Evolve questions

Orthostatic hypotension

A nurse is caring for a patient prescribed doxazosin for hypertension. Safety is a priority because of which associated adverse effect?

Obtain a baseline weight and weigh daily Prepare for arterial line insertion Cover the solution with an opaque bag

A patient in a hypertensive crisis is being started on a continuous sodium nitroprusside infusion. Which interventions are essential before the nurse administers nitroprusside?

Sodium nitroprusside

A patient is admitted to the unit with a hypertensive emergency and examination reveals papilledema. The nurse should expect which IV medications to be administered to achieve rapid, controlled reduction of the patient's blood pressure?

Fatigue Dizziness Headache

A patient is prescribed hydralazine for the treatment of essential hypertension. Which expected adverse effects should the nurse discuss with the patient?

Decrease in blood pressure

A patient is prescribed lisinopril 40 mg by mouth once a day for hypertension. For which therapeutic effect will the nurse monitor?

Crackles in the lungs are no longer heard

A patient is prescribed lisinopril as a part of the treatment plan for heart failure. Which finding indicates the patient is experiencing the therapeutic effect of this drug?

Clonidine

A patient who abuses cocaine, opioids, and other drugs frequently abuses which drug?

Store the tablets in the original container and tightly close it after use

A patient with angina is being discharged with a prescription for nitroglycern sublingual tablets. Which instruction should the nurse include?

Headache Edema of ankles and feet Overgrowth of gum tissue

A patient with angina pectoris has been prescribed nifedipine. Which possible adverse effects should the nurse expect with this medication?

Sodium nitroprusside

A patient with hypertensive emergency is admitted to the hospital. Which medication should the nurse be prepared to administer to this patient?

Beta 1

CCB work by reducing calcium influx into the cells ofthe heart and blood vessels. Calcium channels are coupled to which type of autonomic system receptors?

I will limit my alcohol to one drink per day

The nurse is providing discharge teaching for a patient with a new prescription for nitroglycerin transdermal patch. Which statement by the patient indicates a need for further teaching?

When getting out of bed in the morning, I will sit on the side of the bed for several minutes before standing

The nurse is teaching a patient about the side effects associated with doxazosin. Which statement by the patient indicates an understanding of the nurse's instruction?

Avoid potassium salt substitutes A persistent dry cough Report difficulty in breathing immediately

The nurse is teaching a patient prescribed captopril for the treatment of hypertension. Which instruction should the nurse include?

I will rise slowly when changing for a sitting to a standing position

The nurse is teaching a patient who has just been prescribed a vasodilator. Which statement by he patient indicates that the teaching was effective?

Angiotensin II

The RAAS plays an important role in maintaining blood pressure. Which compound in this system is most powerful at raising the blood pressure?

I will increase my intake of fluid and foods high in fiber I will call my healthcare provider if i notice swelling in my ankles

The nurse is teaching a patient with essential hypertension who has a new prescription for verapamil. Which statements by the patient indicate that the teaching was effective?

I must make sure to swallow the pill whole

The nurse provides discharge instructions to a patient prescribed verapamil SR 120 mg PO daily for essential hypertension. Which statement by the patient indicates understanding of the medication?

Monitor electrocardiogram

The healthcare provider prescribes an intravenous dose of diltiazem for treatment of a patient with atrial fibrillation. What is the priority nursing intervention?

Applies the prescribed ribbon of ointment to the applicator paper and places it on the chest

The home health nurse observes the patient for proper use of topical nitroglycerin ointment. Which action by the patient indicates the need for further teaching?

Monitor blood pressure

The nurse has just administered the initial dose of enalapril to a newly admitted patient with hypertension. What is the priority nursing intervention over the next several hours?

Drowsiness and dry mouth

The nurse is assessing a patient in a clinic who has been taking clonidine for hypertension. Which clinical findings are most indicative of an adverse effect of this drug?

It inhibits the conversion of angiotensinogen into angiotensin I

The nurse is caring for a patient prescribed aliskiren. How does this medication lower blood pressure?

Vomiting and diarrhea

The nurse is caring for a patient prescribed digoxin for heart failure. Which finding would require immediate attention by the nurse?

A patient with history of gallstones and elevated triglycerides

The nurse is caring for a patient prescribed gemfibrozil. For which patient should the nurse question the use of this drug?

Hematocrit

The nurse is caring for a patient prescribed methyldopa. Which laboratory test is most important to obtain before treatment?

Many vasodilators cause retention of sodium and water

The nurse is caring for a patient receiving a nitroprusside IV infusion. The patient's wife asks why furosemide is being prescribed along with this drug. The nurse's response is based on which concept?

