Scheduled maintenance: Saturday, September 10 from 11PM to 12AM PDT Show
Home Subjects Expert solutions Create Log in Sign up Upgrade to remove ads Only ₩37,125/year
Terms in this set (54)ANS: C Which term means high blood pressure from no known cause? a. Orthostatic hypertension ANS: A What condition is a major cause of long-term high blood pressure? a.
Atherosclerosis ANS: A What types of over-the-counter drugs can worsen high blood pressure? a. Drugs for asthma ANS: B How do most diuretics lower blood pressure? a. Preventing clots from forming ANS: C How do angiotensin-converting enzyme (ACE) inhibitors lower blood pressure? a. Preventing clots from forming ANS: D Which side effect of ACE inhibitors is very common? a. Hypertension ANS: A What is a possible life-threatening adverse effect that can occur when a person is taking an ACE inhibitor? a. Angioedema ANS: B What substance should patients taking ACE inhibitors avoid? ANS: D Which drug is an angiotensin II receptor blocker (ARB)? a. Lisinopril ANS: C Which condition can be a severe adverse reaction to angiotensin II receptor blockers? a. Asthma ANS: A How do calcium channel blockers help to lower blood pressure? a. Relaxing arteries and slowing heart contractions ANS: B What side effect is common to calcium channel blockers? a. Diarrhea ANS: D Which drug for high blood pressure is a beta blocker? a. Verapamil ANS: A Which condition is a possible severe adverse effect of beta blockers? a. Difficulty breathing ANS: C How do alpha blockers work to lower blood pressure? a. Preventing clots from forming ANS:
D What are the most common side effects of alpha blockers? a. Shakiness and tremors ANS: A Which drug acts directly on the peripheral arteries, causing them to dilate and leading to decreased blood pressure? a. Minoxidil (Loniten) ANS: D Which class of antihypertensive drugs has a higher incidence of side effects? a. Angiotensin-converting enzyme (ACE) inhibitors ANS: B A patient's blood pressure is consistently around 138/88 mm Hg. What does this reading represent? a. Normal blood pressure ANS: C What is the difference between primary hypertension and secondary hypertension? a. Secondary hypertension is not as severe as
primary hypertension. ANS: A You are teaching a patient about antihypertensive therapy. Which statement by the patient indicates the need for more teaching? a. "Now that my blood pressure is normal, I won't need to take my medication anymore." ANS: B Which drug action is most likely to lower blood pressure? a. Increasing the effectiveness of heart pumping ANS: A Which action or precaution is most important for before giving any type of drug for hypertension? a. Check the patient's blood pressure. ANS: D You are checking a patient's blood pressure before administering an antihypertensive. The reading of 88/52 mm Hg. What is your best action? a. Give the patient a cup of coffee and retake the blood pressure in 30 minutes. ANS: A You give the first dose of an antihypertensive drug to a hospitalized patient. Which instruction should you give to the patient next? a. "Stay in bed and call for help if you need to get up for any reason." ANS: C A patient prescribed a thiazide diuretic for hypertension reports having cramps and feeling like the heart is skipping beats. What side effect of this drug do you suspect? a. Muscle breakdown ANS: A A patient taking a thiazide diuretic has the following blood laboratory values for kidney function. Which value will you report to the prescriber immediately? a. Sodium 124 mEq/L ANS: D A patient asks you how atenolol (Tenormin) will help reduce hypertension. What is your best response? a. "It will help your body rid itself of excess fluids and decrease the work your heart must do to pump blood." ANS: C A
patient taking metoprolol (Lopressor) for hypertension reports all of the following side effects. For which side effect will you notify the prescriber ANS: D Which precaution is most important for you to teach a patient who has been prescribed a beta blocker drug for hypertension? a. "Avoid alcoholic beverages while taking this drug." ANS: B A 38-year-old patient has been prescribed nadolol (Corgard) 80 mg daily for hypertension. The patient tells you that he has stopped taking the drug. What is your best first action at this time? a. Instruct the patient to begin taking the drug immediately. ANS: B A patient has a dose of labetalol (Normodyne) ordered twice a day and is due to have an exercise stress test this morning. What is your best action at this time? a. Give the dose as ordered. ANS: D
For which patient is labetalol (Normodyne) contraindicated as an antihypertensive drug? a. 48-year-old woman who is going through menopause ANS: D A patient who has been prescribed enalapril (Vasotec) has developed a persistent nonproductive cough. What is your best action? a. Ask the prescriber to order something for the patient's cough. ANS: D A patient who has been taking lisinopril (Zestril) develops swollen lips and reports that the tongue feels thick. What is your best action? a. Document the report and reassure the patient that this is a common drug side effect. ANS: C An older patient has been prescribed an angiotensin-converting enzyme (ACE) inhibitor. Which precaution is most important for you to teach the patient about this drug? a. "Avoid caffeinated drinks that may increase your blood pressure." ANS: A You are to give the first dose of enalapril (Vasotec) to a patient whose medication reconciliation indicates he also takes furosemide (Lasix) for hypertension. What action should you take? a. Administer
