The nurse is assessing the patient's knowledge regarding drug therapy
prescribed for the treatment of hypertension. Which statement by the
patient indicates the need for further teaching by the nurse?
a. "I will wear
...
The nurse is assessing the patient's knowledge regarding drug therapy
prescribed for the treatment of hypertension. Which statement by the
patient indicates the need for further teaching by the nurse?
a. "I will wear a medical alert bracelet"
b. "I will ove slowly from a sitting to standing position"
c. "Blood pressure drugs can cause changes in sexual functioning"
d. "When my BP is over 140/90, I will take my medication"
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D
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The nurse understands a patient who is treated for hypertension may
be switched to an angiotensin receptor blocker (ARB) because of which
angiotensin-converting enzyme (ACE) inhibitor adverse effect?
a. Fatigue
b. Hypokalemia
c. Orthostatic hypotension
d. Dry, nonproductive cough
D
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The nurse is assessing the patient's knowledge regarding drug therapy
prescribed for the treatment of hypertension. Which statement by the
patient indicates the need for further teaching by the nurse?
a. "I will wear a medical alert bracelet"
b. "I will ove slowly from a sitting to standing position"
c. "Blood pressure drugs can cause changes in sexual functioning"
d. "When my BP is over 140/90, I will take my medication"
D
The nurse understands a patient who is treated for hypertension may
be switched to an angiotensin receptor blocker (ARB) because of which
angiotensin-converting enzyme (ACE) inhibitor adverse effect?
a. Fatigue
b. Hypokalemia
c. Orthostatic hypotension
d. Dry, nonproductive cough
D
Which medication should the nurse question if prescribed together with
ACE inhibitors?
a. Furosemide (Lasix)
b. Morphine
c. Docusate sodium (Colace)
d. Potassium chloride (K-Dur)
D
The nurse should question a prescription for a calcium channel blocker
in a patient with which condition?
a. Dysrhythmia
b. Hypotension
c. Angina pectoris
d. Increased intracranial pressure
B
The nurse is conducting a community education program. When
explaining different medication regimens to treat hypertension, it would
be accurate to state that African Americans probably respond best to
which combination of medications?
a. ACE inhibitors and diuretics
b. Diuretics and calcium channel blockers
c. Diuretics and beta blockers
d. ACE inhibitors and beta blockers
B
ACE inhibitors and ARBs both work to decrease blood pressure by which
action?
a. Prevent aldosterone secretion
b. Increase the breakdown of bradykinin
c. Enhance sodium and water resorption
d. Prevent the formation of angiotensin II
A
Which instruction should be included in the discharge teaching for a
patient with a transdermal nitroglycerin (Nitro-Dur) patch?
a. "If you get chest pain, apply a second patch next to the first patch
b. "If you get a headache, remove the patch for 4 hours and then
reapply."
c. "Make sure to rub a lotion or cream on the skin before putting on a
new patch."
d. "Apply the patch to a hairless, nonirritated area of the chest, upper
arm, back or shoulder."
D
The patient states to the nurse, "My friend said nitroglycerin relieves
angina pain by reducing preload. What is preload?" Which statement by
the nurse explains preload to this patient?
a. "It is the blood return to the heart."
b. "It is the oxygen demand of the heart."
c. "It is the pressure against which the heart must pump."
d. "It is dilation of arteries and veins throughout the body."
A
Which statement by the patient demonstrates a need for further
education regarding nitroglycerin (Nitrostat) sublingual tablets?
a. "I should keep my nitroglycerin in a cool, dry place."
b. "I can take up to four tablets at 5-minute intervals for chest pain."
c. "If I get a headache, I should keep taking my nitroglycerin and use
Tylenol to relieve my headache."
d. "I should change positions slowly to avoid getting dizzy from the
drug's effect on my blood pressure."
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