NSG 6005 Chapter 40: Hypertension,100% CORRECT

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1. At which stage/classification of hypertension should drug therapy be instituted according to the JNC-7 Report? A. Prehypertension B. Stage 1 C. Stage 2 D. Any stage where the blood pressure is ... greater than 120/80 mm Hg ____ 2. Because primary hypertension has no identifiable cause, treatment is based on interfering with the physiological mechanisms that regulate blood pressure. Thiazide diuretics treat hypertension because they: A. Increase renin secretion B. Decrease the production of aldosterone C. Deplete body sodium and reduce fluid volume D. Decrease blood viscosity ____ 3. Because of its action on various body systems, the patient taking a thiazide or loop diuretic may also need to receive: A. Potassium supplements B. Calcium supplements C. Magnesium supplements D. Phosphates supplements ____ 4. All patients with hypertension benefit from diuretic therapy, but those who benefit the most are: A. Those with orthostatic hypertension B. African Americans C. Those with stable angina D. Diabetics ____ 5. Beta blockers treat hypertension because they: A. Reduce peripheral resistance B. Vasoconstrict coronary arteries C. Reduce norepinephrine D. Reduce angiotensin II production ____ 6. Which of the following disease processes could be made worse by taking a nonselective beta blocker? A. Asthma B. Diabetes C. Both might worsen D. Beta blockade does not affect these disorders ____ 7. Disease states in addition to hypertension in which beta blockade is a compelling indication for the use of beta blockers include: A. Heart failure B. Angina C. Myocardial infarction D. Dyslipidemia ____ 8. ACE inhibitors treat hypertension because they: A. Reduce sodium and water retention B. Decrease vasoconstriction C. Increase vasodilation D. All of the above ____ 9. Compelling indications for an ACE inhibitor as treatment for hypertension based on clinical trials includes: A. Pregnancy B. Renal parenchymal disease C. Stable angina D. Dyslipidemia ____ 10. An ACE inhibitor and what other class of drug may reduce proteinuria in patients with diabetes better than either drug alone? A. Beta blockers B. Diuretics C. Nondihydropyridine calcium channel blockers D. Angiotensin II receptor blockers ____ 11. If not chosen as the first drug in hypertension treatment, which drug class should be added as second step because it will enhance the effects of most other agents? A. ACE inhibitors B. Beta blockers C. Calcium channel blockers D. Diuretics ____ 12. Treatment costs are important for patients with hypertension. Which of the following statements about cost is NOT true? A. Hypertension is a chronic disease where patients may be taking drugs for a long time. B. Most patients will require more than one drug to treat the hypertension. C. The cost includes the price of any routine or special lab tests that a specific drug may require. D. Few antihypertensive drugs come in generic formulations. ____ 13. Caffeine, exercise, and smoking should be avoided for at least how long before blood pressure measurement? A. 15 minutes B. 30 minutes C. 60 minutes D. 90 minutes ____ 14. Blood pressure checks in children: A. Should occur with their annual physical examinations after age 6 B. Require a blood pressure cuff that is one-third the diameter of the child’s arm C. Should be done during every health-care visit after age 3 D. Require additional lab tests such as serum creatinine ____ 15. Lack of adherence to blood pressure management is very common. Reasons for this lack of adherence include: A. Lifestyle changes are difficult to achieve and maintain B. Adverse drug reactions are common and often fall into the categories more associated with nonadherence C. Costs of drugs and monitoring with labs can be expensive D. All of the above ____ 16. Lifestyle modifications for patients with prehypertension or hypertension include: A. Diet and increase exercise to achieve a BMI greater than 25 B. Drink 4 ounces of red wine at least once per week C. Adopt the DASH diet D. Increase potassium intake [Show More]

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