To protect against reflex tachycardia

The nurse is caring for a patient receiving hydralazine. The healthcare provider prescribes propranolol. The nurse knows that a drug such as propranolol is often combined with hydralazine for what purpose?

Vasodilation leads to decreased preload, which decreases oxygen demand

The nurse is caring for a patient receiving nitrates for relief of angina. What pharmacodynamic action is responsible for the relief of anginal pain with nitrates?

Wheezing

The nurse is caring for a patient receiving propranolol. Which clinical finding is most indicative of an adverse effect of this drug?

Sudden confusion

The nurse is caring for a patient who has been receiving IV sodium nitroprusside for 3 days. Which assessment data indicate the patient may be experiencing thiocyanate toxicity?

Enalapril

The nurse is caring for a patient who has diabetes and hypertension. Which medication is most likely to be prescribed to treat this patient's hypertension?

Lithium level

The nurse is caring for a patient with bipolar disorder treated with lithium. The patient has a new prescription for captopril for hypertension. The combination of these two drugs makes which assessment particular important?

Methyldopa

The nurse is caring for a pregnant patient experiencing a new episode of hypertension. Which medication does the nurse anticipate will be prescribed for this patient?

Diabetes

The nurse is caring for several patients prescribed propranolol. In which patient condition is propranolol contraindicated?

Atrial fibrillation

The nurse is caring for several patients. For which patient diagnosis would a presciption for nifedipine be least appropriate?

I will apply the patch to a hairless, intact skin area on my upper arm

The nurse is evaluating the teaching done with a patient who has a new prescription for transdermal clonidine. Which statement by the patient indicates understanding of the nurse's teaching?

AT prolongation on the electrocardiogram

The nurse is monitoring a patient receiving ranolazine for angina. Which assessment finding indicates an adverse effect of this drug?

Analyze heart rate and rhythm

The nurse is preparing to administer a daily dose of digoxin. What is the priority nursing intervention?

It selectively activates alpha 2 receptors in the central nervous system

The nurse is preparing to administer a dose of clonidine. Which is the best description of the action of this drug?

Give the medication

The nurse is preparing to administer an oral dose of digoxin. The apical pulse rate is 64. What nursing action is most appropriate?

Asses the heart rate

The nurse is preparing to administer diltiazem and atenolol. What is the priority nursing intervention before administering these two medications to the patient?

Headache Dizziness Tachycardia

The nurse understands patients receiving nitroglycerin are at risk for which adverse effects?

Adjust the IV infusion rate to the blood pressure response

The patient is admitted for the management of a hypertensive emergency. The healthcare provider prescribes sodium nitroprusside drug therapy. What is the priority nursing action during this treatment?

Notify the healthcare provider of nausea, vomiting, and visual changes

What is the most appropriate nursing consideration for a patient who is prescribed verapamil and digoxin?

Reduction of LDLs Elevation of HDLs Stabilization of the plaque in coronary arteries Reduction of risk of cardiovascular events

Which are beneficial effects that can be derived from simastatin and other drugs in this class?

Blood pressure

Which assessment finding is most important for the nurse to obtain before administering hydralazine?

Beta blocker and ACE inhibitor

Which classes of medications are prescribed as initial therapy for hypertension after a myocardial infarction?

Mix the drug with water or juice

Which discharge instructions should the nurse include for a patient prescribed cholestyramine?

Atorvastatin

Which drug is most effective for lowering LDL cholesterol?

Weigh yourself daily at the same time each day Notify the healthcare provider if a skin rash develops Rise slowly from a lying to a sitting position

Which instructions should the nurse include when developing a teaching plan for a patient prescribed dilitiazem for atrial fibrillation?

Serum uric acid level of 10.4

Which laboratory result may be a consequence of therapy with a thiazide diuretic?

Diltiazem

Which medication is most likely to cause the side effect of constipation?

Furosemide Metoprolol Hydrochlorothiazide

Which medications should be used with caution in a hypertensive diabetic patient?

Fatigue Vomiting Blurred vision

Which patient symptoms should cause the nurse to be concerned about digoxin?

If you stop taking this drug abruptly, your blood pressure might go up very high

Which statement is most appropriate for the nurse to include in the discharge teaching plan for a 30 year old woman beginning a new prescription of clonidine?

Propranolol causes both beta 1 and beta 2 blockade

Why does the nurse anticipate administering metoprolol rather than propranolol for diabetic patients who need a beta-blocking agent?