Group activity: CV alternate format quiz

A patient is taking 10 mg of lisinopril for stage 1 hypertension. Which of the following if being used concurrently with lisinopril would concern the nurse? Select 3 that apply.

• Potassium supplements

• Magnesium supplements

• Sodium free Mrs. Dash

• Spironolactone (Aldactone)

• Chlorthalidone (thiazide-like diuretic)

Name a medication that has a negative chronotropic effect but a positive inotropic effect? Hint: you must listen to apical heart rate before administering.

Which of the following calcium channel blockers would treat hypertension as well as tachycardia? Select all that apply.

• diltiazem (Cardizem)

• verapamil (Calan)

• amlodipine (Norvasc)

• nimodipine (Nimotop)

• nicardipine (Cardene)

Match the following anticoagulant medications to the descriptive fact that matches each one.

• Makes platelets less sticky in arteries

• 
• Highly protein bound, many interactions

• 
• Antidote is protamine sulfate

• 
• Can cause severe cerebral bleeding

• 
• Can cause HIT, can be self administered

• 

A patient with well controlled hypertension is being treated with lisinopril (an ACE inhibitor) and develops a dry, irritating cough. The nurse knows this is a common side effect and is due to a build up of bradykinin in the lungs. Which of the following medications would the nurse expect the patient to be started on after discontinuation of the lisinopril?

• losartan (Cozaar)

• amlodipine (Norvasc)

• metoprolol tartrate (Lopressor)

• hydrochlorothiazide (Hydrodiuril)

HMG-CoA Reductase Inhibitors aka "statins" are first line therapy for dyslipidemia. These medications ​ (a)   to take during pregnancy. Statins should be taken ​ (b)   . Patients taking statin medications should have their ​ (c)   monitored periodically. Several statins are metabolized by the CYP3A4 enzyme; if another medication that is a CYP3A4 inhibitor is taken, the risk of myopathies and/or rhabdomyolysis ​ (d)  

• are not safe
• are safe
• at night
• in the morning
• twice per day
• liver function
• kidney function
• uric acid levels
• increases
• decreases

Which of the following medications can prevent or reverse ventricular remodeling in a patient with heart failure or in a patient who has just had a myocardial infarction? Select THREE that apply.

• Calcium channel blockers

• Beta blockers

• ACE inhibitors

• ARBs

• Aldosterone receptor antagonists (spironolactone)