Pharm Chap 35 NCLEX

a nursing instructor determines that a class discussion on antihypetensive drugs was successful when the students identify which of the following as lowering blood pressure by blocking the blinding of angiotensin II at receptor sites in the vascular smooth muscle and adrenal glands a) Olmesartan b) atenolol c) ramipril d) metoprolol e) losartan f) quinapril

a) Olmesartan e) losartan

a client with a blood pressure of 165/95 mmHg would be classified in which stage of hypertension a) Stage 2 b) Normotension c) Stage 1 d) Prehypertension

a) Stage 2

a nurse is educating a group of nursing students about the uses of hawthorn, a natural agent used in the treatment of hypertension. which of the following conditions should the nurse explain as the other indication for hawthorn used (select all that apply) a) arrhythmia b) angina c) renal stenosis d) angioedema e) heart failure

a) arrhythmia b) angina e) heart failure

when assessing a 50-year old client during a routine checkup, the nurse observes that the client has a blood pressure of 140/90 mmHg in his right arm. which of the following would be most important for the nurse to assess (select all that apply) a) measure blood pressure in both arms b) record the client's body weight c) record pulse rate in any of the arm d) assess for edema in the extremities e) assess for cyanosis in the buccal mucosa

a) measure blood pressure in both arms b) record the client's body weight d) assess for edema in the extremities

a nurse is providing care to a client diagnosed with stage 2 hypertension. the nurse understands that met clients with stage 2 hypertension will require how many antihypertensives to lower blood pressures to goal initially a) 3 b) 2 c) 0 d) 1 e) 4

b) 2

a client is newly diagnosed with hypertension. when explaining this condition, the nurse would include information that hypertension increases the person's risk for which of the following (select all that apply) a) liver disease b) kidney disease c) heart failure d) blindness e) stroke

b) kidney disease c) heart failure d) blindness e) stroke

a nurse is preparing to administer an antihypertensive drug that lowers the blood pressure primarily via suppression of the renin-angiostensin-aldosterone system. which drug might this be a) furosemide b) lisinopril c) verapamil d) diltizaem

b) lisinopril

a client has been admitted to a health care facility for hypertension management. the physician has prescribed a transdermal patch of clonidine. the nurse applies to patch to a hairless area at which location a) thigh b) upped arm c) neck d) hand

b) upped arm

a nurse is educating a group of nursing students on the mechanisms of action of angiotensin-converting enzyme inhibitors (ACEI) which of the following should the nurse explain as the hormone produced by the adrenal cortex a) Renin b) Enalapril c) Aldosterone d) Angiotensin

c) Aldosterone

a client is prescribed aliskiren. the nurse would monitor the laboratory test results of which electrolyte closely a) sodium b) magnesium c) potassium d) chloride

c) potassium

a client with diabetes also has hypertension. the nurse would expect that the blood pressure goal for the client would be which of the following a) 140/90 mmHg b) 120/80 mmHg c) 100/70 mmHg d) 130/80 mmHg e) 150/100 mmHg

d) 130/80 mmHg

a nurse is educating a group of nursing students on the adverse effects of antihypertensive drugs. the nurse explains that orthostatic hypotension occurs initially in the therapy. which of the following pressure changes in an upright position would indicate orthostatic hypotension a) a fall in the systolic pressure by 4 mmHg b) a fall in the systolic pressure 6 mmHg c) a fall in the systolic pressure by 8 mmHg d) a fall in the systolic pressure by 10 mmHg

d) a fall in the systolic pressure by 10 mmHg

a client develops primary hypertension and asks the nurse "How long will I need to receive therapy" The nurse response based on the understanding that therapy would be required for how long a) 1 year b) 5 years c) until blood pressure is 120/80 mmHg d) lifelong

d) lifelong

ons overal occasions ,the nurse checks a client's blood pressure. the readings are 130/82 mmHg, 136/84 mmHg and 128/88 mmHg the nurse would expect this client to be classified as having which stage of hypertension a) normotension b) stage 1 hypertension c) stage 2 hypertension d) prehypertension e) hypotension

d) prehypertension

a client is receiving lisinopril for the treatment of hypertension. the client began taking ibuprofen (motrin) over the counter for arthritis pain. which of the following is most likely to occur with this combination of medications a) increased heart rate b) decreased blood pressure c) decreased heart rate d) increased cough e) increased blood pressure

e) increased blood pressure