Winter 102 Final Practice Questions Flashcards
58 year old patient with a history of HTN presents with dizziness, headaches, and blurred vision. The nurse suspects a HTN crisis.
WHAT is the PRIORITY nursing intervention?
a. Administer a prescribed antihypertensive medication as ordered
b. Perform a neuro assessment to rule out stroke
c. Place the patient in a sitting position with their head elevated.
d. Obtain vital signs and assess the patient’s BP immediately
ASSESS!!!
d. Obtain vital signs and assess the patient’s BP immediately
next you would do a. neuro check for s/s stroke
then administer BP meds
A 45 year old with. newly diagnosed HTN is prescribed a thiazide diuretic. What should the nurse include in the TEACHING plan for this patient.
SATA
a. “You should limit your potassium intake while taking this medication”
b. “Increase your fluid intake to prevent dehydration.”
c. “Take your medication in the morning.”
d. “Report any muscle weakness , cramping, or irregular heartbeats to your HCP.”
B, C, D
b. “Increase your fluid intake to prevent dehydration.”
c. “Take your medication in the morning.”
d. “Report any muscle weakness , cramping, or irregular heartbeats to your HCP.”
K+ wasting diuretic
decrease in K+ = dysrhytmias
A 55 yo Black male patient with HTN is starting treatment. The nurse is reviewing EBP guidelines for HTN mgmt in Black patients. Which of he following classes of medications is considered most effective as a first-line treatment for Black individuals with HTN?
a. Angiotensin-converting enzyme (ACE) inhibitors
b. Angiotensin II receptor blockers (ARBs)
c. Calcium channel blockers and thiazide diuretics
d. Beta-Blockers
C.
c. Calcium channel blockers and thiazide diuretics
Beta blockers NOT good for Black patients
for regular patients = ACE/Diuretic
A patient with HTN is prescribed lisinopril.
What is the most important side effect for the nurse to educate the patient about?
a. “You may experience a persistent dry cough.”
b. This medication may cause your blood sugar levels to drop.”
c. “You may experience blurred vision as a result of this medication.”
d. Lisinopril can cause drowsiness, so avoid driving after taking it.”
A
a. “You may experience a persistent dry cough.”
Ace = dry cough
A nurse is caring for a 70 year old patient with uncontrolled HTN and is planning to administer a dose of hydralazine (intravenous dilator). What should the nurse monitor closely after administration of this medication?
a. Respiratory Rate
b. Blood Pressure
c. Electrolyte levels
d. Heart rate
B. did it work?
b. Blood Pressure
what class ends in
-PRIL
ACE inhibitors
A - for Ace
pril = APRIL
what class ends in
-SARTAN
ARBs
both have AR
ARbs and sARtan
what class ends in
-PINE
Calcium channel blockers
CA has lots of ponderosa PINES and “happy cows” = milk=calcium
what class ends in
-OSIN
Alpha Blockers
Alphas will be the first to get to the OSIN (ocean)
what class ends in
-OLOL
Beta Blockers
B for beta looks like L and O squished together
B BLO = 2 bs
what class ends in
-IDE
Diuretics
you wanna hIDE from patients when they take due to peeing every 15 minutes - bed changes
what class ends in
-ZINE
vasodilators
nitroglycerin
hydralizine
relaxes smooth muscles
