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Pharm Ch 39 Antihypertensives

Terms in this set (30)

The primary health care provider finds a constant, irritated, and nonproductive cough in a patient who is on drug therapy for hypertension. Which drug is responsible for these symptoms?

A. Aliskiren (Tekturna)
B. Captopril (Capoten)
C. Eplerenone (Inspra)
D. Candesartan (Atacand)
B. Captopril (Capoten)
A patient is treated with a thiazide diuretic to control hypertension. To reduce the adverse effect of this diuretic, what will the nurse contact the provider to discuss?

A. Sodium supplementation
B. Calcium supplementation
C. Chloride supplementation
D. Potassium supplementation
D. Potassium supplementation
The nurse is reviewing a medication history on a patient taking captopril (Capoten). The nurse plans to contact the health care provider if the patient is also taking which medication?

A. Docusate sodium (Colace)
B. Furosemide (Lasix)
C. Morphine sulfate
D. Spironolactone (Aldactone)
D. Spironolactone (Aldactone)
A nurse is caring for a patient who is taking an angiotensin-converting enzyme inhibitor and develops a dry, uncomfortable, nonproductive cough that has persisted for several weeks. What is the nurse's priority action?

A. Call the health care provider to switch the medication.
B. Assess the patient for other symptoms of upper respiratory infection.
C. Instruct the patient to take antitussive medication until the symptoms subside.
D. Tell the patient that the cough will subside in a few days.
A. Call the health care provider to switch the medication.
Which comment by the patient indicates understanding about the use of enalapril (Vasotec) for treatment of hypertension?

A. "If I develop a chronic cough, I need to notify my health care provider."
B. "I should stop the drug if I have ringing in my ears."
C. "If I feel tired, I should call the health care provider."
D. "I cannot go out in the sun while on this therapy."
A. "If I develop a chronic cough, I need to notify my health care provider."
When teaching a patient about the drug atenolol (Tenormin), what information will the nurse include in the teaching plan?

A. "If you have gastric upset, take the medication with an antacid."
B. "Stop the medication if you feel tired."
C. "Use a hot tub daily to help vasodilate so that the medication will work more effectively."
D. "Do not stop the medication abruptly."
D. "Do not stop the medication abruptly."
The nurse is administering several medications at 8 am. Which medication will decrease vasoconstriction by blocking angiotensin II receptor sites?

A. Furosemide (Lasix)
B. Metoprolol (Lopressor)
C. Valsartan (Diovan)
D. Enalapril (Vasotec)
C. Valsartan (Diovan)
A patient with hypertension receives ramipril (Altace) and consequently develops a potassium level of 5.6 mEq/liter. Which medication when administered concurrently with ramipril can improve the patient's metabolic condition?

A. Hydrochlorothiazide
B. Eplerenone (Inspra)
C. Metoprolol (Lopressor)
D. Spironolactone (Aldactone)
A. Hydrochlorothiazide
Which drugs are central alpha2 agonists? Select all that apply.

A. Losartan (cozaar)
B. Aliskiren (Tekturna)
C. Guanfacine (Tenex)
D. Atenolol (Tenormin)
E. Clonidine (Catapres)
C. Guanfacine (Tenex)
E. Clonidine (Catapres)
Which statement is true regarding diuretics?

A. Diuretics promote sodium retention.
B. Diuretics decrease the extracellular fluid volume.
C. Diuretics can be used as monotherapy in stage 2 hypertension.
D. Thiazide diuretics are prescribed for clients with renal insufficiency.
B. Diuretics decrease the extracellular fluid volume.
A patient is prescribed a nonselective beta blocker. What nursing intervention is a priority for this patient?

A. Assessment of blood glucose levels
B. Respiratory assessment
C. Orthostatic blood pressure assessment
D. Teaching about potential tachycardia
B. Respiratory assessment
The nurse is caring for a patient who is scheduled to begin treatment with carvedilol (Coreg). While updating the history, the patient tells the nurse that he experiences frequent attacks of asthma. What is the nurse's highest priority action?

A. Expect an increased effect from the medication
B. Monitor the patient for a toxic reaction to the drug
C. Notify the health care provider of this information
D. Expect a decreased effect from the medication
C. Notify the health care provider of this information
The nurse demonstrates knowledge of use of calcium-channel blockers (CCBs) for management of hypertension if which statement is made to the patient?

A. "CCBs promote excretion of water."
B. "CCBs block reabsorption of sodium."
C. "CCBs increase blood return to heart."
D. "CCBs relax vascular smooth muscle."
D. "CCBs relax vascular smooth muscle."
The nurse determines that the patient is experiencing an adverse effect of enalapril (Vasotec) if which effect is noted?

A. Patient has a dry, hacking cough
B. Patient's serum potassium 4.2 mEq/L
C. Patient's serum sodium is 147 mEq/L
D. Patient complains of persistent dry mouth
A. Patient has a dry, hacking cough
The nurse is caring for a patient with hypertension who is prescribed a clonidine transdermal patch. What is the correct information to teach this patient?

A. Change the patch daily at the same time.
B. Remove the patch before taking a shower or bath.
C. Do not take other antihypertensive medications while on this patch.
D. Get up slowly from a sitting to a standing position.
D. Get up slowly from a sitting to a standing position.
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