The nurse is administering the angiotensin II receptor antagonist valsartan. Which physiological response causes its therapeutic effect?
Chronotropic effect.
Diuresis
Vasodilation.
Sympatholytic action.
The Correct Answer is C
A) Chronotropic effect: This term refers to changes in heart rate. Angiotensin II receptor antagonists like valsartan primarily affect blood pressure and vascular tone, rather than directly altering heart rate.
B) Diuresis: Diuresis involves increased urine production. Although some antihypertensives can have a diuretic effect, valsartan primarily works through mechanisms other than increasing urine output.
C) Vasodilation: Angiotensin II receptor antagonists such as valsartan work by blocking the action of angiotensin II, which leads to vasodilation. This reduction in vascular resistance helps to lower blood pressure and is the primary therapeutic effect of valsartan.
D) Sympatholytic action: This refers to the suppression of sympathetic nervous system activity. Valsartan does not primarily act through sympathetic nervous system modulation but rather through direct vasodilation by blocking angiotensin II receptors.
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Related Questions
Correct Answer is D
Explanation
A) Avoid the intake of dairy products while using the medication: There is no specific requirement to avoid dairy products when using bulk-forming laxatives. The primary concern with bulk-forming laxatives is to ensure they are taken with adequate fluids.
B) Take the medication one hour after meals and other medications: Bulk-forming laxatives should be taken with a meal or at a different time from other medications to prevent interactions, but the key aspect is to follow the medication with sufficient fluids rather than timing relative to meals.
C) Remain upright for thirty minutes following drug administration: While remaining upright can help prevent potential esophageal irritation, it is not the primary instruction for bulk-forming laxatives. The more critical instruction is related to fluid intake to ensure effectiveness and prevent complications.
D) Follow medication administration with an additional glass of water: Bulk-forming laxatives require adequate fluid intake to function properly. Following the medication with an additional glass of water helps the laxative form a gel-like substance in the intestines, which aids in bowel movement and prevents potential complications like obstruction.
Correct Answer is A
Explanation
A. Restlessness: Restlessness is a sign of excessive levothyroxine sodium, which can lead to symptoms of hyperthyroidism. Other signs include palpitations, nervousness, and insomnia. Overmedication can accelerate metabolism and cause these symptoms.
B. Decreased appetite: Decreased appetite is not typically associated with overmedication of levothyroxine. Instead, a decreased appetite might be related to other conditions or medications but is not a primary indicator of excessive thyroid hormone.
C. Intolerance to cold: Intolerance to cold is more indicative of hypothyroidism or insufficient dosing of levothyroxine rather than overmedication. Excessive levothyroxine usually causes symptoms of hyperthyroidism, such as heat intolerance.
D. Constipation: Constipation is more commonly associated with hypothyroidism or insufficient levothyroxine dosing. Overmedication generally leads to symptoms like diarrhea rather than constipation.
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