Why should the nurse monitor ACE inhibitors cautiously in clients with renal or hepatic impairment and older adults?

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Question 1 of 5

Why should the nurse monitor ACE inhibitors cautiously in clients with renal or hepatic impairment and older adults?

A. A sudden raise in BP may occur during the first 1 to 3 hours after the initial dosage. B. A sudden drop in BP may occur during the first 1 to 3 hours after the initial dosage. C. A sudden drop in body temperature may occur during the first 1 to 3 hours after the initial dosage. D. A sudden raise in pulse rate may occur during the first 1 to 3 hours after the initial dosage.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

Which of the following medications would you expect to see on the medication list for a 26-year-old man with pericarditis?

A. Atorvastatin (HMG CoA reductase inhibitor or statin). B. Low-molecular-weight heparin (anticoagulant). C. Indomethacin (nonsteroidal anti-inflammatory drug). D. Atenolol (beta blocker).

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

A 70-year-old patient with cardiovascular disease attends group classes on disease process, medications, exercise, nutrition, and stress management. To promote optimal and effective learning, the cardiac-vascular nurse uses which teaching strategy?

A. Condensing the information to one session, so the patient avoids returning for additional education. B. Customizing teaching objectives based on the learner's interests. C. Preparing a PowerPoint presentation to enhance learning. D. Teaching the most important information at the end of the session, to maximize retention.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

When caring for a patient after a cardiac catheterization with coronary angiography, which finding would be of most concern to the nurse?

A. Swelling at the catheter insertion site B. Development of raised wheals on the patient's trunk C. Absence of pulses distal to the catheter insertion site D. Patient pain at the insertion site as 4 on a scale of 0 to 10

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

During treatment of a patient with a BP of 222/148 mm Hg and confusion, nausea, and vomiting, the nurse initially titrates the medications to achieve which goal?

A. Decrease the mean arterial pressure (MAP) to 129 mm Hg B. Lower the BP to the patient's normal within the second to third hour C. Reduce the systolic BP (SBP) to 158 mm Hg and the diastolic BP (DBP) to 111 mm Hg within the first 2 hours D. Decrease the SBP to 160 mm Hg and the DBP to between 100 and 110 mm Hg as quickly as possible

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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