NURS 540 Test Questions Exam 1 With 100% ALL CORRECT ANSWERS
Terms in this set (82)
You examine a 38-year-old woman who has B. arrange for at least two additional BP measurements
presented for an initial examination and during the next 2 weeks.
Papanicolaou test. She has no complaint. Her
blood pressure (BP) is 154/98 mm Hg bilaterally
and her body mass index (BMI) is 31 kg/m2. The
rest of her physical examination is unremarkable.
Your next best action is to:
A. initiate antihypertensive therapy.
B. arrange for at least two additional BP
measurements
during the next 2 weeks.
C. order blood urea nitrogen, creatinine, and
potassium ion
measurements and urinalysis.
D. advise her to reduce her sodium intake
NURS 540 Test Questions Exam 1
1/21
,You see a 68-year-old woman as a patient who is A. Prescribe an angiotensin-converting enzyme inhibitor (ACEI)
transferring care into your practice. She has a 10-
year history of hypertension, diabetes mellitus,
and hyperlipidemia. Current medications include
hydrochlorothiazide, glipizide, metformin,
simvastatin, and daily low-dose aspirin. Today's BP
reading is 158/92 mm Hg, and the rest of her
history and examination is unremarkable.
Documentation from her former healthcare
provider indicates that her BP has been in the
range for the past 12 months. Your next best action
is to:
A. prescribe an angiotensin-converting enzyme
inhibitor (ACEI).
B. have her return for a BP check in 1 week.
C. advise that her current therapy is adequate.
D. add therapy with an aldosterone antagonist.
NURS 540 Test Questions Exam 1
2/21
, *You see a 38 year old African American male d. Calcium channel blocker
with hypertension who is currently being treated
with thiazide-type diuretic. His current blood
pressure reading is 156/94 mm Hg and he has no
history of diabetes mellitus or chronic kidney
disease. Following current best evidence, you
consider adding which of the following
medications?
a. ACEI
b. angiotensin receptor blocker (ARBs)
c. beta-adrenergic receptor antagonist
d. calcium channel blocker
We have an expert-written solution to this problem!
Nondihydropyridine calcium channel blockers are C. Severe left ventricular dysfunction
contraindicated in patients with:
A. Type I Diabetes
B. A history of venous thromboembolism
C. Severe left ventricular dysfunction
D. Concomitant treatment with an ACEI
*You start a patient with hypertension who is c. potassium
already receiving an ACEI on spironolactone. You
advise the patient to return in 4 weeks to check
which of the following laboratory parameters?
a. sodium
b. calcium
c. potassium
d. chloride
NURS 540 Test Questions Exam 1
3/21
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