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NR293: WEEK 7 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NR293: WEEK 7 QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NR293: WEEK 7 QUESTIONS ANDANSWERS WITH SOLUTIONS 2024
A patient has a new order for the adrenergic drug doxazosin (Cardura). When providing education about
this drug, the nurse will include which instructions? - ANSWER "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? - ANSWER 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? - ANSWER "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? - ANSWER 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? - ANSWER 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? - ANSWER 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? - ANSWER 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? - ANSWER 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? - ANSWER
"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?
- ANSWER 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? - ANSWER 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? - ANSWER 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? - ANSWER 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? - ANSWER Hypotension
When teaching a patient about antihypertensive drug therapy, which statements by the nurse are
correct? (Select all that apply.) - ANSWER "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. - ANSWER 4 mL
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