Deck 19: Drugs for Hypertension

Question 1

The client has been prescribed furosemide (Lasix).What condition does this medication cause?
1)Hyperkalemia
2)Increased blood pressure
3)Increased respirations
4)Hypokalemia

Answer 1

4

Question 2

Which medication is not a calcium channel blocker?
1)Amlodipine (Norvasc)
2)Propranolol (Inderal)
3)Verapamil (Calan)
4)Diltiazem (Cardizem)

Answer 2

2

Question 3

The nurse is teaching the client about the long-term consequences of untreated hypertension.What should the nurse include in the teaching? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Diabetes
2)Stroke
3)Kidney failure
4)Cardiac arrest
5)Diabetes insipidus

Answer 3

2,3,4

Question 4

The physician has prescribed an alpha blocker for the client.What medication does the nurse anticipate to be prescribed?
1)Atenolol (Tenormin)
2)Doxazosin (Cardura)
3)Lisinopril (Zestril)
4)Diltiazem (Cardizem)

Question 5

What side effect should the nurse include in the teaching session as the most common side effect of ACE inhibitor therapy?
1)Cough
2)Hypokalemia
3)Angioedema
4)Headache

Question 6

What teaching point should the nurse include for a client who is prescribed a thiazide diuretic?
1)Take the medication in the morning
2)Take with two full glasses of water
3)Avoid foods containing potassium
4)Take before bed

Question 7

The client asks the nurse how to control hypertension without taking medications.Which teaching topics would be appropriate for the nurse to include? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Increase exercise
2)Decrease sodium intake
3)Stop smoking
4)Increase weight if overweight
5)Increase intake of dietary fat

Question 8

The physician ordered atenolol (Tenormin)for a client.The nurse checks vital signs for this client.Which vital sign would cause the nurse to question administering the medication?
1)Temperature 99.4°F
2)Blood pressure 148/62
3)Respirations 18 breaths per minute
4)Pulse 48 beats per minute

Question 9

What is the appropriate definition of cardiac output?
1)The systolic pressure
2)The diastolic pressure
3)The volume of blood pumped per minute
4)Equal to the mean arterial pressure

Question 10

The client asks the nurse what the first number given in a blood pressure stands for.What is the best response by the nurse?
1)"The first number is the diastolic pressure."
2)"The first number is the heart rate."
3)"The first number is the pulse pressure."
4)"The first number is the systolic pressure."

Question 11

The nurse is caring for a client who has a consistent elevation of arterial blood pressure.Which diagnosis does the nurse expect for this client?
1)Hypertension
2)Hypotension
3)Tachycardia
4)Bradycardia

Question 12

Which statement indicates understanding of hypertensive therapy by the client?
1)"If I think my blood pressure is increased,I should take a double dose of my medications."
2)"I should take all medications as prescribed to control my high blood pressure."
3)"When I feel good,I don't need to take my medications."
4)"I should take hypertension medications only when I do not feel well."

Question 13

The nurse is teaching a client about blood pressure regulation.Which would the nurse include in this teaching session as the structure that regulates blood pressure on a minute-to-minute basis?
1)The liver
2)The heart
3)The vasomotor center
4)The lungs

Question 14

A client is prescribed multiple medications for hypertension.The client asks the nurse which of the medications prescribed is a loop diuretic.Which response by the nurse is appropriate?
1)Ramipril (Altace)
2)Furosemide (Lasix)
3)Metoprolol (Lopressor)
4)Amlodipine (Norvasc)

Question 15

The nurse is caring for a client prescribed enalapril (Vasotec).The nurse educates the client on the side effects of the medication.Which side effect of this medication is potentially life threatening?
1)Hypokalemia
2)Supraventricular tachycardia
3)Ventricular fibrillation
4)Angioedema

Question 16

A client is prescribed multiple medications for hypertension.The client asks the nurse which of the medications prescribed is an ACE inhibitor.Which response by the nurse is appropriate?
1)Furosemide (Lasix)
2)Amlodipine (Norvasc)
3)Ramipril (Altace)
4)Metoprolol (Lopressor)

Question 17

The nurse is teaching the client about side effects of medications for hypertension.Which side effects will the nurse educate the client to contact the physician if they occur? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Blood pressure 120/70
2)Pulse 125 beats per minute
3)Dizziness
4)Headache
5)Respiratory rate of 20 6.Edema in the legs

Question 18

Which medication is often the first choice for treating hypertension?
1)Diuretics
2)Beta blockers
3)ACE inhibitors
4)Alpha blockers

Question 19

A client is prescribed multiple medications for hypertension.The client asks the nurse which of the medications prescribed is a beta blocker.Which response by the nurse is correct?
1)Amlodipine (Norvasc)
2)Furosemide (Lasix)
3)Ramipril (Altace)
4)Metoprolol (Lopressor)

Question 20

A client is prescribed multiple medications for hypertension.The client asks the nurse which of the medications prescribed is a calcium channel blocker.Which response by the nurse is most appropriate?
1)Metoprolol (Lopressor)
2)Ramipril (Altace)
3)Furosemide (Lasix)
4)Amlodipine (Norvasc)

Question 21

The nurse is caring for a client who is experiencing a hypertensive crisis.Which medication does the nurse anticipate,as it is the drug of choice for this condition?
1)Nitroprusside (Nitropress)
2)Enalapril (Vasotec)
3)Diltiazem (Cardizem)
4)Lisinopril (Zestril)

Question 22

What factors are associated with blood pressure? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Cardiac output
2)Urine output
3)Blood volume
4)Ventricular filling pressure
5)Peripheral resistance

Question 23

A client is being seen after being on hypertension medication for the last 3 months.The client has lost weight since the last visit.The client also tells the nurse that he or she is walking 2 miles 5 days a week and has been eating more fruits and vegetables.What does the nurse anticipate from the prescriber?
1)A nutrition consult
2)A decrease in the medication
3)A weight check
4)A smoking cessation program

Question 24

What role does peripheral resistance play in blood pressure?
1)The higher the peripheral resistance,the higher the blood pressure.
2)The lower the peripheral resistance,the higher the blood pressure.
3)The higher the peripheral resistance,the lower the blood pressure.
4)There is no relationship to peripheral resistance and blood pressure.

Question 25

A client has been prescribed a loop diuretic and instructed to eat foods rich in potassium.Which foods are rich in potassium? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Bananas
2)Milk
3)Salmon
4)Bread
5)Rice

Question 26

A client who was recently diagnosed with high blood pressure asks why they need the medication.The client tells the nurse that they feel just fine and questions the need for medication.Which is the nurse's best response?
1)"Many people don't really need the medication."
2)"If left untreated,high blood pressure can lead to serious problems."
3)"A healthy diet and exercise can cure this problem."
4)"You should think about going to a different prescriber."

Question 27

A client has been prescribed candesartan (Atacand)daily.What classification does this medication belong to?
1)Calcium channel blocker
2)ACE inhibitor
3)Beta blocker
4)Angiotensin-receptor blocker

Question 28

The nurse is teaching a client about lifestyle changes including reducing stress and learning to implement coping strategies.The client asks why it is important to reduce stress.Which is the nurse's best response?
1)"Stress can cause an increase in heart rate which can affect blood pressure."
2)"Studies have shown that having a pet can increase stress."
3)"Reducing stress can decrease blood pressure."
4)"Increased stress has been linked to high cholesterol and depression."

Question 29

What should be used with caution in clients with asthma and heart failure?
1)Nonselective beta blockers
2)ACE inhibitors
3)Beta1-blockers
4)Alpha blockers