dyslipidemia and HTN practice Qs Flashcards
the nurse is preparing to teach a group of middle-aged clients ways to reduce hypertension. which instruction(s) should the nurse point out during this session? selct al that apply.
- decrease exercise
- reduce stress
- stop smoking
- increase sodium intake
- lose weight
reduce stress, stop smoking, lose weight
a client is taking atorvastatin calcium to reduce serum cholesterol. which aspect of client teaching is most important?
- call the health care provider is muscle pain develops
- it is acceptable to eat saturated fats
- decrease the dose if lethargy occurs
- eat 2 eggs per day to increase protein stores
call the health care provider is muscle pain develops
the nurse instructs a male client to administer his alpha1-adrenergic receptor blocking agent at night. what does this practice help to minimize?
- postural hypertension
- first-dose phenomenon
- hypoglycemic reaction
- hyperglycemic reaction
first-dose phenomenon
the nurse is providing education to a client who has been prescribed captopril. what common adverse effect would the nurse mention in the teaching?
- rhinitis
-n rash to the trunk or extremities
- dry cough
- photosensitivity
dry cough
a 77-year-old patient has a long-standing history of hypertension, a health problem that is being treated with metoprolol and a thiazide diuretic. before administering the 8 AM dose of these medications, what assessments should the nurse perform and document? (select all that apply)
- respiratory rate
- heart rate
- temperature
- oxygen saturation
- blood pressure
heart rate, blood pressure
the nurse is providing teaching to a client who is at risk for hyperlipidemia. the nurse knows that which risk factors can be controlled or modified?
- gender, obesity, family history, and smoking
- stress, family history, and obesity
- inactivity, gender, stress, and obesity
- obesity, inactivity, diet, and smoking
obesity, inactivity, diet, and smoking
a nurse is caring for a client prescribed nicotinic acid for hyperlipidemia. the nurse would assess the client for which findings as a possibility?
- weakness
- flushing of the skin
- tachycardia
- dyspnea
flushing of the skin
an older adult client who resides in a care facility has been prescribed antihypertensives for the first time following many years of generally good health. when administering the first dose of the prescribed antihypertensive medication to an older adult, the nurse should recognize the related risk to which possible side effect?
- falls
- infection
- acute confusion
- impaired oxygenation
falls
after teaching a client about prescribed statin therapy, the nurse determined that additional teaching is required when the client makes which statement?
- “i can should take the dose around bedtime”
- “i should report any problems with muscle pain or weakness”
- “i can take this drug with grapefruit jucie”
- “i need to be careful when i’m out in the sun”
“i can take this drug with grapefruit juice”
a client has been prescribed ramipril 5 mg PO daily with the scheduled dose due at 0800. after reviewing the client’s most recent blood work, the nurse should consider withholding the dose because of what laboratory finding?
- low sodium levels
- elevated neutrophil levels
- low hemoglobin levels
- elevated potassium levels
elevated potassium levels
a client has begun taking cholestyramine. which are noted as the most common adverse effects?
- nausea, flatulence, and constipation
- increased appetite and blood pressure
- fatigue and mental disorientation
- hiccups, nasal congestion, and dizziness
nausea, flatulence, and constipation
a client with moderately elevated lipid levels requests immediate pharmacotherapy for dyslipidemia. the nurse explains that a period of intensive diet therapy and lifestyle modification will be utilized before drug therapy is considered based on what rationale?
- therapeutic lifestyle changes are the prefferred method for lowering blood lipids
- continued therapeutic lifestyle changes during drug therapy will guarantee success
- therapeutic lifestyle changes work only when used in conjunction with medications
- the needed lifestyle changes are usually easy for most people to achieve
therapeutic lifestyle changes are the preferred method for lowering blood lipids
the nurse is teaching about hypertension. nonpharmacologic methods to decrease blood pressure would include which?
- stress reduction techniques and high fat intake
- weight loss and decreased salt intake
- increased exercise activity and fat intake
- decreased water intake and decreased potassium intake
weight loss and decreased salt intake
while studying the antihypertensive drugs, the nursing students learn that the pressure in the cardiovascular system is regulated by various elements. what are they? select all that apply.
- heart rate
- stroke volume
- pulse pressure
- preload
- total peripheral resistance
heart rate, stroke volume, total peripheral resistance
