Deck 44: Antihypertensives

Question 1

The client has been diagnosed as being borderline hypertensive. As part of client teaching, the nurse should emphasize that the client can potentially avoid being placed on medication if he will attempt which changes?

A) Weight reduction and restricted salt intake
B) Stress reduction techniques and higher caloric intake
C) Decreased weight-bearing exercise and decreased fat intake
D) Decreased fluid intake and increased potassium intake

Answer 1

Weight reduction and restricted salt intake

Question 2

The client has been ordered treatment with minoxidil (Loniten) to control her hypertension. In designing a client teaching session, the nurse anticipates that the primary health provider will likely order which drug to increase the effectiveness of the minoxidil (Loniten)?

A) Cardiac glycosides
B) Diuretics
C) Glucocorticoids
D) Antihistamines

Answer 2

Diuretics

Question 3

A nurse is providing health teaching for clients taking antihypertensives. The highest priority teaching point regarding discontinuation of the drug is that abrupt discontinuation of the drug may result in:

A) drowsiness.
B) nasal stuffiness.
C) rebound hypotension.
D) rebound hypertension.

Answer 3

rebound hypertension.

Question 4

The client is a Native American who has been diagnosed as having hypertensive disease. In conferring with the primary health provider, the nurse recognizes that which antihypertensive medication would not be effective with this client?

A) Furosemide (Lasix)
B) Metoprolol (Apo-Metoprolol, Toprol SR)
C) Minoxidil (Loniten, Rogaine)
D) Prazosin (Minipress)

Question 5

The client has been ordered to be treated with Losartan potassium. What effect should the nurse expect to see in the client's laboratory values?

A) Decreased liver enzymes
B) Increased BUN and creatinine
C) Decreased serum glucose
D) Increased calcium

Question 6

The client is being treated with captopril (Capoten). The nurse teaches the client that while she is on the medication, she should avoid eating a diet that is rich in which:

A) potassium.
B) calcium.
C) iron.
D) folic acid.

Question 7

The nurse is designing a client teaching session for a hypertensive client who has just been placed on antihypertensive medication. He tells the nurse that he typically drinks two glasses of wine each night. The best reply by the nurse is "Alcohol should not be taken with antihypertensives because the combination may:

A) increase the hypertensive state."
B) increase the hypotensive state."
C) lead to renal failure."
D) lead to a toxic level of the medication."

Question 8

The client is being treated with sodium nitroprusside (Nipride, Nitropress). As the nurse is preparing to administer the medication, the most important thing to verify is that the container is:

A) wrapped in aluminum foil.
B) a glass bottle.
C) a plastic bag.
D) tinted a dark color.

Question 9

The client has been ordered to be treated with Minipress. She complains to the nurse of experiencing rapid heart rate. The highest priority nursing intervention is to call the physician because a rapid heart rate:

A) is an expected side effect of the medication.
B) is evidence of an anaphylactic reaction.
C) is evidence of an adverse reaction to the medication.
D) shows that the medication was mixed incorrectly.

Question 10

The client is being treated with sodium nitroprusside (Nipride, Nitropress). The nurse notes that the medication is tinted red. What is the highest priority nursing intervention in response to this observation?

A) Administer the medication as ordered.
B) Call the pharmacist since the medication should be tinted blue.
C) Discard the medication; it should not be tinted red.
D) Call the physician since this indicates that the dosage is wrong.

Question 11

The client has been started on a treatment regimen that includes fosinopril (Monopril). The nurse realizes that the client has also been diagnosed with renal insufficiency. What is the most accurate nursing intervention?

A) Call the physician; the medication is contraindicated.
B) Teach the client that the side effects of the drug will be intensified.
C) Call the physician; the dosage will need to be decreased.
D) Give the medication as ordered.

Question 12

The client is being treated with metoprolol as well as digitalis. The nurse anticipates the interaction of these two drugs will result in an increased incidence of:

A) tachycardia.
B) heart block.
C) bradycardia.
D) cardiac pauses.

Question 13

The client is being treated with metoprolol. The nurse notes that the client has been experiencing sinus bradycardia. What is the highest priority nursing intervention?

A) Call the physician; the medication is contraindicated if there is sinus bradycardia.
B) Teach the client that the medication schedule must be strictly adhered to.
C) Call the physician; the dosage should be increased when there is sinus bradycardia.
D) Teach the client that he should notify the physician if he experiences rapid heart rate.

Question 14

The client is being treated with eplerenone (Inspra). The nurse recognizes that which laboratory value must be monitored most closely while the client is on this medication regimen?

A) Calcium
B) Potassium
C) Sodium
D) Magnesium

Question 15

A client is ordered to receive propranolol (Inderal). The nurse notes that the client has a history of asthma. The nurse calls the ordering physician with the knowledge that propranolol may cause:

A) no change in airway.
B) bronchial constriction.
C) bronchial dilation.
D) bronchial enlargement.