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?

Accepted Answer

Weight loss decreases the stress on the heart and the afterload. Decreasing salt intake decreases the amount of retained fluid.

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)?

Accepted Answer

Diuretics may be used in conjunction with minoxidil (Loniten) to lower water volume in the body.

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:

Accepted Answer

When antihypertensives are abruptly discontinued, the body increases the blood pressure in response.

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?

Accepted Answer

Native Americans have a reduced or lower response to beta-blockers, such as metoprolol, when compared with Caucasians.

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?

Accepted Answer

Losartan potassium is expected to cause an increase in the client's BUN and creatinine levels.

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:

Accepted Answer

Captopril (Capoten) tends to cause the client to retain potassium; thus the client should not eat a diet rich in potassium.

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:

Accepted Answer

Both antihypertensives and alcohol decrease BP and may potentiate each other.

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:

Accepted Answer

The container must be wrapped in aluminum foil during administration of the medication.

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:

Accepted Answer

Tachycardia is an adverse reaction to treatment with Minipress.

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?

Accepted Answer

The medication should be discarded because it should not be tinted red.

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?

Accepted Answer

The dose of fosinopril (Monopril) will not need to be decreased if the client develops renal insufficiency.

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:

Accepted Answer

The combination of metoprolol and digitalis will result in an increase incidence of bradycardia.

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?

Accepted Answer

Sinus bradycardia is a contraindication to treatment with metoprolol.

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?

Accepted Answer

Inspra is contraindicated when serum potassium greater than 5.5 mEq/L.

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:

Accepted Answer

As a beta-blocker, propranolol (Inderal) may cause airway constriction, exacerbating the asthmatic changes.

Quiz 44: Antihypertensives

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?

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 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:

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?

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?

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:

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:

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:

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?

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?

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:

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?

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 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: