Question 1

Why does a physician examine the fundus of a patient's eyes during antihypertensive therapy?&#10;A)To monitor for drug toxicity&#10;B)To assess for increased intraocular pressure&#10;C)To assess for visual changes that may occur with drug therapy&#10;D)To evaluate long-term effectiveness of the treatment

Accepted Answer

The physician examines the fundus of a patient's eyes during antihypertensive therapy because it is a more reliable indicator of the long-term effectiveness of treatment than blood pressure readings.

Question 2

Why do patients on &#945;-adrenergic agonists require close assessment of pulse,blood pressure,and weight?&#10;A)Due to strong vasoconstricting properties&#10;B)Due to hypertensive effects&#10;C)Due to strong vasodilating properties&#10;D)Risk of fluid overload

Accepted Answer

Patients on α-adrenergic agonists require close assessment of pulse,blood pressure,and weight before and during treatment because of their strong vasodilating properties and hypotensive adverse effects.

Question 3

Which of the following parameters determine the regulation of arterial blood pressure?&#10;A)Cardiac output and vascular resistance&#10;B)Heart rate and peripheral resistance&#10;C)Blood volume and renal blood flow&#10;D)Myocardial contractility and arteriolar constriction

Accepted Answer

Blood pressure is determined by the product of cardiac output and systemic vascular resistance (SVR).

Question 4

Antihypertensive drug therapy has been prescribed for a Black male patient newly diagnosed with stage 1 hypertension.Which of the following is most likely included in his medication therapy?&#10;A)Vasodilators alone&#10;B)Angiotensin-converting enzyme (ACE)inhibitors alone&#10;C)Calcium channel blockers with thiazide diuretic&#10;D)&#946;-blockers with thiazide diuretic

Accepted Answer

Calcium channel blockers and diuretics have been shown to be more effective in older adults and in Black patients than in white patients.Thiazide diuretics are also recommended for newly diagnosed stage 1 hypertension.

Question 5

The physician has ordered prazosin (Minipress)for a female patient.What important information should the nurse tell this patient?&#10;A)She should weigh herself daily and report any weight loss to the physician.&#10;B)She must increase her potassium intake by eating more bananas and apricots.&#10;C)The impaired taste associated with the medication usually goes away in 2 to 3 weeks.&#10;D)She should take her first dose while lying down because the prazosin has a first-dose effect.

Accepted Answer

When a patient is starting prazosin,the first dose should be taken while lying down because this drug has a first-dose effect.

Question 6

A persistent cough is an adverse effect of which of the following classes of antihypertensive drugs?&#10;A)&#946;-blockers&#10;B)Angiotensin-converting enzyme (ACE)inhibitors&#10;C)Angiotensin receptor blockers&#10;D)Calcium channel blockers

Accepted Answer

ACE inhibitors cause a characteristic dry,nonproductive cough that reverses when therapy is stopped.

Question 7

A patient diagnosed with prehypertension has a blood pressure reading that corresponds to which of the following?&#10;A)Systolic blood pressure of less than 120 mmHg and diastolic blood pressure less than 80 mmHg&#10;B)Systolic blood pressure between 120 and 139 mmHg and diastolic blood pressure between 80 and 89 mmHg&#10;C)Systolic blood pressure between 140 and 159 mmHg and diastolic blood pressure between 90 and 99 mmHg&#10;D)Systolic blood pressure between 160 and 179 mmHg and diastolic blood pressure 100 and 10&#8313; mmHg

Accepted Answer

Prehypertension is defined as having a systolic blood pressure between 120 and 139 mmHg and diastolic blood pressure between 80 and 89 mmHg.

Question 8

Which of the following adverse effects commonly occurs in male patients who are taking antihypertensive medications?&#10;A)Impotence&#10;B)Bradycardia&#10;C)Increased libido&#10;D)Increased weight

Accepted Answer

Sexual dysfunction is a common adverse effect of antihypertensive medications and may be manifested in males as decreased libido or impotence.

Question 9

A patient with primary hypertension is prescribed drug therapy for the first time.The patient asks how long drug therapy will be needed.Which of the following is the nurse's best response to the patient?

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

Accepted Answer

Because there is no cure for hypertension,treatment will be lifelong.

Question 10

Which angiotensin-converting enzyme (ACE)inhibitor is best for a patient who has liver dysfunction in addition to an acute myocardial infarction (MI)?&#10;A)quinapril (Accupril)because it is a prodrug&#10;B)captopril (Capoten)because it is not a prodrug&#10;C)lisinopril (Prinivil) because it can be dosed only once a day&#10;D)enalapril (Vasotec)because it is also available in a parenteral form

Accepted Answer

A prodrug relies on a functioning liver to be converted to its active form.Captopril is not a prodrug.

Question 11

Which of the following is a potential nursing diagnosis for a patient taking antihypertensive medications?&#10;A)Diarrhea&#10;B)Sexual dysfunction&#10;C)Stress urinary incontinence&#10;D)Impaired memory

Accepted Answer

The answer of Which of the following is a potential...

Question 12

A patient who has diabetes has been started on antihypertensive drug therapy.The health care provider evaluates that this treatment is effective if the blood pressure is _________________________.Fill in the blank.

Accepted Answer

The answer of A patient who has diabetes has been...

Question 13

A patient has hypertension,together with type I diabetes mellitus and proteinuria.Which of the following drugs are considered to have renal-protective effects for these medical diagnoses?&#10;A)&#946;-blockers&#10;B)Angiotensin-converting enzyme (ACE)inhibitors&#10;C)Diuretics&#10;D)Calcium channel blockers

Accepted Answer

The answer of A patient has hypertension,together with type I...

Deck 25: Antihypertensive Drugs