both drugs as prescribed. ANS: B A patient has been prescribed losartan (Cozaar). Which substance, drug, or activity do you teach the patient to avoid? a. Oral contraceptives ANS: D How does the drug diltiazem (Cardizem) lower blood pressure? a. Prevents angiotensin from binding to its
receptors. ANS: B An older adult man who takes verapamil (Calan) reports that his breasts have enlarged. What is your best action? a. Ask the patient whether he has had any difficulty getting or maintaining an erection. ANS: A A patient who is taking nicardipine (Cardene) develops skin lesions, itching, fever, and achy joints. What is your best first action? a. Hold the drug and notify the prescriber. ANS: D You are teaching a patient who has just been prescribed prazosin (Minipress) for hypertension. You immediately notify the prescriber and question the order upon discovering that the patient is also taking which drug? a. Aspirin ANS: D A patient with hypertension is prescribed terazosin (Hytrin). When should you administer the first dose of this drug to the patient? a. In the morning to avoid waking the patient at night ANS:
C A patient with hypertension and type 2 diabetes mellitus is taking carvedilol (Coreg). What special precaution should you teach the patient to take when taking this drug? a. Check blood pressure in both arms. ANS: C You are teaching a patient how to administer clonidine (Catapres) using the transdermal patch system. How often do you teach the patient to change the patch? a. Daily ANS: B Which antihypertensive drug would you teach a patient is considered safe for use during pregnancy or breastfeeding? a. Clonidine (Catapres) ANS: A Which statement by a patient prescribed enalapril (Vasotec) indicates the need for additional teaching? a. "I will use a salt substitute instead of table salt when I eat." ANS: C A 33-year-old female patient is currently taking captopril (Capoten) and metoprolol (Lopressor) to control her blood pressure. She tells you that she plans to become pregnant. What should you teach the patient about the use of this drug during pregnancy? a. ACE inhibitors affect women differently than men. ANS: B A hospitalized patient prescribed nifedipine XL (Procardia) 60 mg once a day informs you that at home he was taking nicardipine (Cardene) 20 mg three times a day and thinks this is the wrong drug. What is your best action? a. Give the dose as ordered after informing the patient that this is a new medication the prescriber wants him or her to take. ANS: A, B, C, E Which statements are true about blood pressure? (select all that apply) a. Blood pressure decreases when a person is resting. ANS: A, B, D, E Which conditions or drugs can cause secondary hypertension? (select all that apply) a. Adrenal gland tumors ANS: 1 kg = 2.2 lb. 220 lb/2.2 = 100 kg. A patient who weighs 220 lb is to receive labetalol 0.25 mg/kg intravenously. The solution of labetalol on hand is 100 mg/20 mL. How many milliliters of labetalol will you prepare for a correct dose? ANS:
100 mg/1 tablet : 50 mg/X tablet = tablet (0.5 tablet). An adult patient is prescribed metoprolol (Lopressor) 50 mg orally twice a day. Metoprolol is available in 100 mg tablets. How many tablets will you give for each dose? ANS: 1 kg=2.2 lb. 66/2.2 = 30 kg. A child who weighs 68 lb and has very high blood pressure as a result of an adrenal gland tumor is prescribed a STAT dose of oral prazosin (Minipress) at 200 mcg/kg. You have on hand prazosin 2 mg/capsule. How many capsules will you administer to this child? Sets found in the same folderChapter 17: Drug Therapy for Heart Failure52 terms Jennifer_Fisher7 Chapter 15: Drugs That Affect Urine Output40 terms Jennifer_Fisher7 Chapter 17: Drug Therapy for Heart Failure49 terms vladimirgoncharov Chapter 19: Drug Therapy for High Blood Lipids46 terms Jennifer_Fisher7 Other sets by this creatorCh 11 affect in immune systems37 terms peacheeg PHARMA EXAM 6 CH12-14, 21-23162 terms peacheeg Chapter 32 Drug therapy for female reproductive sy…24 terms peacheeg drug therapy for thyroid problems & female reprodu…40 terms peacheeg Other Quizlet setsChapter 9 True/ False40 terms Doux_RouxPLUS CH. 13 Notecards101 terms TFMRD1803 Pulmonary System11 terms zpolmounter Pharm Chapter 3212 terms adrianamorua17 Related questionsQUESTION What are macrolides good for treating? 11 answers QUESTION What is the main location for drug metabolism? 6 answers QUESTION The nurse is caring for a pregnant patient diagnosed with pregnancy-induced diabetes. What antidiabetic agent is best suited for administration to this patient? 8 answers QUESTION What are the two Classification of oral rinses? 15 answers |