Week 13: Chapter 16

Question 1

When a pt is prescribed an antihypertensive drug for BP changes that occurred after chronic kidney disease, what is the alteration in BP called?

Answer 1

Secondary HTN

Question 2

A pt prescribed an angiotensin II receptor blocker (ARB) for hypertension now has a BP of 90/68. What side effects do you expect the pt to experience?

Answer 2

1. Light headedness
2. Dizziness
3. Diarrhea
4. Abnormal potassium level

Question 3

Which action must you take before giving any antihypertensive drug?

Answer 3

Get a list of all the drugs the pt is taking

Question 4

A pt with chronic uncontrolled hypertension is prescribed several antihypertensive drugs. The prescriber orders prazosin (Minipress). When should you administer the first dose?

Answer 4

10 PM at bedtime

Question 5

An older adult pt with hypertension, chronic kidney disease, and liver failure is prescribed and ARB drug. What special precaution do you expect for this patient?

Answer 5

The pt should be given a lower dose of this drug

Question 6

A pt who is taking an ACE inhibitor for hypertension asks how this drug lowers BP? What is your best response?

Answer 6

It blocks the conversion of angiotensin II

Question 7

A pt who is taking captopril (Capoten) 25 mg twice daily develops dizziness. What is your priority action?

Answer 7

Instruct the patient to call for help when getting out of bed.

Question 8

A pt prescribed hydralazine (Apresoline) develops a severe eruption of the skin and mucus membranes. What is your best action?

Answer 8

Hold the drug and notify the prescriber

Question 9

Which statement by a pt who is prescribed metoprolol (Lopressor) indicates the need for additional teaching?

Answer 9

I will stop taking this drug if my heart rate is less than 70 BPM

Question 10

A woman prescribed oral methyldopa (Aldomet) to control pregnancy-induced HTN. What must you teach the PT about this drug?

Answer 10

This drug can be used safely during pregnancy and breastfeeding

Question 11

A pt takes enalapril (Vasotec) 5mg once a day to control high blood pressure. For which life-threatening A/E do you assess the pt?

Answer 11

Angioedema

Question 12

Which S/S must you be sure to check for every 4 - 8 hour after giving a drug to treat high BP?

Answer 12

1. Dizziness
2. Crackles in the lungs
3. BP
4. HR

Question 13

Which points must you be sure to teach the pt who is going home and continuing to take prazosin (Minipres) 2 mg TID for BP control?

Answer 13

1. Do not drive or operate machines
2. Remember to change positions slowly
3. Weigh yourself twice a week
4. Report any ankle swelling to your prescriber

Question 14

A 33 y/o female patient is currently taking captopril (Capoten) 12.5 mg daily to control her high BP. She tells her prescriber that she plans to become pregnant. Which drug will the prescriber most likely prescribe now?

Answer 14

methyldopa (Aldomet)

Question 15

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)

Answer 15

1. Blood pressure
2. Heart rate
3. Complete drug list

Question 16

The nurse is volunteering at a blood pressure clinic. The nurse knows that what blood pressure reading indicates hypertension? (select all that apply)

Answer 16

150/90 mm Hg
150/85 mm Hg
135/90 mm Hg

Question 17

A patient is scheduled for a cardiac stress test. The nurse knows that what class of drug the patient is taking may affect the results of this medical test?

Answer 17

Beta blockers

Question 18

A patient reports experiencing skin lesions and achy joints to the nurse. This is of particular concern to the nurse when it is revealed that the patient is taking what kind of antihypertensive drug?

Answer 18

Calcium channel blockers

Question 19

The nurse is admitting a patient with a diagnosis of untreated hypertension. What health problems can result from this condition? (select all that apply)

Answer 19

Kidney failure
Heart attack
Stroke

Question 20

The nurse is about to give an angiotensin-converting enzyme (ACE) inhibitor to a patient. What side effects are specific to (ACE) inhibitors? (select all that apply)

Answer 20

1. Protein in the urine
2. Persistent dry cough
3. Hypotension

Question 21

The nurse is discharging a newly diagnosed patient with diabetes. The nurse tells the patient that it is very important to regularly monitor the blood glucose when taking what category of drugs?

Answer 21

Alpha-beta blockers

Question 22

The nurse is caring for a patient with high blood pressure. The nurse knows that what antihypertensive drug class blocks the body’s production of angiotensin II?

Answer 22

Angiotensin-converting enzyme (ACE) inhibitors

Question 23

The nurse is giving an antihypertensive drug to a patient. The nurse knows that what antihypertensive drug class causes the force of the heart’s contractions to decrease and the arteries to dilate?

Answer 23

Calcium channel blockers

Question 24

The nurse is caring for a patient on an antihypertensive drug. The nurse knows that what class of drugs causes the heart rate to slow and decreases the force of the heart’s contraction?

Answer 24

Beta blockers

Question 25

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?

Answer 25

“Many of those drugs contain ingredients that can increase your blood pressure.”

Question 26

The nurse is about to administer an antihypertensive drug to a patient. The nurse knows that what antihypertensive drug class blocks the effects of angiotensin II leading to increased vasodilation of arteries?

Answer 26

Angiotensin II receptor antagonists

Question 27

A patient took a dose of lisinopril (Zestril), an ACE inhibitor. The patient phones the nurse and reports sudden onset of swelling of the eyes and lips. What should the nurse do next?

Answer 27

Tell the patient to call 911 immediately.

Question 28

The nurse is admitting a patient who has been taking transdermal clonidine (Catapres) at home. What comment by the patient requires immediate intervention?

Answer 28

“The little patch with the medicine won’t stay on.”

Question 29

A patient reports difficulty having an erection and asks to be prescribed sildenafil (Viagra), which he saw advertised on television. The nurse indicates that this is not a good idea because the patient is also taking what type of medication?

Answer 29

Alpha-blocking agents

Question 30

A patient’s blood pressure is 145/92 mm Hg. Which blood pressure classification is correct for this patient?

Answer 30

Stage 1 hypertension

Stage 1 hypertension blood pressure range is between 140/90 and 159/99 mm Hg