Deck 23: Antihypertensive Drugs

Question 1

A patient diagnosed with prehypertension has which blood pressure reading?

A)Systolic blood pressure of less than 120 mm Hg and diastolic blood pressure less than 80 mm Hg
B)Systolic blood pressure between 120 and 139 mm Hg and diastolic blood pressure between 80 and 89 mm Hg
C)Systolic blood pressure between 140 and 159 mm Hg and diastolic blood pressure between 90 and 99 mm Hg
D)Systolic blood pressure between 160 and 179 mm Hg and diastolic blood pressure 100 and 109 mm Hg

Answer 1

Systolic blood pressure between 120 and 139 mm Hg and diastolic blood pressure between 80 and 89 mm Hg

Question 2

A patient who has diabetes has been started on antihypertensive drug therapy.The health care provider considers this treatment effective if the blood pressure is lower than ____________ mm Hg.

Answer 2

130/80

Question 3

Which parameters determine the regulation of arterial blood pressure?

A)Cardiac output and vascular resistance
B)Heart rate and peripheral resistance
C)Blood volume and renal blood flow
D)Myocardial contractility and arteriolar constriction

Answer 3

Cardiac output and vascular resistance

Question 4

Which is the best angiotensin-converting enzyme (ACE)inhibitor for a patient who has liver dysfunction in addition to an acute myocardial infarction?

A)quinapril (Accupril) because it is a prodrug
B)captopril (Capoten) because it is not a prodrug
C)lisinopril (Prinivil) because it can be dosed only once a day
D)enalapril (Vasotec) because it is also available in a parenteral form

Question 5

Antihypertensive drug therapy has been prescribed for a Black male patient newly diagnosed with stage 1 hypertension.What is most likely included in his medication therapy?

A)Vasodilators alone
B)ACE inhibitors alone
C)Calcium channel blockers with thiazide diuretic
D)b-Blockers with thiazide diuretic

Question 6

Which adverse effect commonly occurs in male patients who are taking antihypertensive medications?

A)Erectile dysfunction
B)Bradycardia
C)Increased libido
D)Increased weight

Question 7

A persistent cough is an adverse effect of which class of antihypertensive drugs?

A)b-Blockers
B)ACE inhibitors
C)Angiotensin receptor blockers
D)Calcium channel blockers

Question 8

Why do patients on a-adrenergic agonists require close assessment of pulse,blood pressure,and weight?

A)Because of strong vasoconstricting properties
B)Because of hypertensive effects
C)Because of strong vasodilating properties
D)Because of the risk of fluid overload

Question 9

Why does a physician examine the fundus of a patient's eyes during antihypertensive therapy?

A)To monitor for drug toxicity
B)To assess for increased intraocular pressure
C)To assess for visual changes that may occur with drug therapy
D)To evaluate the long-term effectiveness of the treatment

Question 10

Which is a potential nursing diagnosis for a patient taking antihypertensive medications?

A)Diarrhea
B)Sexual dysfunction
C)Stress urinary incontinence
D)Impaired memory

Question 11

A patient with primary hypertension is prescribed drug therapy for the first time.The patient asks how long drug therapy will be needed.What is the best answer to the patient's question?

A)1 month
B)1 year
C)Until symptoms disappear
D)Lifelong

Question 12

The physician has ordered doxazosin mesylate (Cardura)for a female patient.What important information should the nurse give this patient?

A)She should weigh herself daily and report any weight loss to the physician.
B)She must increase her potassium intake by eating more bananas and apricots.
C)The impaired taste associated with the medication usually goes away in 2 to 3 weeks.
D)She should take her first dose while lying down, because prazosin has a first-dose effect.

Question 13

A patient has hypertension,together with type I diabetes mellitus and proteinuria.Which drug is considered to have renal-protective effects for these medical diagnoses?

A)b-Blockers
B)ACE inhibitors
C)Diuretics
D)Calcium channel blockers