Pharm Quiz 4
A nurse is analyzing the medical records of several pt.'s who have come to the clinic for a visit. The nurse determines that a client with which BP readings would be identified as prehypertensive?
126/88
A pt. prescribed niacin reports significant skin flushing and itching, stating, "I almost stopped taking the drug." The nurse anticipates the HCP will prescribe which drug to address the issue?
Aspirin
The nurse is teaching a pt. with hypertension about losartan which the HCP has prescribed. The nurse can explain that losartan exerts which action?
Blocks angiotensin II receptors
The nurse is preparing a presentation for a local health fair to explain various aspects of hypertension. Which factor(s) should the nurse include when pointing out various risk factors that can increase the potential of developing hypertension?
Chronic alcohol use, lack of potassium in the diet, obesity
A pt. is admitted to the ER with a severe headache, nausea, SOB, and BP of 200/120. Which response should the nurse prioritize?
Continuously monitor the pt.'s status
The HCP has prescribed ezetimibe for a client diagnosed with hyperlipidemia. The nurse is prepared to prioritize which assessment to evaluate the drugs effectiveness?
Frequently monitoring blood cholesterol
After teaching a group of nursing students on the mechanism of action of angiotensin-converting enzyme inhibitor (ACE1) drugs, the instructor determines the session is successful after the students correctly choose which action as the result of aldosterone?
Inhibits renin secretion
A nurse is analyzing the chemistry profile of a pt. diagnosed with hyperlipidemia. Which measurement(s) will the nurse prioritize on the lipid profile?
LDL, triglycerides, total cholesterol
A nurse is preparing to administer colesevelam to a pt. with hyperlipidemia. The nurse determines cautious administration is warranted after noting which condition in the pt.'s history?
Liver disease
A nurse conducting a community presentation on heart disease, cholesterol, and risk factors. The nurse determines that the class has been successful when the class correctly chooses which point as true?
Physical activity raises HDL levels.
The nursing instructor has completed a teaching session explaining the various antihypertensive drugs. The instructor determines additional training is needed when the students choose which drugs as an angiotensin converting enzyme inhibitor?
Pindolol
The HCP has prescribed fenofibrate for a pt. discovered to have very high serum triglyceride levels. The nurse should question this order if the pt. has a history of which additional disorder?
Primary biliary cirrhosis
A nursing instructor is teaching a class on the action of statin drugs. The instructor determines the class is successful after the students correctly choose which action(s)?
Promote cholesterol breakdown, decrease cholesterol absorption in GI tract, Inhibit cholesterol production.
A pt. presents to the urgent care clinic reporting severe dizziness. On assessment, the nurse learns the pt. was recently prescribed losartan and quit taking it thinking it was responsible for the dizziness. Which assessment should the nurse prioritize?
Rebound hypertension
The nursing instructor is teaching a group of students about various medications used to treat hypertension. After the session, the instructor determines the session is successful when the students correctly connect which action(s) with calcium channel blockers?
Relaxation of blood vessels, decreased blood pressure, reduced workload on the heart.
The nurse is assessing a pt. with renal disease and discovers the pt.'s BP has increased since the last visit. The nurse suspects the pt. has developed which concern?
Secondary hypertension
A pt., age 60, is receiving nitroprusside for hypertension emergency. The nurse would be alert for the development of which reaction?
Significant hypotension
The nurse is preparing to teach a group of middle-aged pt.'s ways to reduce hypertension. Which instruction(s) should the nurse point out during this session?
Stop smoking, lose weight, reduce stress
The nurse is preparing to administer niacin to a pt. with hyperlipidemia. Which adverse reaction should the nurse prioritize on ongoing assessment?
Tingling
A pt. is questioning the new prescription for statin. The nurse should point out that statin will reduce the risk of which disorder(s) for the pt.?
Transient ischemic attack, stroke
