POST-TEST • Te.~hiRg patients to tame thl iension Eal'Jlcontaet hour credit online at www.AmericaONurseTocIa7.coti A090701)

Please circle the correct answer. 6. Drinking grapefruit juice with a calcium channel 11. Which two drug classes are recommended for pa­ blocker: tients with hypertension who also have heart disease? 1. Which hormone prompts the kidneys to con­ a. greatly enhances the effectiveness of the drug. a. ACE inhibitors and beta blockers serve sodium and water? b. facilitates the excretion of the drug via the kid­ b. Beta blockers and calcium channel blockers a. Aldosterone neys. c. Diuretics and direct vascular dilators b. Anglotensinogen c. can cause arash on the arms and legs. d. ARBs and adrenergic blockers c. Angiotensin II d. may increase drug blood levels. d. Insulin 12. Which is akey adverse effect of nondihydropy­ 7. Which is an adverse effect of hydralazine, adi­ ridines? 2. The first-line therapy for uncomplicated hyper­ rect vascular dilator? a. Bradycard'la tension is: a. Asthma symptoms b. Atrial fibrillation a. adiuretic. b. Lupuslike syndrome c. Tachycardia b. avasodilator. c. Bradycardia d. Ventricular fibrillation c. acalcium channel blocker. d. Cardiac remodeling d. an angiotensin-converting enzyme (ACE) in­ 13. Renin inhibitors block the ability of renin to: hibitor. 8. Central adrenergic agonists increase the risk of: a. decrease reabsorption of potassium by the kid­ a. lupus. neys. 3. For a patient with hypertension who has had a b. bradycardia. b. decrease reabsorption of sodium by the kidneys. stroke, the first-line therapy is acombination of: c. diarrhea. c. convert angiotensin Ito angiotensinogen. a. adiuretic and an angiotensin II receptor blocker d. orthostatic hypotension. d. convert angiotensinogen to angiotensin I. (ARB). b. acalcium channel blocker and beta blocker. 9. In patients taking an antihypertensive, St. Johns' 14. Which drug class may cause the patient to c. adiuretic and an ACE inhibitor. wort can: develop adry cough? d. acalcium channel blocker and an ARB. a. decrease metabolism. a. Calcium channel blockers b. decrease blood levels of some drugs. b. ACE inhibitors 4. ARBs work by blocking: c. interfere with the absorption of some antihyper­ c. Direct vascular dilators a. aldosterone. tensives. d. Central adrenergic agonists b. the type 1angiotensin II receptor d. cause a rash on the legs and trunk of the body. c. calcium. 15. Which drug causes vasodilation of the peripheral d. the type 2angiotensin II receptor. 10. Which agent can potentiate the effects of antihy­ blood vessels and coronary arteries but no reduction pertensives? in heart rate? 5. Which is an adverse effect of adihydropyridine a. Advil a. Atenolol calcium channel blocker? b. Antacid b. Diltiazem a. Bradycardia c. Garlic c. Amlodipine b. Lupus d. Motrin d. Verapamil c. Severe vasodilation d. Abnormal hair growth

Evaluation form (required) A/so rate the fol/owing from 1to 5. The relatedness and effectiveness of the purpose, objectives, content, and 1.ln each blank, rate your achievement of each objective from 1(low/poor) to 5 2. teaching strategies. __ (high/excellent). 3. The author(s) competence and effectiveness. __ (1) Differentiate the classes of drugs used to treat hypertension. __ 4. The activity met your personal expectations. __ (2.) Identify a unique adverse effect of each major class. __ 5. The application to and usefulness of the content in your nursing practice. __ (3.) Describe the necessary patient education for each major class. __ 6. Freedom from bias due to conflict of interest, commercial support, product endorsement or unannounced off-label use. (4.) Explain the cardiovascular benefits of therapy with angiotensin­ 7. State the number of minutes it took you to read the article and complete the converting enzyme inhibitors, angiotensin II receptor blockers, and beta post-test and evaluation. __ blockers. Comments:

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~~------Businessphone . ' __ Mailing address _ Fax ~------~~------State __ Zip - _ Method of payment (ANA members $20; nonmembers $25) For credit cards: • I VISA I • D Check payable to American Nurses Association. Account # ANI'. Visa MasterCard _OCAOO_ D D PLEASE DO NOT SEND CASH i I I I I I II I I I I I ITIT] --..cIAno. Amount authorized $ _ Security code (3 digit) Mail completed evaluation, post-test, registration form, and payment [II] Expiration date _ to: ANA, PO Box 504410, SI. Louis, MO 63150-4410 Authorized signature _ Please allow 4 to 6 weeks for CE processing.

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