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NR293: Week 7 Quiz
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NR293: Week 7 QuizA patient has a new order for the adrenergic drug doxazosin (Cardura). When
providing education about this drug, the nurse will include which
instructions? - -"Be sure to lie down after taking the first dose, because first-
dose hypotension may make you dizzy."
-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? - -Captopril is
not a prodrug and does not need to be metabolized by the liver before
becoming active.
-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? - -"The provider is making sure the
treatment is effective over the long term."
-The nurse is preparing for a community education program on
hypertension. Which of these parameters determine the regulation of arterial
blood pressure? - -Cardiac output and systemic vascular resistance
-When counseling a male patient about the possible adverse effects of
antihypertensive drugs, the nurse will discuss which potential problem? - -
Impotence
-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? - -Calcium channel blockers with thiazide diuretics
-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? - -Sexual dysfunction
-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? - -10 minutes
-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? - -"Therapy for high blood pressure is
usually lifelong."
-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? - -Angiotensin-
converting enzyme (ACE) inhibitors
-A pregnant woman is experiencing hypertension. The nurse knows that
which drug is commonly used for a pregnant patient who is experiencing
hypertension? - -Methyldopa (Aldomet)
-A patient with type 2 diabetes mellitus has been found to have trace
proteinuria. The prescriber writes an order for an angiotensin-converting
enzyme (ACE) inhibitor. What is the main reason for prescribing this class of
drug for this patient? - -Renal protective effects
-The nurse is reviewing the orders for a patient and notes a new order for an
angiotensin-converting enzyme (ACE) inhibitor. The nurse checks the current
medication orders, knowing that this drug class may have a serious
interaction with what other drug class? - -Nonsteroidal anti-inflammatory
drugs
-An older adult patient will be taking a vasodilator for hypertension. Which
adverse effect is of most concern for the older adult patient taking this class
of drug? - -Hypotension
-When teaching a patient about antihypertensive drug therapy, which
statements by the nurse are correct? (Select all that apply.) - -"You need to
have your blood pressure checked once a week and keep track of the
readings."
"An exercise program may be helpful in treating hypertension, but let's
check with your doctor first."
"Please continue taking the medication, even if you are feeling better."
-A patient is to receive enalapril (Vasotec) 5 mg IV every 6 hours. Each dose
is given over 5 minutes. The medication is available in an injectable form,
1.25 mg/mL. Identify how many milliliters of medication will the nurse draw
up for each dose. - -4 mL
-When the nurse is administering topical nitroglycerin ointment, which
technique is correct? - -Remove the old ointment before new ointment is
applied.
-The nurse is giving intravenous nitroglycerin to a patient who has just been
admitted because of an acute myocardial infarction. Which statement is true
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