Question 1

Which is a potential nursing diagnosis for a patient taking antihypertensive medications?

Accepted Answer

A) Diarrhea 
B) Sexual dysfunction 
C) Stress urinary incontinence 
D) Impaired memory 
A) Diarrhea 
B) Sexual dysfunction 
C) Stress urinary incontinence 
D) Impaired memory B

Question 2

A patient who has diabetes has been started on antihypertensive drug therapy.The health care provider considers this treatment effective if the blood pressure is lower than ____________ mm Hg.

Accepted Answer

130/80

Question 3

Antihypertensive drug therapy has been prescribed for a Black male patient newly diagnosed with stage 1 hypertension.What is most likely included in his medication therapy?

Accepted Answer

A) Vasodilators alone 
B) ACE inhibitors alone 
C) Calcium channel blockers with thiazide diuretic 
D) $\beta$-Blockers with thiazide diuretic 
A) Vasodilators alone 
B) ACE inhibitors alone 
C) Calcium channel blockers with thiazide diuretic 
D) $\beta$-Blockers with thiazide diuretic C

Question 4

Why do patients on a-adrenergic agonists require close assessment of pulse,blood pressure,and weight?

Accepted Answer

A) Because of strong vasoconstricting properties 
B) Because of hypertensive effects 
C) Because of strong vasodilating properties 
D) Because of the risk of fluid overload 
A) Because of strong vasoconstricting properties 
B) Because of hypertensive effects 
C) Because of strong vasodilating properties 
D) Because of the risk of fluid overload

Question 5

A patient has hypertension,together with type I diabetes mellitus and proteinuria.Which drug is considered to have renal-protective effects for these medical diagnoses?

Accepted Answer

A) $\beta$-Blockers 
B) ACE inhibitors 
C) Diuretics 
D) Calcium channel blockers 
A) $\beta$-Blockers 
B) ACE inhibitors 
C) Diuretics 
D) Calcium channel blockers

Question 6

A patient diagnosed with prehypertension has which blood pressure reading?

Accepted Answer

A) Systolic blood pressure of less than 120 mm Hg and diastolic blood pressure less than 80 mm Hg 
B) Systolic blood pressure between 120 and 139 mm Hg and diastolic blood pressure between 80 and 89 mm Hg 
C) Systolic blood pressure between 140 and 159 mm Hg and diastolic blood pressure between 90 and 99 mm Hg 
D) Systolic blood pressure between 160 and 179 mm Hg and diastolic blood pressure 100 and 109 mm Hg 
A) Systolic blood pressure of less than 120 mm Hg and diastolic blood pressure less than 80 mm Hg 
B) Systolic blood pressure between 120 and 139 mm Hg and diastolic blood pressure between 80 and 89 mm Hg 
C) Systolic blood pressure between 140 and 159 mm Hg and diastolic blood pressure between 90 and 99 mm Hg 
D) Systolic blood pressure between 160 and 179 mm Hg and diastolic blood pressure 100 and 109 mm Hg

Question 7

Why does a physician examine the fundus of a patient's eyes during antihypertensive therapy?

Accepted Answer

A) To monitor for drug toxicity 
B) To assess for increased intraocular pressure 
C) To assess for visual changes that may occur with drug therapy 
D) To evaluate the long-term effectiveness of the treatment 
A) To monitor for drug toxicity 
B) To assess for increased intraocular pressure 
C) To assess for visual changes that may occur with drug therapy 
D) To evaluate the long-term effectiveness of the treatment

Question 8

Which adverse effect commonly occurs in male patients who are taking antihypertensive medications?

Accepted Answer

A) Erectile dysfunction 
B) Bradycardia 
C) Increased libido 
D) Increased weight 
A) Erectile dysfunction 
B) Bradycardia 
C) Increased libido 
D) Increased weight

Question 9

A persistent cough is an adverse effect of which class of antihypertensive drugs?

