Which common adverse effect of an angiotensin II receptor antagonist will the nurse expect to assess in a patient?
Seizure
Bradycardia
Hyperkalemia
Insomnia
The Correct Answer is C
(A) Seizure: Not a typical side effect of ARBs.
(B) Bradycardia: ARBs do not significantly affect heart rate.
(C) Hyperkalemia: Angiotensin II receptor blockers (ARBs), like losartan, reduce aldosterone secretion, leading to potassium retention and hyperkalemia.
(D) Insomnia: Not a common adverse effect of ARBs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
(A) Tetany: Hypocalcemia increases neuromuscular excitability, leading to muscle cramps, spasms, and tetany (involuntary muscle contractions).
(B) Hypertension: Hypocalcemia does not directly cause hypertension; it may lead to hypotension.
(C) Constipation: Hypercalcemia, not hypocalcemia, causes constipation.
(D) Polyuria: Hypercalcemia leads to polyuria, while hypocalcemia does not.
Correct Answer is A
Explanation
(A) Erythropoietin Injection: CKD patients often develop anemia due to reduced erythropoietin production by the kidneys. Administering synthetic erythropoietin stimulates red blood cell production.
(B) Packed Red Blood Cells Transfusion: Reserved for severe anemia (Hgb < 7 g/dL) or symptomatic cases, not mild anemia.
(C) Intravenous Iron Infusion: Used if iron deficiency is present, but erythropoietin deficiency is the main issue in CKD anemia.
(D) Platelet Transfusion: Platelets are used for bleeding disorders, not anemia.
(E) Bone Marrow Transplant: Not a treatment for CKD-related anemia, which is not caused by bone marrow failure.
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