Author Question: A patient is taking a drug that interferes with venous constriction. The nurse will tell the patient ... (Read 51 times)

awywial · **on:** Jul 23, 2018

A patient is taking a drug that interferes with venous constriction. The nurse will tell the patient to:

a. ask for assistance when getting out of bed.
b. expect bradycardia for a few days.
c. notify the provider if headache occurs.
d. report shortness of breath.

Question 2

A patient with hypertension is prescribed an angiotensin-converting enzyme (ACE) inhibitor. The nurse reviewing this patient's chart before administering the medication will be most concerned about which other disease process?

a. Bronchial asthma
b. Coronary artery disease
c. Diabetes mellitus
d. Renal artery stenosis

mrphibs · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: A
A drop in venous pressure reduces venous return to the heart, and as blood pools in the extremities, orthostatic hypotension can occur. Patients taking drugs that reduce venous constriction should be cautioned to ask for assistance when getting out of bed. Bradycardia, headache, and shortness of breath are not expected effects.

Answer to Question 2

ANS: D
ACE inhibitors can cause severe renal insufficiency in patients with bilateral renal artery stenosis or stenosis in the artery to a single remaining kidney. Bronchial asthma, coronary artery disease, and diabetes mellitus are not comorbidities that are contraindications to treatment with an ACE inhibitor.