STUVIA 2024/2025
Pharm Ch 43 Test Prep
Diuretic - ✔✔The nurse is caring for a 39-year-old African American client who is 25
lbs overweight and who has received a new diagnosis of hypertension. What initial
drug therapy should the nurse anticipate?
The client's creatinine clearance is steadily declining. - ✔✔The clinic nurse assesses
a client taking benazepril to control hypertension. What change in the client's health
status may require a change in drug therapy?
Report onset of a fever or persistent cough to your healthcare provider." - ✔✔A client
has been prescribed losartan for hypertension. What client teaching points should the
nurse include about this drug?
Close adherence to the prescribed regimen - ✔✔A client has been diagnosed with
hypertension and prescribed ramipril. When planning this client's care, what outcome
should the nurse identify?
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Steps1,2,3,and4 - ✔✔A stepped-care management approach to treating hypertension
includes weight loss, smoking cessation, decreased use of alcohol, reducing sodium in
the diet, and increased physical exercise. During a stepped-care management
approach, when should the nurse teach about these changes in lifestyle?
Peripheral edema and bradycardia - ✔✔A client taking diltiazem for hypertension has
come to the clinic for a follow- up appointment. What adverse effects should the nurse
assess the client for?
Excessive sweating on the job - ✔✔A client who works in construction has been
diagnosed with hypertension. After attempting to decrease the client's blood pressure
with lifestyle changes and a mild diuretic, it is determined that the client needs to begin
taking an angiotensin- converting enzyme (ACE) inhibitor. In an effort to prevent
adverse effects, the nurse should address what client-related variable?
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, STUVIA 2024/2025
When was your last menstrual period (LMP)?" - ✔✔What is the nurse's priority
assessment question before giving a female client her prescription for an angiotensin
II-receptor blocker (ARB)?
grapefruit juice - ✔✔A client taking a calcium channel blocker is seen in the clinic and
receives a diagnosis of drug toxicity. When collecting the nursing history, consumption
of what product would indicate the likely cause of this drug toxicity?
Swallow the drug whole and do not to cut, crush, or chew it." - ✔✔An older adult client
is taking a sustained-release antihypertensive drug. What is the nurse's priority
teaching point about this medication?
Hydrochlorothiazide - ✔✔A client with hypertension has been started on losartan.
After 6 weeks of therapy, the healthcare provider decides that the losartan alone is not
controlling the client's hypertension. What does the nurse anticipate will be added to
the losartan regimen for better control of this client's hypertension?
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persistent cough - ✔✔The nurse is providing drug teaching for a client who is
prescribed enalapril.
What drug-specific adverse effect will the nurse include in the drug teaching?
"I will call my doctor if I bruise easily or become extremely tired." - ✔✔The nurse
provides drug teaching to the client prescribed captopril. What statement made by the
client does the nurse interpret to mean teaching has been
effective?
Grilled chicken, green salad with dressing, and baked apple - ✔✔The nurse provides
dietary teaching to a client with hypertension. The nurse determines that the client has
understood the information when the client selects what meal?
Serum potassium level - ✔✔A client's hypertension has not responded significantly to
first-line therapies, so the healthcare provider has prescribed aliskiren and
spironolactone. In addition to blood pressure monitoring, what assessment should the
nurse prioritize?
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