Ch. 10 and 26 Dyslipidemia and Hypertension Prep U

Heart rate Blood pressure

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.)Temperature Oxygen saturation Heart rate Blood pressure Respiratory rate

elevated potassium levels

A client has been prescribed ramipril 5 mg PO daily with the scheduled dose due at 08:00. After reviewing the client's most recent blood work, the nurse should consider withholding the dose because of what laboratory finding? elevated neutrophil levels low sodium levels elevated potassium levels low hemoglobin levels

Promoting fiber and fluid intake

A client has begun taking cholestyramine. Which action by the nurse best addresses likely adverse effects? Modifying routines to ensure adequate rest Applying skin moisturizer after bathing or showering Promoting fiber and fluid intake Home blood pressure and heart rate monitoring

Call the health care provider if muscle pain develops.

A client is taking atorvastatin calcium to reduce serum cholesterol. Which aspect of client teaching is most important? Test stool for occult blood weekly. Decrease the dose by 50% if lethargy occurs, and schedule a follow-up. Call the health care provider if muscle pain develops. Carefully monitor sclerae and skin for jaundice.

Therapeutic lifestyle changes are the preferred method for lowering blood lipids.

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 work only when used in conjunction with medications. Continued therapeutic lifestyle changes during drug therapy will guarantee success. The needed lifestyle changes are usually easy for most people to achieve. Therapeutic lifestyle changes are the preferred method for lowering blood lipids.

Flushing of the skin

A nurse is caring for a client prescribed nicotinic acid for hyperlipidemia. The nurse would assess the client for which findings as a possibility? Tachycardia Flushing of the skin Weakness Dyspnea

"I can take the drug with grapefruit juice."

After teaching a client about prescribed statin therapy, the nurse determines that additional teaching is needed when the client makes which statement? "I can take the drug with grapefruit juice." "I should report any problems with muscle pain or weakness." "I should take the dose around bedtime." "I need to be careful when I'm out in the sun."

Falls

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? Acute confusion Infection Impaired oxygenation Falls

First-dose phenomenon

The nurse instructs a male client to administer his alpha1-adrenergic receptor blocking agent at night. What does this practice help to minimize? First-dose phenomenon Hyperglycemic reaction Postural hypertension Hypoglycemic reaction

stroke volume heart rate total peripheral resistance

The nurse is discussing antihypertensive medications with a group of clients. Which element will the nurse identify as responsible for regulating the pressure in the cardiovascular system? Select all that apply. pulse pressure preload total peripheral resistance stroke volume heart rate

Lose weight. Reduce stress. Stop smoking.

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? Select all that apply. Decrease exercise. Lose weight. Reduce stress. Increase sodium intake. Stop smoking.

dry cough

The nurse is providing education to a client who has been prescribed captopril. What common adverse effect would the nurse mention in the teaching? photosensitivity dry cough rhinitis rash to the trunk and extremities

Obesity, inactivity, diet, and smoking

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? Obesity, inactivity, diet, and smoking Gender, obesity, family history, and smoking Stress, family history, and obesity Inactivity, stress, gender, and smoking

weight loss and decreased salt intake

The nurse is teaching a client about hypertension. Nonpharmacologic methods to decrease blood pressure would include which? stress reduction techniques and high fat intake. weight loss and decreased salt intake. decreased water intake and decreased potassium intake. increased exercise activity and fat intake.

Apical pulse 58 beats/min, blood pressure 88/58 mm Hg lying in bed, reports feeling lightheaded while lying in bed

The nurse on the telemetry unit is preparing to administer propranolol 10 mg orally to a 54-year-old male client with recent myocardial infarction and history of hypertension. Click to highlight the findings in the Nurse's Note that require immediate attention prior to administration of propranolol. Apical pulse 58 beats/min and regular, blood pressure 88/58 mm Hg lying in bed , respiratory rate 16 breaths/min , temperature 97.2°F (36.2°C) orally . Lungs clear to auscultation bilaterally. Alert and oriented to time, place, and person. Reports feeling lightheaded while lying in bed . Dorsalis pedis and posterior tibial pulses strong bilaterally , with no pedal edema noted. No jugular venous distention noted. S1 and S2 heart sounds auscultated .