Hypertension Review

Metoprolol is added to the pharmacologic therapy of a diabetic female diagnosed with stage 2 hypertension who has been initially treated with furosemide and ramipril. An expected therapeutic effect is: A. decrease in HR B. lessening of fatigue C. improvement in blood sugar levels D. increase in urine output

A

The nurse is discussing medications with a client with hypertension who has a prescription for furosemide daily. The client needs further education when the client states: A. "I know I should not drive after taking my furosemide." B. "I should be careful not to stand up too quickly when taking furosemide." C. "I should take the furosemide in the morning instead of before bed." D. "I need to be sure to also take the potassium supplement that the doctor prescribed along with my furosemide."

A

The nurse is teaching a client with hypertension about taking atenolol. The nurse should instruct the client to: A. avoid sudden discontinuation of the drug B. monitor the BP annually C. follow 2gm Na+ diet D. discontinue the medication if severe HA develops

A

A client is diagnosed with primary(essential) hypertension is taking chlorothiazide. The nurse determines teaching about this medication is effective when the client makes which statement? "I will..." SELECT ALL THAT APPLY A. "take my weight daily at the same time each day" B. "not drink alcoholic beverages while on this medication" C. "reduce salt intake in my diet" D. "reduce my dosage if I have severe dizziness" E. "use sunscreen if I have prolonged exposure to sunlight" F. "take the drug late in the evening"

A,B,C,E

A client who has diabetes is taking metoprolol for hypertension. What should the nurse instruct the client to do? SELECT ALL THAT APPLY A. Take the tablets with food at same time each day B. Do not crush or chew the tablets C. notify the healthcare provider if pulse is 82 bpm D. Have blood glucose levels drawn Q6-12 months during therapy E. Use an appropriate decongestant if needed F. Report any fainting spells to healthcare provider

A,B,D,F

A client is taking Clonidine for treatment of hypertension. The nurse should teach the client about which common adverse effects of this drug? SELECT ALL THAT APPLY A. dry mouth B. hyperkalemia C. impotence D. pancreatitis E. sleep disturbance

A,C,E

When teaching a client about propranolol hydrochloride, the nurse should base the information on the knowledge that propranolol" A. blocks beta-adrenergic stimulation and thus causes decreased HR, myocardial contractility, and conduction B. increases norepinephrine secretion and thus decreases BP and HR C. is a potent arterial and venous vasodilator that reduces peripheral vascular resistance and lowers BP D. is an ACE inhibitor that reduces BP by blocking the conversion of angiotensin I to angiotensin II

A.

A nurse is providing teaching for a client who has a new diagnosis of hypertension and a new prescription for spironolactone 25mg/day. Which of the following statements by the client indicates an understanding of the teaching? A. "I should eat a lot of fruits and vegetables, especially bananas and potatoes" B. "I will report any changes in my HR" C. "I should replace the salt shaker on my table with a salt substitute" D. "I will decrease the dose of this medication when I no longer have HA and facial redness"

B

Which set of postural VS indicate inadequate blood volume? A. Supine= 124/76, 88bpm. Sitting= 124/74, 92bpm. Standing= 122/74, 92bpm B. Supine= 120/70, 70 bpm. Sitting= 102/64, 86bpm. Standing= 100/60, 92bpm C. Supine= 136/86, 74bpm. Sitting= 136/84, 80bpm. Standing= 134/82, 82bpm D. Supine= 100/70, 72bpm. Sitting= 100/68, 74bpm. Standing= 98/68, 80bpm

B

The nurse is teaching the client with hypertension to avoid orthostatic hypotension, the nurse should teach the client to follow which instructions? SELECT ALL THAT APPLY A. Plan regular times for taking medications B. Arise slowly from bed C. Avoid standing still for long periods of times D. Avoid excessive alcohol intake E. Avoid hot baths

B,C

A nurse is screening a male client for hypertension. The nurse should identify that which of the following actions by the client increase his risk for hypertension? SELECT ALL THAT APPLY A. drinking 8oz nonfat milk daily B. eating popcorn at the movie theatre C. walking 1 mile daily at 12min/mile pace D. consuming 36oz beer daily E. getting a massage once a week

B,D

A nurse is caring for a client who is admitted to the ED with a BP= 266/147. The client report a HA and double vision. The client states that she ran out of her diltiazepam 3 days ago, and is unable to purchase more. Which of the following actions should the nurse take first? A. administer acetaminophen for HA B. provide teaching regarding the importance of not abruptly stopping an antihypertensive C. Obtain IV access and prepare to administer an IV antihypertensive D. Call social services for a referral for financial assistance in obtaining prescribed medication

C

The nurse teaches a client who has recently been diagnosed with hypertension about following a low-calorie, low-fat, low-sodium diet. Which of the following menu selections would best meet the client's needs? A. mixed green salad with blue cheese dressing, crackers and cold cuts B. ham sandwich on rye bread and an orange C. backed chicken, an apple, and a slice of white bread D. hot dogs, baked beans, and celery and carrot sticks

C

A nurse in an urgent care clinic is obtaining a history from a client who has type 2 diabetes and a recent diagnosis of hypertension. This is the second time in 2 weeks that the client experienced hypoglycemia. Which of the following client data should the nurse report to the provider? A. takes psyllium daily as a fiber laxative B. drinks skim milk daily as a bedtime snack C. takes metoprolol daily after meals D. drinks grapefruit juice daily with breakfast

C; metoprolol can mask effects of hypoglycemia