The use of angiotensin-converting enzyme inhibitors (ACEIs) and ...

[rl]

The use of angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin II receptor blockers (ARBs) are contraindicated in clients with which of the following medical conditions? Select all that apply.
 
  A) Bilateral stenosis
  B) Angioedema
  C) Pregnancy
  D) Diabetes
  E) Hyperlipidemia

Question 2

A client is prescribed atenolol. After administering the drug, the nurse would be alert for which of the following? Select all that apply.
 
  A) Cough
  B) Hyperkalemia
  C) Bradycardia
  D) Dizziness
  E) Constipation

[Liddy]

Answer to Question 1

Ans: A, B, C
Feedback:
The use of ACEIs and ARBs is contraindicated if the client has impaired renal function, heart failure, salt or volume depletion, bilateral stenosis, angioedema, or is pregnant.

Answer to Question 2

Ans: C, D
Feedback:
Common adverse reactions seen with atenolol, a beta-adrenergic blocker, include bradycardia, dizziness, fatigue, weakness, hypotension, nausea, vomiting, diarrhea, and nervousness. Cough is associated with ACE inhibitors. Hyperkalemia is associated with eplerenone and aliskiren. Constipation is not a common adverse reaction with atenolol.

[rl]

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