NURS 3119 Antihypertensive Meds Exam 4
Questions With Correct Answers
What is Hypertension? - answer✔Force of pumped blood pushing against the artery walls is
consistently too high
>The heart has to work harder to pump blood
What does Hypertension Affect? - answer✔>Body's arteries
>Heart
What is Primary Hypertension? Causes? - answer✔Most common type of hypertension
>Genetics
>Obesity
>Alcohol use
>Smoking
>Unknown etiology
What is Secondary Hypertension Caused by? - answer✔>Kidney disease
>Pregnancy
>Endocrine
What are Classifications of Anti-Hypertensives? - answer✔>Diuretics
>ACE Inhibitors
>ARB's
>Aldosterone Antagonists
>Direct Renin Inhibitors
>Calcium Channel Blockers
What are Examples of ACE Inhibitors? - answer✔>Lisinopril
>Captopril
>Enalapril
>Enlaprilat
>Fosinopril
>Lisonopril
>Ramipril
>Moexipril
>Benzaepril
What is the Mechanism of Action of ACE Inhibitors? - answer✔Block conversion of angiotensin I
to angiotensin II leading to vasodilation. Excretes sodium and water but retains potassium in
the kidneys
What are the Complications of ACE Inhibitors? - answer✔>Diuretic effect --> take in the
morning, caution if combined with another diuretic
>Orthostatic hypotension
>Hyperkalemia - monitor K+ levels, avoid salt substitutes containing K+
>Cough - increases bradykinin resulting in a dry cough
>Contraindicated during pregnancy - fetal injury
>Angioedema - sign of allergic reaction (swelling of mouth/tongue)
What are Nursing Interventions for ACE Inhibitors? - answer✔>If the client is already taking a
diuretic, the medication should be stopped temporarily for 2-3 days prior to the start of the ACE
inhibitor
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