Author Question: A nurse is educating a client with hypertension who is prescribed losartan about the drug's action. ... (Read 71 times)

Davideckstein7 · **on:** Jul 23, 2018

A nurse is educating a client with hypertension who is prescribed losartan about the drug's action. Which of the following would the nurse incorporate into the teaching about this drug?

A) Blocking aldosterone receptors
B) Preventing conversion of angiotensin I
C) Blocking angiotensin II receptors
D) Preventing renin secretion

Question 2

A client who is prescribed losartan for hypertension has stopped taking the drug immediately after experiencing adverse reactions. The nurse would be alert for which of the following due to abrupt discontinuation?

A) Breathing difficulty
B) Rebound hypertension
C) Orthostatic hypotension
D) Anginal attacks

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

Answer to Question 1

Ans: C
Feedback:
Losartan is an angiotensin II receptor antagonist, acting to block the angiotensin II receptors. By blocking the angiotensin II receptor, the renin-angiotensin system is stopped and consequently blood pressure is reduced. Drugs such as captopril prevent the conversion of angiotensin I. Losartan does not prevent renin secretion. Losartan does not block aldosterone receptors.

Answer to Question 2

Ans: B
Feedback:
Rebound hypertension will occur in clients when antihypertensives are abruptly discontinued. In rebound hypertension, there is a sudden rise in blood pressure when the antihypertensives are withheld. Orthostatic hypotension, anginal attacks, and breathing difficulty are the adverse reactions associated with antihypertensive drug usage and may not occur on stopping the drug.