Chapter 16 - book Qs, Evolve Flashcards
- When a patient is prescribed an antihypertensive drug for blood pressure changes that occurred after chronic kidney disease, what is the alteration in blood pressure called?
A. Diastolic blood pressure B. Systolic blood pressure C. Primary hypertension D. Secondary hypertension
D
- When a patient is prescribed an antihypertensive drug for blood pressure changes that occurred after chronic kidney disease, what is the alteration in blood pressure called?
A. Diastolic blood pressure B. Systolic blood pressure C. Primary hypertension D. Secondary hypertension
A C D F
- Which action must you take before giving any antihypertensive drug?
A. Weigh the patient. B. Get a list of all drugs the patient is taking. C. Determine whether the patient has an infection. D. Perform a complete physical assessment.
B
- A patient with chronic uncontrolled hypertension is prescribed several antihypertensive drugs. The prescriber orders prazosin (Minipress). When should you administer the first dose?
A. 9 AM after breakfast B. 12 noon with lunch C. 5 PM with dinner D. 10 PM at bedtime
D
- An older adult patient with hypertension, chronic kidney disease, and liver failure is prescribed an ARB drug. What special precaution do you expect for this patient? A. The patient should be given this drug with food. B. The patient should be given a lower dose of this drug. C. The patient should be instructed to report diarrhea to the prescriber. D. The patient should be given this drug twice a day on an empty stomach.
B
- A patient who is taking an ACE inhibitor for hypertension asks how this drug lowers blood pressure. What is your best response?
A. “It eliminates excess water and salt from the body.” B. “It blocks the conversion of angiotensin II.” C. “It reduces the heart rate.” D. “It dilates the arteries.”
B
- A patient who is taking captopril (Capoten) 25mg twice daily develops dizziness. What is your priority action?
A. Keep the patient on bed rest. B. Withhold the dose and notify the prescriber. C. Instruct the patient to call for help when getting out of bed. D. Place all four side rails in the upright position.
C
- A patient prescribed hydralazine (Apresoline) develops a severe inflammatory eruption of the skin and mucous membranes. What is your best action?
A. Apply an aloe-based lotion to the area. B. Reassure the patient that this is an expected side effect. C. Document these findings as the only action. D. Hold the drug and notify the prescriber.
D
- Which statement by a patient who is prescribed metoprolol (Lopressor) indicates the need for additional teaching?
A. “I will get out of bed slowly to avoid dizziness and decrease the risk of falling.” B. “I will notify my prescriber if I experience any chest pains. C. “I will wear a sunscreen, long sleeves, and hat when I go outdoors.” D. “I will stop taking this drug if my heart rate is less than 70 beats per minute.”
D
- A woman is prescribed oral methyldopa (Aldomet) to control pregnancy-induced hypertension. What must you teach the patient about this drug?
A. Safe use of this drug during pregnancy has not been researched. B. This drug can be used safely during pregnancy and breastfeeding. C. This drug has fewer side effects than many other antihypertensive drugs. D. Research demonstrates that this drug causes birth defects in laboratory animal studies.
B
- A patient takes enalapril (Vasotec) 5mg once a day to control high blood pressure. For which life-threatening adverse effect do you assess the patient?
A. Myocarditis B. Angioedema C. Liver failure D. Stevens-Johnson syndrome
B
- Which signs/symptoms must you be sure to check for every 4 to 8 hours after giving a drug to treat high blood pressure? (Select all that apply.)
A. Dizziness B. Decreased axillary temperature C. Hand grasp strength D. Crackles in lungs E. Blood pressure F. Heart rate G. Weight
A D E F
- Which points must you be sure to teach the patient who is going home and continuing to take prazosin (Minipres) 2mg twice daily for blood pressure control? (Select all that apply.)
A. Do not drive or operate machines. B. Avoid salt substitutes. C. Remember to change positions slowly. D. Weigh yourself twice a week. E. Take two pills of the drug in the evening if you miss your morning dose. F. Report any ankle swelling to your prescriber. G. Avoid aspirin or aspirin-containing products.
A C D F
- A 33-year-old female patient is currently taking captopril (Capoten) 12.5mg daily to control her high blood pressure. She tells her prescriber that she plans to become pregnant. What drug will the prescriber most likely prescribe now?
A. nadolol (Corgard) B. clonidine (Catapres) C. methyldopa (Aldomet) D. lisinopril (Prinivil, Zestril)
C
The nurse is ordered to give an antihypertensive drug to a patient. The nurse knows that before administering any type of antihypertensive drug to a patient, what must always be checked first? (select all that apply)
Select all that apply.
Blood pressure Heart rate Serum potassium level Complete drug list Creatinine levels
Blood pressure
Heart rate
Complete drug list
The nurse is volunteering at a blood pressure clinic. The nurse knows that what blood pressure reading indicates hypertension? (select all that apply)
Select all that apply.
150/90 mm Hg 150/85 mm Hg 135/90 mm Hg 120/80 mm Hg 90/60 mm Hg
150/90 mm Hg
150/85 mm Hg
135/90 mm Hg
A patient who is taking antihypertensive drugs asks the nurse why over-the-counter (OTC) medications for colds, allergies, or appetite control are not allowed to be taken without checking with their prescriber. What is the nurse’s best response?
“Many of those drugs contain ingredients that can increase your blood pressure.”
“There are so many potential drug interactions it is better to be safe than sorry.”
“Over-the-counter (OTC) drugs are not regulated as well as prescribed medications.”
“Those medications tend to dramatically drop your blood pressure.”
“Many of those drugs contain ingredients that can increase your blood pressure.”
A patient with high blood pressure should not take OTC drugs that contain phenylephrine such as drugs for allergy, cold, appetite control, asthma, and hay fever because these drugs can increase and not decrease blood pressure. Some drugs may contain caffeine and other cardiac stimulants. Before taking any OTC drugs, the patient needs to check with their prescriber first. The nurse needs to obtain a complete list of any OTC drugs that the patient is currently using, including herbal drugs. OTC and herbal medications are not controlled and FDA approved.
