11. In patients with congestive heart failure, which of the following medications can cause fluid re

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11. In patients with congestive heart failure, which of the following medications can cause fluid retention and/or salt retention and exacerbate their congestive heart failure? (Select all that apply) 

Naproxen (Aleve)

Pioglitazone (Actos) -Thiazolidinedione (TZD) used in treatment of DM 

Ibuprofen (Motrin)

Acetaminophen (Tylenol)


12. According to the 2017 ACC/AHA Hypertension Guidelines what is the generally accepted goal blood pressure for patients being treated with antihypertensive agents? 

A. <140/90 B. <115/80 C. <130/80 D. <150/90   13. Which of the following antihypertensives has an appreciable incidence of causing constipation as a side effect? (select the best answer)  A. Hydrochlorothiazide (Hydrodiuril) B. Candesartan (Atacand) C. Ramipril (Altace) D. Verapamil (Verelan)   14. Which of the following medications is known for a "first dose phenomenon" that is characterized by profound orthostatic hypotension after initiation or subsequent dose increases?  A. Chlorathalidone B. Lisinopril  C. Metoprolol D. Doxazosin   15. GB is a 45 year old male who was diagnosed with unstable angina and was taken to the cardiac catheterization lab for coronary angiography to define the coronary anatomy and assess whether a cardiac intervention was necessary. He was found to have 95%occlusion in his left circumflex artery and received a drug-eluting stent. Post-intervention echocardiography showed an EF of 30%. Which of the following medications would be recommended for GB to be discharged on pending his blood pressure was able to tolerate initiation and there were no contraindications? Select all that apply  Metoprolol succinate (Toprol XL) 25 mg po daily Aspirin 81 mg po daily  Losartan (Cozaar) 25 mg po daily Clopidogrel (Plavix) 75 mg po daily    16. All of the following are TRUE of Digoxin EXCEPT A. digoxin is renally eliminated and levels should be assessed when patient's experience an acute kidney injury B. Toxicity can present as nausea, vomiting, chest pain, and visual changes C. Digoxin improves mortality in patients with heart failure  D. digoxin is a (+) inotrope   17. Which of the following combinations of antihypertensive agents is not recommended?  A. Lisinopril and Hydrochlorothiazide B. Lisinopril and Losartan C. Atenolol and Chlorthalidone D. Amlodipine and Benazepril    18. Which of the following antihypertensive agents mechanistically inhibits the conversion of angiotensin I to angiotensin II? This agent has a high incidence for dry hacking cough. A. Olmesartan (Benicar) B. Amlodipine (Norvasc) C. Hydralazine (Apresoline) D.Ramipril (Altace)   19. All of the following are true of Hydrochlorothiazide EXCEPT:  A. it causes hyperuricemia  B. it causes hypoklameia C. it causes hypomagnesemia  D. it causes hypocalcemia    20. Which of the following medications has been linked to causing ototoxicity as an adverse effect? select the best answer A.Furosemide (Lasix) B. Atenolol (Tenormin) C. Hydralazine (Apresoline) D. Clonidine (Catapres) SCIENCE HEALTH SCIENCE NURSING NURS 658


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