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NURS 617 EXAM 1 NEWEST ACTUAL EXAM 2024
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COMPLETE ACCURATE EXAM QUESTIONS WITH
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Terms in this set (240)


Blood pressure goal for hypertensive patients aged
<140/90 18-59, those with diabetes, or patients with chronic
kidney disease

Blood pressure goal in hypertensive patients 60+
<150/90
years old with no diabetes of chronic kidney disease

Accumulation of which of a. Calcium
the following molecules
results in irreversible cell Rationale: The accumulation of calcium causes
injury? irreversible mitochondrial injury.


a. Calcium
b. Melanin
c. Lipids
d. Water

Acebutolol Examples of Selective Beta 1 Blockers
Atenolol
Betaxolol
Bisoprolol
Esmolol
Metoprolol
Nebivolol

, blocks angiotensin converting enzyme which converts
the inactive protein, angiotensin 1 into the very active
protein, angiotensin 2. In this way, the normal actions
ACE inhibitors of angiotensin 2 are blocked (peripheral arterial
vasoconstriction and stimulation of aldosterone
secretion by adrenal gland) therefore lowering blood
pressure.

ACE inhibitors because Which antihypertensive can be used with thiazide
they tend to increase diuretics to offset the hypokalemia
serum potassium

ACE inhibitors What are the major drug classes used to treat heart
Loop and Thiazide failure
diuretics
Beta blockers
Cardiac Glycosides
Nitrates

Which drug class used to treat heart failure has been
ACE inhibitors (-pril)
shown to increase life expectancy?

ACE inhibitors (-pril) Which antihypertensive classes are glucose neutral
ARBs (sartan) and can be used relatively safely in diabetics

Adaptive cellular d.protect cells from injury.
mechanisms function to:


a. speed up cellular death.
b. prevent cellular aging.
c. treat disease.
d. protect cells from injury.

Lower blood pressure by either directly preventing
Adrenergic Neuron the release of norepinephrine from sympathetic nerve
Blocers endings or by depleting the nerve endings of stored
norepinephrine.

, A drug-induced, secondary effect of a drug that
produces a change in a patients condition that is
Adverse Effect noxious, harmful or unpleasant, which requires
treatment or reduction or discontinuation of the drug
and which usually occurs at therapeutic doses.

An immunologic hypersensitivity reaction resulting
Allergic reaction from the unusual sensitivity of a patient to a particular
medication; a type of adverse drug event.

Direct antagonists on alpha 1 receptors located on the
smooth muscle cells making up the walls of the
peripheral arterioles and peripheral veins. This blocks
the normal vasoconstrictive effects of the sympathetic
Alpha 1 blockers
nervous system causing veins to become more
dilated. This results in decreased peripheral resistance
and decreased venous return therefore lowering
blood pressure.

Which antihypertensive medication class significantly
Alpha 1 blockers (-zosins) reduces left ventricular afterload and is very effective
in management of CHF

Which antihypertensive drug class may increase the
Alpha 1 blockers (-zosins) sensitivity of insulin receptors, improving efficacy of
insulin and is a good choice for diabetics with HTN?

Antihypertensive medication that can treat both HTN
Alpha 1 blockers (-zosins)
and BPH?

Interact with alpha 2 receptors in the CV control
center in the brain stem and inhibit the discharge of
the sympathetic nervous system and reduce
alpha 2 adrenergic
sympathetic activation of the heart and the peripheral
agonists
vascular system. End results are decrease of
myocardial contractility and heart rate and reduction
of cardiac output and BP.

Alpha methyldopa Examples of Alpha 2 Adrenergic Agonists.
Clonidine
Guanfacine

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