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NURS 220 (Nursing Pharmacology) Chapter 21-29 exam Questions and Answers Southern University
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NURS 220 (Nursing Pharmacology) Chapter 21-29 exam Questions and Answers Southern University
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NURS 220 (Nursing Pharmacology)Chapter 21-29 exam Questions and
Answers Southern University.
,Ch 22 Questions
1. A patient has a new order for the adrenergic drug doxazosin (Cardura). When providing education
about this drug, the nurse will include which instructions?
, a. “Weigh yourself daily, and report any weight loss to your prescriber.”
b. “Increase your potassium intake by eating more bananas and apricots.”
c. “The impaired taste associated with this medication usually goes away in 2 to 3 weeks.”
d. “Be sure to lie down after taking the first dose, because first-dose hypotension may make
you dizzy.”
2. A patient with severe liver disease is receiving the angiotensin-converting enzyme (ACE)
inhibitor, captopril (Capoten). The nurse is aware that the advantage of this drug for this patient is
which characteristic?
a. Captopril rarely causes first-dose hypotensive effects.
b. Captopril has little effect on electrolyte levels.
c. Captopril is a prodrug and is metabolized by the liver before becoming active.
d. Captopril is not a prodrug and does not need to be metabolized by the liver before
becoming active.
3. During a follow-up visit, the health care provider examines the fundus of the patient’s eye.
Afterward, the patient asks the nurse, “Why is he looking at my eyes when I have high blood
pressure? It does not make sense to me!” What is the best response by the nurse?
a. “We need to monitor for drug toxicity.”
b. “We must watch for increased intraocular pressure.”
c. “The provider is assessing for visual changes that may occur with drug therapy.”
d. “The provider is making sure the treatment is effective over the long term.”
4. The nurse is preparing for a community education program on hypertension. Which of these
parameters determine the regulation of arterial blood pressure?
a. Cardiac output and systemic vascular resistance
b. Heart rate and peripheral resistance
c. Blood volume and renal blood flow
d. Myocardial contractility and arteriolar constriction
5. When counseling a male patient about the possible adverse effects of antihypertensive drugs, the
nurse will discuss which potential problem?
a. Impotence
b. Bradycardia
c. Increased libido
d. Weight gain
6. The nurse is reviewing drug therapy for hypertension. According to the JNC-8 guidelines,
antihypertensive drug therapy for a newly diagnosed hypertensive African-American patient
would most likely include which drug or drug classes?
a. Vasodilators alone
b. ACE inhibitors alone
, c. Calcium channel blockers with thiazide diuretics
d. Beta blockers with thiazide diuretics
7. The nurse is creating a plan of care for a patient with a new diagnosis of hypertension. Which is a
potential nursing diagnosis for the patient taking antihypertensive medications?
a. Diarrhea
b. Sexual dysfunction
c. Urge urinary incontinence
d. Impaired memory
8. A patient’s blood pressure elevates to 270/150 mm Hg, and a hypertensive emergency is obvious.
He is transferred to the intensive care unit and started on a sodium nitroprusside (Nipride) drip to
be titrated per his response. With this medication, the nurse knows that the maximum dose of this
drug should be infused for how long?
a. 10 minutes
b. 30 minutes
c. 1 hour
d. 24 hours
9. A patient with primary hypertension is prescribed drug therapy for the first time. The patient asks
how long drug therapy will be needed. Which answer by the nurse is the correct response?
a. “This therapy will take about 3 months.”
b. “This therapy will take about a year.”
c. “This therapy will go on until your symptoms disappear.”
d. “Therapy for high blood pressure is usually lifelong.”
10. A patient who has been taking antihypertensive drugs for a few months complains of having a
persistent dry cough. The nurse knows that this cough is an adverse effect of which class of
antihypertensive drugs?
a. Beta blockers
b. Angiotensin-converting enzyme (ACE) inhibitors
c. Angiotensin II receptor blockers (ARBs)
d. Calcium channel blockers
11. A pregnant woman is experiencing hypertension. The nurse knows that which drug is commonly
used for a pregnant patient who is experiencing hypertension?
a. Mannitol (Osmitrol)
b. Enalapril (Vasotec)
c. Hydrochlorothiazide (HydroDIURIL)
d. Methyldopa (Aldomet)
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