Unit 7 Review questions
During a home visit, the nurse assesses a client who is taking hydrochlorothiazide and lisinopril for the treatment of hypertension. Which finding would indicate the nurse should inform the health care provider of a possible need to change medication therapy? A) Blood pressure is 132/80 mm Hg. B) The client has a persistent cough. C) Potassium level is 4.1mEq/L D) Client is experiencing nocturia.
b
The male client is prescribed prazosin (Minipress) for hypertension. He asks the nurse how the medication works. What is the Best response? A) "It increases the supply of oxygen to your heart." B) "It works by making your blood vessels dilate." C) "It works by inhibiting the movement of calcium across the membrane." D) "It promotes the excretion of sodium and water.
b
A patient has 2+ pitting edema of the lower extremities bilaterally. Auscultation of the lungs reveals crackles bilaterally, and the serum potassium level is 6mEq/L. Which diuretic agent ordered by the prescriber should the nurse question? A) Bumetanide B) Furosemide C) Spironolactone D) Hydrochlorothiazide
c
The nurse is preparing to administer the first dose of hydrochlorothiazide 50 mg to a patient who has a blood pressure of 160/95 mm Hg. The nurse notes that the patient had a urine output of 200 mL in the past 12 hours. Could you tell me which action the nurse will do? A) Administer the medication as ordered. B) Encourage the patient to drink more fluids. C) Hold the medication and request an order for serum BUN (blood urea nitrogen) and creatinine. D) Request an order for serum electrolytes and administer the medication.
c
A client is taking spironolactone to control hypertension. The client's serum potassium level is [6 mEq/L (56mmol/L)] For this client, the nurse's priority should be to assess their A) neuromuscular function. B) bowel sounds. C) respiratory rate. D) electrocardiogram (ECG) results.
d
A client who has been taking hydrochlorothiazide arrives at the clinic for his 1-month follow-up appointment. The client tells the nurse that he has felt weaker since he began taking the drug. What should the nurse consider as a possible cause of these symptoms? A) HYPERnatremia B) HYPOcalcemia C) HYPERkalemia D) HYPOkalemia
d
A client, hospitalized with heart failure, is receiving digoxin and furosemide intravenously and now has continuous ringing in the ears. What is the appropriate action for the nurse to take at this time? A) Notify the provider and request a digoxin level to check for toxicity. B) Note the observation in the medical record and plan to reassess in 2 hours. C) Ask the client about taking aspirin in addition to other medications. D) Withhold the furosemide and notify the health care provider (HCP)
d
The HCP prescribed a beta blocker for the client diagnosed with arterial HTN. Which statement is the scientific rationale for administering this medication? A) This medication decreases the sympathetic stimulation to the heart, thereby decreasing the client's heart rate and blood pressure. B) This medication prevents calcium from entering the cell, which helps decrease the client's blood pressure. C) This medication prevents the release of aldosterone, which decreases the absorption of sodium and water and decreases blood pressure. D) This medication will cause increased excretion of water from the vascular system, which will decrease blood pressure.
a
The client diagnosed with severe peripheral edema is receiving furosemide. Which data indicates the medication is effective? A) The client's 8-hour intake is 1,800 mL, and the output is 2,300 mL. B) The client's blood pressure went from 144/88 to 154/96. C) The client has had a weight loss of 1.3 kg in 7 days. D) The client reports occasional light-headedness and dizziness.
a
The nurse is caring for a 70-year-old patient who has recently begun taking amlodipine 5 mg/day to control hypertension. The nurse notes mild edema of the patient's ankles, a blood pressure of 118/70 mm Hg, and a heart rate of 80 beats per minute. The patient reports flushing and dizziness. The nurse will notify the provider and: A) ask to decrease the dose to 2.5 mg/day. B) discuss twice daily dosing C) request an order for a diuretic D) suggest adding propranolol to the regimen
a
The nurse is preparing to administer spironolactone. Which priority interventions should the nurse implement? A) Check the client's potassium level. B) Monitor the client's urinary output. C) Encourage the consumption of potassium-rich foods. 5) Give the medication with food.
a
Which diuretic will most likely be the initial drug of choice when a client demonstrates dyspnea related to pulmonary edema? A) Furosemide B) Hydrochlorothiazide C) Spironolactone D) Mannitol
a
