Assignment2: Long-acting dihydropyridines
Assignment2: Long-acting dihydropyridines
Assignment2: Long-acting dihydropyridines
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 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 Question 6. Art is a fifty-five-year-old smoker who has been diagnosed with angina and placed on nitrates. He complains of headaches after using his nitrate. An appropriate reply might be: “This is a parasympathetic response to the vasodilating effects of the drug.” “Headaches are common side effects with these drugs. How severe are they?” “This is associated with your smoking. Let’s work on having you stop smoking.” “This is not related to your medication. Are you under a lot of stress?” Question 7. Donald has been diagnosed with hyperlipidemia. On the basis of his lipid profile, atorvastatin is prescribed. Rhabdomyolysis is a rare but serious adverse response to this drug. Donald should be told to: Become a vegetarian since this disorder is associated with eating red meat Stop taking the drug if abdominal cramps and diarrhea develop Report muscle weakness or tenderness and dark urine to his provider immediately Expect “hot flash” sensations during the first two weeks of therapy Question 8. Which of the following classes of drugs is contraindicated in heart failure? Nitrates Long-acting dihydropyridines Calcium channel blockers Alpha-beta blockers Question 9. First-line therapy for hyperlipidemia is: Statins Niacin Lifestyle changes Bile acid-binding resins Question 10. Patients who are being treated for folate deficiency require monitoring of: Complete blood count every four weeks Hematocrit and hemoglobin at one week and then at eight weeks Reticulocyte count at one week Folate levels every four weeks until the hemoglobin stabilizes
