensin2 receptor blockers) - CORRECT ANSWER losartan (Cozaar)
ARBs (Angiotensin2 receptor blockers)
What do they do? - CORRECT ANSWER Treats HTN
Goal is to decrease blood pressure
losartan (Cozaar)
MOA - CORRECT ANSWER Blocks angiotensin II receptors and causes VASODILATION
losartan (Cozaar)
Adverse effects - CORRECT ANSWER ***Angioedema
-Headache
-Insomnia
***Severe hypotension
(<90/70)