Accepted Answer

A) $\beta$-Blockers 
B) ACE inhibitors 
C) Angiotensin receptor blockers 
D) Calcium channel blockers 
A) $\beta$-Blockers 
B) ACE inhibitors 
C) Angiotensin receptor blockers 
D) Calcium channel blockers

Question 10

A patient with primary hypertension is prescribed drug therapy for the first time.The patient asks how long drug therapy will be needed.What is the best answer to the patient's question?

Accepted Answer

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

Question 11

Which parameters determine the regulation of arterial blood pressure?

Accepted Answer

A) Cardiac output and vascular resistance 
B) Heart rate and peripheral resistance 
C) Blood volume and renal blood flow 
D) Myocardial contractility and arteriolar constriction 
A) Cardiac output and vascular resistance 
B) Heart rate and peripheral resistance 
C) Blood volume and renal blood flow 
D) Myocardial contractility and arteriolar constriction

Question 12

Which is the best angiotensin-converting enzyme (ACE)inhibitor for a patient who has liver dysfunction in addition to an acute myocardial infarction?

Accepted Answer

A) quinapril (Accupril) because it is a prodrug 
B) captopril (Capoten) because it is not a prodrug 
C) lisinopril (Prinivil) because it can be dosed only once a day 
D) enalapril (Vasotec) because it is also available in a parenteral form 
A) quinapril (Accupril) because it is a prodrug 
B) captopril (Capoten) because it is not a prodrug 
C) lisinopril (Prinivil) because it can be dosed only once a day 
D) enalapril (Vasotec) because it is also available in a parenteral form

Question 13

The physician has ordered doxazosin mesylate (Cardura)for a female patient.What important information should the nurse give this patient?

Accepted Answer

A) She should weigh herself daily and report any weight loss to the physician. 
B) She must increase her potassium intake by eating more bananas and apricots. 
C) The impaired taste associated with the medication usually goes away in 2 to 3 weeks. 
D) She should take her first dose while lying down, because prazosin has a first-dose effect. 
A) She should weigh herself daily and report any weight loss to the physician. 
B) She must increase her potassium intake by eating more bananas and apricots. 
C) The impaired taste associated with the medication usually goes away in 2 to 3 weeks. 
D) She should take her first dose while lying down, because prazosin has a first-dose effect.

Exam 23: Antihypertensive Drugs

Which is a potential nursing diagnosis for a patient taking antihypertensive medications?

A patient who has diabetes has been started on antihypertensive drug therapy.The health care provider considers this treatment effective if the blood pressure is lower than ____________ mm Hg.

Antihypertensive drug therapy has been prescribed for a Black male patient newly diagnosed with stage 1 hypertension.What is most likely included in his medication therapy?

Why do patients on a-adrenergic agonists require close assessment of pulse,blood pressure,and weight?

A patient has hypertension,together with type I diabetes mellitus and proteinuria.Which drug is considered to have renal-protective effects for these medical diagnoses?

A patient diagnosed with prehypertension has which blood pressure reading?

Why does a physician examine the fundus of a patient's eyes during antihypertensive therapy?

Which adverse effect commonly occurs in male patients who are taking antihypertensive medications?

A persistent cough is an adverse effect of which class of antihypertensive drugs?

A patient with primary hypertension is prescribed drug therapy for the first time.The patient asks how long drug therapy will be needed.What is the best answer to the patient's question?

Which parameters determine the regulation of arterial blood pressure?

Which is the best angiotensin-converting enzyme (ACE)inhibitor for a patient who has liver dysfunction in addition to an acute myocardial infarction?

The physician has ordered doxazosin mesylate (Cardura)for a female patient.What important information should the nurse give this patient?

Nursing Practice in Canada and Drug Therapy

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Patient Focused Considerations

Gene Therapy and Pharmacogenomics

Medication Errors: Preventing and Responding

Patient Education and Drug Therapy

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Principles of Drug Administration

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Fluids and Electrolytes

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