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PN119 PrepU Chapter 35 Questions With Complete Solutions
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PN119 PrepU Chapter 35 Questions With CompleteSolutions
A 26-year-old white male patient has been prescribed captopril
for hypertension. A nurse has been assigned to the patient to
provide education regarding the use of this drug. The nurse will
advise the patient that: Correct Answers a persistent, dry cough
may occur; however, it is not serious.
A 37-year-old woman presents with a blood pressure of 118/86
mm Hg. She exercises regularly, is weight-appropriate for her
height, and indicates no use of tobacco or alcohol. According to
the 2003 guidelines, what would her blood pressure classify?
Correct Answers Prehypertension
A 37-year-old woman presents with a blood pressure of 118/86
mm Hg. She exercises regularly, is weight-appropriate for her
height, and reports no use of tobacco or alcohol. Why is that
classification significant? Correct Answers Prehypertension
values indicate twice the likelihood for developing hypertension
than do lower pressure values.
A 46-year-old man with a high body-mass index and a sedentary
lifestyle has been diagnosed with hypertension by his primary
care provider after serial blood pressure readings. The clinician
has opted to begin the patient on captopril (Capoten). The
patient's nurse should recognize that the therapeutic effect of this
drug is achieved in what way? Correct Answers By inhibiting
the transformation of angiotensin I to angiotensin II
, A 55-year-old man's hypertension has not responded adequately
to his current medication regimen consisting of an ACE
inhibitor, a beta-blocker and a thiazide diuretic. As a result, he
will soon begin taking hydralazine (Apresoline) in addition to
his existing antihypertensives. The addition of this medication to
his regimen means that the nurse must prioritize which nursing
action? Correct Answers Frequent assessment of the patient's
cardiac status
A 71-year-old male patient has recently been diagnosed with
hypertension. Which measurement is a partial indication of
effective treatment and management? Correct Answers
Diastolic blood pressure below 90 mm Hg
A client is receiving an antihypertensive medication that is only
available in oral form. Which agent would the nurse identify as
most likely being used? Correct Answers Carvedilol
A client is receiving lisinopril (Prinivil) for the treatment of
hypertension. The client began taking ibuprofen (Motrin) over
the counter for arthritis pain. Which is most likely to occur with
this combination of medications? Correct Answers Increased
blood pressure
A client is started on captopril, an ACE inhibitor. The client
should be informed of the possibility of what adverse effect?
Correct Answers Persistent cough
A client is started on trandolapril (Mavik). The client should be
instructed that what is a common adverse effect of ACE
inhibitor therapy? Correct Answers persistent cough
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