1. The nurse who administers spironolactone to a patient with heart failure
should recognize that it promotes improvement by what mechanism?
it blocks the action of aldosterone
2. The renin-angiotensin-aldosterone system plays an important role in
maintaining blood pressure. Which compound in this system is most powerful at
raising blood pressure?
Angiotensin II
3. The nurse is reviewing medication records of several different patients. Which
patients should the nurse closely monitor for hyperkalemia? Select all that apply.
A patient taking triamterene and a direct renin inhibitor, A patient taking spironolactone
and angiotensin receptor blocker, A patient taking amiloride and an angiotensinconverting enzyme (ACE) inhibitor
4. The nurse is administering captopril to a patient with heart failure. Which best
describes the effects of this drug?
Blocks production of angiotensin II
5. Which side effects should the nurse monitor for in a patient who takes
enalapril? Select all that apply.
Hyperkalemia, Intractable cough
6. A patient has reduced cardiac output. Which compensatory response would
the nurse expect to occur in this patient?
Activation of the renin-angiotensin-aldosterone system (RAAS)
7. A patient is prescribed lisinopril 40 mg by mouth once a day for hypertension.
For which therapeutic effect should the nurse monitor?
decrease in blood pressure
8. The nurse is teaching a patient prescribed captopril for the treatment of
hypertension. Which instructions should the nurse include? Select all that apply.
Expect a persistent dry cough, Avoid potassium salt substitutes, Report difficulty in
breathing immediately
9. The nurse is caring for a patient with bipolar disorder treated with lithium. The
patient has a new prescription for captopril for hypertension. The combination of
these two drugs makes which assessment particularly important?
lithium level
10. The nurse is caring for a patient with renal artery stenosis who has been
prescribed benazepril. Which laboratory result indicates an adverse effect of this
drug?
Serum creatinine level of 2.3 mg/dL
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