The clinic nurse is teaching a community class about Angiotensin-Converting Enzyme (ACE) inhibitors and Angiotensin II Receptor Blockers (ARBs). Which of the following should be included in the teaching?

Hypertension is a side effect of both types of drugs.

ACE inhibitors treat heart failure, but ARBs do not.

WBC and potassium are unaffected by both ARBs and ACE inhibitors.

ARBs and ACE inhibitors are contraindicated during pregnancy.

Answer and Explanation

The Correct Answer is D

A. Hypertension is not a side effect but a condition that these medications are used to treat. ACE inhibitors and ARBs are primarily used to manage hypertension.
B. Both ACE inhibitors and ARBs are used to treat heart failure, not just ACE inhibitors.
C. Both ARBs and ACE inhibitors can affect potassium levels, and ACE inhibitors can impact white blood cell counts. Monitoring is required.
D. Both ARBs and ACE inhibitors are contraindicated during pregnancy due to potential risks to the fetus, such as renal damage and other complications.

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Correct Answer is A

Explanation

A. Captopril (Capoten) is an ACE inhibitor known to cause a persistent dry cough as a common side effect due to the accumulation of bradykinin.
B. Nifedipine (Adalat) is a calcium channel blocker and typically does not cause a dry cough.
C. Verapamil (Calan) is also a calcium channel blocker and is not associated with a dry cough.
D. Propranolol (Inderal) is a beta-blocker and does not usually cause a dry cough.

A. Angina B. Tachycardia C. Asthma D. Gout

Correct Answer is C

Explanation

A. Propranolol can be used to manage angina, as it decreases heart rate and myocardial oxygen demand.
B. Propranolol is often used to treat tachycardia by slowing the heart rate.
C. Beta blockers like propranolol can cause bronchoconstriction, making them contraindicated in patients with asthma due to the risk of exacerbating respiratory issues.
D. Gout is not a contraindication for propranolol use.

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The clinic nurse is teaching a community class about Angiotensin-Converting Enzyme (ACE) inhibitors and Angiotensin II Receptor Blockers (ARBs). Which of the following should be included in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who complains of a persistent, nonproductive dry cough after starting a new prescription for hypertension. Which of the following medications does the nurse suspect?

Correct Answer is A

Explanation

The nurse is screening a client with a new prescription for beta blocker adrenergic propranolol [Inderal LA]. The nurse recognizes that this medication is contraindicated in the presence of which of the following conditions?

Correct Answer is C

Explanation

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