BP medications prep u
A nurse is caring for a client who is diabetic and has been diagnosed with hypertension. An angiotensin-converting enzyme inhibitor, captopril, has been prescribed. Which should the nurse assess before beginning drug therapy?
Serum potassium levels
A client is receiving fosinopril. Which adverse effect would the nurse caution the cliient about to help to promote compliance?
Cough
A 71-year-old male client has recently been diagnosed with hypertension. Which measurement is a partial indication of effective treatment and management?
Diastolic blood pressure below 90 mm Hg
Key behavioral determinants of blood pressure are related to what factor?
Dietary consumption of calories and salt
The client presents to the health care provider with a new onset of bradycardia. The nurse recognizes that which antihypertensive can cause bradycardia?
Diltiazem
A 35-year-old female client controls the symptoms of her cardiovascular disease with ACE inhibitors. She discovers that she is pregnant and contacts her primary care provider regarding her medication regimen. What would the nurse expect the provider to do?
Discontinue the drug
A client prescribed ramipril earlier in the week states, "Now I have a nagging, dry cough." How should the nurse best follow up the client's statement?
Explain that drugs like ramipril often cause a cough.
Which tasks should a nurse assist a client with in the ambulatory setting in regards to hypertensive management? (Select all that apply.)
Finds local resources in the community for taking blood pressure Teaches client how to properly record weight and blood pressure Schedules regular monitoring of weight and blood pressure
When providing dietary instruction on a low-sodium diet, which dietary choice is most appropriate for a client with hypertension?
Grilled chicken, green salad, and apple
The client is diagnosed with primary hypertension. The nurse is educating a client about dietary changes that help decrease blood pressure. Which menu selection indicates the need for further client education?
Ham sandwich with mustard, carrots and cheesy dip
A client with a blood pressure of 165/95 mm Hg would be classified in which stage of hypertension?
Stage 2
A client with a blood pressure of 165/95 mmHg would be in classified as which stage of hypertension?
Stage 2
The nurse is administering norepinephrine intravenous (IV) to an adult client diagnosed with septic shock. The client suddenly develops redness and edema at the right forearm IV site. The client's SBP is 88 mm. Which action would the nurse implement first?
Stop the infusion and administer diluted phentolamine.
A community health nurse is facilitating a health promotion session to a group of seniors. Which topic related to hypertension is most important to include in the information?
Hypertension will increase the risk of heart disease.
A 48-year-old client with a blood pressure of 198/112 mm Hg reports severe headache and drowsiness. The nurse notes that the client is disoriented and has begun to vomit. What is the primary nursing goal for this client experiencing a hypertensive emergency?
Implement interventions to lower blood pressure.
An adult client recently diagnosed with hypertension has begun combination therapy. Which client statement would suggest a need for further health education?
"I'll only need to take these drugs on days when my blood pressure is particularly high."
The nurse is teaching a client how to take his diltiazem. Which instruction would be most appropriate?
"Swallow the drug whole with a large glass of water."
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.
After teaching a group of students about the cardiovascular system and pressures, the students demonstrate understanding of the information when they identify which area as having the highest pressure?
Left ventricle
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 group of students are reviewing the various antihypertensive agents. The students demonstrate understanding of the information when they identify what as an example of an angiotensin II receptor blocker?
Losartan
What should a client with newly diagnosed hypertension be counseled to do? Select all that apply.
Lose weight Stop smoking Reduce stress
A client is experiencing orthostatic hypotension that is affecting his ability to function. Which medication would be most appropriate?
Midodrine
The ICU nurse is caring for a patient in shock. What is one of the most important functions of the nursing role in caring for this patient?
Monitoring for complications and side effects of treatment
How can the home care nurse assist the client or the client's family members who have hypertension? (Select all that apply.)
Monitoring for drug effects Promoting compliance with the prescribed pharmacologic modifications Promoting compliance with the prescribed lifestyle modifications
After receiving the results of an echocardiogram, a client has many questions regarding the results and their impact on the client's lifestyle. The client is a 57-year-old Hispanic man with a 10-year history of hypertension. The client would like to know what effect hypertension has on the heart. What is the nurse's best reply?
Myocardium hypertrophy
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 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
A client is prescribed aliskiren. The nurse would monitor the laboratory test results of which electrolyte closely?
Potassium
A nurse is educating a patient with hypertension who is prescribed losartan on the mechanism of action of the drug. Which mode of action helps losartan to bring about its antihypertensive effect?
By blocking the angiotensin II receptors
Which risk factors should be the focus of the nursing assessment for a client requiring treatment for primary hypertension? Select all that apply.
Race Current medications Medical conditions
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
What does the administration of a calcium channel blocker result in? (Select all that apply.)
Relaxation of blood vessels Increase oxygen supply to the heart Reduce the workload on the heart Decrease blood pressure
A student asks the instructor what the goal of drug therapy is in hypotension and shock. What would the instructor respond?
Restore and maintain adequate tissue perfusion.
A client is experiencing orthostatic hypotension that is due to antihypertensive therapy. Which nursing diagnosis would be most appropriate?
Risk for injury
During a routine check up of a 45-year-old patient with renal disease, the nurse observes an increase in the patient's blood pressure. Which is the most likely consequence of renal impairment?
Secondary hypertension
A 54-year-old client with CHF is admitted to the unit. The nurse knows that what physiologic changes will affect a client's stroke volume?
Changes in heart contraction
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.
The nurse is caring for a client prescribed a vasopressor, norepinephrine. The nurse should monitor for which therapeutic effect? Select all that apply.
alert and oriented urine output greater than 30 mL/h temperature 98°F (36.6°C)
How does captopril contribute to a reduction of a client's blood pressure? You Selected:
blocking the conversion of angiotensin I to angiotensin II
The nurse should inform the client of the possibility of developing what common adverse effect of captopril therapy?
dry cough
A client has been prescribed ramipril 5 mg PO daily with the scheduled dose due at 08:00. The nurse first reviews the client's most recent blood work and should consider withholding the dose because of what laboratory finding?
elevated potassium levels
Anaphylaxis kits for clients allergic to bee stings would contain which medication?
epinephrine
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?
falls
An older adult who lives in a long-term care facility has recently begun taking losartan (Cozaar) for the treatment of hypertension. The nurse who provides care for this resident should recognize that this change in the resident's medication regimen make create a risk for:
falls
Which dietary choice is most appropriate and should be encouraged by the nurse for a client diagnosed with hypertension?
grilled chicken, green salad, and apple
When the cardiac workload is increased from secondary hypertension, the client is at risk for developing what associated condition?
myocardial hypertrophy
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
The nurse is teaching a client about hypertension. Nonpharmacologic methods to decrease blood pressure would include which?
weight loss and decreased salt intake.
