Pharm Ch 35 Prep U
The nurse provides drug teaching to the client prescribed captopril. What statement made by the client does the nurse interpret to mean teaching has been effective?
"I will call my doctor if I bruise easily or become extremely tired."
The client has been diagnosed as having hypertension. The nurse is responsible for teaching the client about managing the condition with his newly prescribed medication (lisinopril) and nonpharmacologic methods. What statement by the client suggests that teaching has been effective?
"I will make sure that I rise to a standing position slowly."
A client with primary hypertension asks the nurse why the prescriber added another medication to assist with lowering the blood pressure. What is the nurse's best response?
"Many clients require two or more drugs for high blood pressure."
Which question would be most important for a nurse to ask a female client who is starting on an angiotensin II receptor blocker for hypertension?
"When was your last menstrual period?"
A nurse is providing care to a client diagnosed with stage 2 hypertension. The nurse understands that most clients with stage 2 hypertension will require how many antihypertensives to lower blood pressure to goal initially?
2
What statement should underlie the nurse's response when asked if ACE inhibitor therapy can be continued during pregnancy?
ACE inhibitors are contraindicated during pregnancy because they are teratogenic.
A 42-year-old client is seen by the health care provider for follow-up for diabetic nephropathy. The provider prescribed losartan for the treatment of this condition because the medication has been shown to reduce the rate of end-stage renal disease. Which drug class does this drug belong to?
Angiotensin II receptor blockers
A 46-year-old client with a high body-mass index and a sedentary lifestyle has been diagnosed with hypertension after serial blood pressure readings. The clinician has opted to begin the client on captopril (Capoten). The nurse should recognize that the therapeutic effect of this drug is achieved in what way?
By inhibiting the transformation of angiotensin I to angiotensin II
A client has been prescribed transdermal clonidine therapy. What potential adverse effects should the nurse warn the client about?
Dry mouth and dizziness
A 55-year-old man's hypertension has not responded adequately to his current medication regimen consisting of an ACE inhibitor, a beta-blocker and a thiazide diuretic. As a result, he will soon begin taking hydralazine (Apresoline) in addition to his existing antihypertensives. The addition of this medication to his regimen means that the nurse must prioritize which nursing action?
Frequent assessment of the client's cardiac status
The nurse is assessing a client who has been prescribed a potassium-sparing diuretic. For what disorder would the nurse assess the client?
Hyperkalemia
A client develops primary hypertension and asks the nurse, "How long will I need to receive therapy?" The nurse responds based on the understanding that therapy would be required for how long?
Lifelong
A nurse is preparing to administer an antihypertensive drug that lowers the blood pressure primarily via suppression of the renin-angiotensin-aldosterone system. Which drug might this be?
Lisinopril
A client, newly diagnosed with hypertension is started on captopril, an ACE inhibitor. The client should be informed of the possibility of what adverse effect?
Persistent cough
The nurse is reviewing lab results where the client has elevated BUN and creatinine levels. The nurse would question the administration of which antihypertensive?
Quinapril
A nurse is caring for a client who has been diagnosed with hypertension and will be taking eplerenone (Inspra). Which would be an appropriate nursing diagnosis for this client?
Risk for Injury related to the adverse effect of dizziness
A client with a blood pressure of 165/95 mm Hg would be classified in which stage of hypertension?
Stage 2
A 26-year-old white male client has been prescribed captopril for hypertension. A nurse has been assigned to the client to provide education regarding the use of this drug. The nurse will advise the client that:
a persistent, dry cough may occur; however, it is not serious.
A client is prescribed captopril. What adverse effect should the client be instructed on that can occur with angiotensin-converting enzyme (ACE) inhibitors?
persistent cough
