Ch 35 AntiHTN drugs

Which is considered preHTN?

136/84

After teaching a group of nursing students about antihypertensive drugs, the instructor determines a need for additional teaching when the students identify which of the following as an angiotensin-converting enzyme inhibitor?

Pindolol

17. A client who is prescribed losartan for hypertension has stopped taking the drug immediately after experiencing adverse reactions. The nurse would be alert for which of the following due to abrupt discontinuation?

rebound HTN

An older adult client is prescribed a diuretic and an antihypertensive drug as treatment for his hypertension. The client tells the nurse that he has been perspiring a lot lately and has had some diarrhea. Which nursing diagnosis would the nurse most likely identify as a priority?

risk for deficient fluid volume

During a routine check-up of a 45-year-old client with renal disease, the nurse observes an increase in the client's blood pressure. The nurse identifies this as most likely which of the following?

secondary HTN

A client, aged 60 years, is receiving nitroprusside for hypertensive emergency. The nurse would be alert for the development of which of the following?

significant hypotension

The best description of how antiHTN work is that they

vasodilate vessels to reduce pressure

A nurse is reviewing the medical records of several clients who have come to the clinic for a visit. The nurse determines that a client with which blood pressure readings would be identified as prehypertensive?

128/86 mm Hg

22. A client is receiving a diuretic for the treatment of hypertension. Which of the following conditions should the nurse monitor for in clients taking diuretics?

hyponatremia

A client with hypertension has a fungal infection and has been prescribed fluconazole for the fungal infection and losartan for hypertension. The nurse would be alert for which of the following?

increased risks of adverse losartan effects

Before first dose of ACEI, the nurse assesses a femal client for

positive pregnancy test

A client is prescribed clonidine as a transdermal patch. After instructing the client about this drug, the nurse determines that the teaching was successful when the client states that the patch should remain in place for how long?

7 days

A client is prescribed an antihypertensive drug. Which of the following would the nurse include in the teaching plan to promote the best outcome for the client? Select all that apply.

A) "Never discontinue use of the antihypertensive drug except on the advice of the physician." B) "Avoid the use of nonprescription drugs unless approved by the physician." C) "Avoid alcohol unless its use has been approved by the physician" E) "Notify the physician if the diastolic pressure suddenly increases to 130 mm Hg or higher."

15. After teaching a group of nursing students about hypertension, the instructor determines that the teaching was successful when the students identify which of the following as a risk factor for development of hypertension? Select all that apply.

A) Advancing age B) Family history D) Cigarette smoking E) Chronic alcohol consumption

The use of angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin II receptor blockers (ARBs) are contraindicated in clients with which of the following medical conditions? Select all that apply.

A) Bilateral stenosis B) Angioedema C) Pregnancy

Which drugs should not be taken with food

A) Captopril B) Moexipril

A client has a nursing diagnosis of Activity Intolerance related to fatigue and weakness. Which of the following would be appropriate for the nurse to include in the client's plan of care?

A) Encouraging ambulation as tolerated E) Promoting rest periods throughout the day as necessary

A client with hypertension comes to the clinic for a follow-up visit. Which of the following would be appropriate for the nurse to do when assisting the client in managing his hypertension? Select all that apply.

A) Find local resources in the community for taking blood pressure. B) Teach client how to properly record weight and blood pressure. C) Schedule regular monitoring of weight and blood pressure.

5. A nurse is caring for a client experiencing a hypertensive emergency. The nurse understands that if blood pressure is not lowered immediately, damage to which of the following can occur? Select all that apply.

A) Heart B) Kidneyss E) Eyes

When developing a presentation for a local community group on hypertension, the nurse integrates information about the importance of blood pressure control. Which of the following would the nurse include? Select all that apply.

A) Hypertension increases the buildup of atherosclerotic plaque. B) Hypertension increases risk of stroke. E) Hypertension increases the workload of the heart.

When teaching a client newly diagnosed with hypertension, which instructions would the nurse incorporate into the teaching plan? Select all that apply

A) Lose weight. B) Stop smoking. C) Reduce stress.

Before administering an antihypertensive, the nurse should complete which of the following assessments? Select all that apply.

A) Pulse rate on both arms C) Blood pressure in the sitting position D) Blood pressure on both arms

3. A client with hypertension is to receive a calcium channel blocker. The nurse understands that this class of drug leads to which of the following? Select all that apply.

A) Relaxation of blood vessels B) Increased oxygen supply to the heart C) Reduced workload on the heart D) Decreased blood pressure

12. The nurse should advise the client to do which of the following to reduce the risk of falls due to orthostatic hypotension from antihypertensive drugs? Select all that apply.

A) Sit on the bed for 1 or 2 minutes when rising from a lying position. D) Have someone assist the client if dizziness or weakness occurs.

The nurse should notify the primary health care provider when which of the following occur while a client is receiving an antihypertensive? Select all that apply.

A) Weight gain of 2 lb or more per day C) Edema

While reviewing a client's lab work, the nurse notices the client's potassium is elevated. The nurse checks the client's medication record. Which of the following, if found, would the nurse identify as contributing to the client's elevated potassium level? Select all that apply.

B) Aliskiren E) Eplerenone

A nurse is instructing a client about his prescribed antihypertensive therapy with captopril. Which of the following instructions would the nurse include in the teaching plan? Select all that apply.

B) Informing the client about the possibility of a cough D) Taking measures to reduce injury from hypotension

When providing care to a client with hypertension who is receiving antihypertensive therapy, which assessment would be the highest priority?

BP monitoring

14. A client is prescribed atenolol. After administering the drug, the nurse would be alert for which of the following? Select all that apply.

C) Bradycardia D) Dizziness

Angioedema is a potentially life-threatening medical condition that is associated with some classes of antihypertensive medications. The nurse suspects that a client is experiencing angioedema based on which assessment finding? Select all that apply

C) Swelling of the face D) Swelling of the throat

11. When teaching a client about the prescribed clonidine transdermal medication, which of the following would the nurse most likely include? Select all that apply.

D) A different body area should be selected for each application. E) The patch should be applied to a hairless area.

8. The nurse is providing care to a client being treated for a hypertensive emergency. Which of the following would be appropriate for the nurse to do?

continuously monitor the clients status

nurse is educating a client with hypertension who is prescribed losartan about the drug's action. Which of the following would the nurse incorporate into the teaching about this drug?

blocking angiotensin 2 receptors

When educating a group of nursing students on the mechanism of action of angiotensin-converting enzyme inhibitor (ACEI) drugs, the instructor identifies which of the following as the action brought about by aldosterone?

causes sodium and water prevention