Author Question: The nurse is caring for a client receiving ACE inhibitor therapy for heart failure. Which statements ... (Read 73 times)

kwoodring · **on:** Jul 23, 2018

The nurse is caring for a client receiving ACE inhibitor therapy for heart failure. Which statements are true regarding ACE inhibitor treatment of heart failure?(Select all that apply.)

1. ACE inhibitors lower blood pressure.
2. ACE inhibitors reduce blood volume.
3. ACE inhibitors enlarge the heart's pumping action.
4. ACE inhibitors increase cardiac output.
5. ACE inhibitors decrease the workload of the heart.

Question 2

The client is receiving milrinone (Primacor). Which side effect is potentially life-threatening for this drug?

1. Ventricular dysrhythmia
2. Hypokalemia
3. Hypernatremia
4. Angioedema

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

Answer to Question 1

1, 2, 4, 5

Rationale 1: ACE inhibitors lower blood pressure.
Rationale 2: ACE inhibitors reduce blood volume by enhancing the excretion of sodium and water.
Rationale 3: ACE inhibitors do not enlarge the heart's pumping action.
Rationale 4: ACE inhibitors increase cardiac output.
Rationale 5: ACE inhibitors decrease the workload of the heart.

Global Rationale: ACE inhibitors lower blood pressure and reduce blood volume by enhancing the excretion of sodium and water. ACE inhibitors increase cardiac output and decrease the workload of the heart.

Answer to Question 2

1

Rationale 1: The most serious adverse effect of milrinone is ventricular dysrhythmia, which can occur in more than 1 of every 10 patients taking the drug. The patient's ECG should be monitored continuously during the infusion of the drug.
Rationale 2: Hypokalemia is a side effect of loop and thiazide diuretics.
Rationale 3: Hypernatremia is not associated with milrinone.
Rationale 4: Angioedema is a side effect of ACE inhibitors.

Global Rationale: The most serious adverse effect of milrinone is ventricular dysrhythmia, which can occur in more than 1 of every 10 patients taking the drug. The patient's ECG should be monitored continuously during the infusion of the drug. Hypokalemia is a side effect of loop and thiazide diuretics. Hypernatremia is not associated with milrinone. Angioedema is a side effect of ACE inhibitors.