Antihypertensives

What is the mechanism of action of eplerenone (Inspra)?

How does labetalol (Normodyne), an alpha-beta blocking agent, work?

How does clonidine (Catapres), an alpha-2 agonist, work?

Abrupt discontinuation of the use of clonidine (Catapres) may result in

In addition to hypertension, alpha-1 blockers may be useful in the treatment of

Hydralazine (Apresoline), a direct-acting vasodilator, works by

When administered as monotherapy, hydralazine (Apresoline) may induce

Your 33-year-old female patient takes captopril for hypertension. Which of the following instructions should be given to this patient?

Your 55-year-old patient has hypertension and is to begin taking medication. When reviewing the patient's health status history, you note a history of asthma and arthritis. Which of the following drugs would be inappropriate for this patient?

Your patient has hypertension, and clonidine (Catapres) has been prescribed. Which of the following comorbid states may contraindicate the use of clonidine?

Your patient is prescribed clonidine (Catapres) for hypertension. Which of the following educational points should be made with patients taking this drug?

Your 55-year-old male patient has hypertension and benign prostatic hypertrophy. Because of these comorbid states, he may benefit from

Your patient takes hydralazine (Apresoline) and propranolol (Inderal) for his hypertension. Propranolol is given concurrently with hydralazine to decrease the possibility of reflex tachycardia. Because of this combination, the patient should be instructed to

You are working in the outpatient hypertension center today. You are working with a patient whose blood pressure is uncontrolled on hydrochlorothiazide, a thiazide diuretic alone, and is to begin taking captopril, an ACE inhibitor. The patient says, "I hate to take medicine because I always get adverse effects. Is there anything you can do to help me?" To minimize adverse effects that can occur with starting captopril, the nurse should recommend the patient

Your hypertensive patient is receiving a thiazide diuretic, a calcium channel blocker, and an ACE inhibitor. Labetalol, a mixed alpha and beta adrenergic-blocking agent, is now to be added to the drug therapy for hypertension. This patient also has diabetes and a history of ischemic heart disease. Which of the following should be included in patient teaching about labetalol for this patient?

Your patient's blood pressure remains 150/90 mm Hg even though he is taking a diuretic, a beta blocker, an ARB, and a calcium channel blocker. He is to begin taking transdermal clonidine, a centrally acting alpha-2 agonist, to treat hypertension. To maximize the therapeutic effect of the drug, you should

Your 54-year-old patient takes propranolol (Inderal) for hypertension. The patient has chronic tendonitis from playing tennis. Which of the following interventions should be done for this patient while the patient receives NSAIDs for tendonitis?

In addition to hypertension, captopril (Capoten), an ACE inhibitor, may be useful in the treatment of

Which of the following adverse reactions is associated with ACE inhibitors?

Losartan (Cozaar), an angiotensin II blocking agent, works by blocking the

Patient education for female patients receiving ACE inhibitors or angiotensin II blocking agents must include

Your patient has received a diagnosis of hypertension and takes captopril (Capoten). The patient's blood pressure has remained elevated despite compliance with captopril and lifestyle changes. The provider decides to add a diuretic to this patient's drug regimen. Which of the following classes of diuretics would be inappropriate for this patient?

The management of chronic heart failure includes all of the following classes of medications except

The nurse should not administer IV verapamil, a class IV antiarrhythmic and calcium channel blocker, within a few hours of administering

A patient is to be discharged home with a new prescription for prazosin [Minipress]. Which statement is most important for the nurse to include in the teaching plan?

The nurse is caring for a patient receiving propranolol [Inderal]. Which clinical finding is most indicative of an adverse effect of this drug?

The nurse is caring for several patients prescribed propranolol [Inderal]. In which patient condition is propranolol [Inderal] contraindicated?

Why does the nurse anticipate administering metoprolol [Lopressor] rather than propranolol [Inderal] for diabetic patients who need a beta-blocking agent?

Which statement made by the patient indicates an understanding of teaching related to a new prescription for atenolol [Tenormin]?

The nurse is teaching the patient about atenolol [Tenormin]. Which statement by the patient indicates a correct understanding of the nurse's instruction?

A nurse is caring for a patient prescribed doxazosin [Cardura] for hypertension. Safety is a priority because of which associated adverse effect?

The nurse is preparing to administer diltiazem and atenolol. What is the priority nursing intervention before administering these two medications to the patient?

Prior to discharge, the nurse provides teaching related to adverse effects of terazosin [Hytrin] to the patient and caregivers. Which adverse effects should the nurse include in the teaching of this drug? (Select all that apply.)

The nurse is preparing to administer a dose of clonidine [Catapres]. Which is the best description of the action of this drug?

The nurse is assessing a patient in a clinic who has been taking clonidine [Catapres] for hypertension. Which clinical findings are most indicative of an adverse effect of this drug?

The nurse is caring for a patient prescribed methyldopa [Aldomet]. Which laboratory test is most important to obtain before treatment?

Which statement is most appropriate for the nurse to include in the discharge teaching plan for a 30-year-old woman beginning a new prescription of clonidine [Catapres]?

Following the administration of guanfacine [Tenex], the nurse should assess for which effects?

The nurse is preparing to administer medication to the following patients. Which medication should the nurse question before administering?

The nurse is evaluating the teaching done with a patient who has a new prescription for transdermal clonidine [Catapres-TTS]. Which statement by the patient indicates understanding of the nurse's teaching?

A patient who abuses cocaine, opioids, and other drugs frequently abuses which drug?

The nurse is teaching a group of patients about dietary approaches to reduce cholesterol levels. Which statement is most important to include in the teaching?

The nurse understands that cholesterol is carried through the blood by lipoproteins. Which lipoprotein is most closely associated with coronary atherosclerosis?

Which drug is the most effective for lowering LDL cholesterol?

A patient with cardiovascular disease is taking rosuvastatin [Crestor]. The nurse is monitoring for potential adverse effects. Which finding indicates a potential adverse effect of this drug?

A patient with an elevated triglyceride level is prescribed a sustained-release form of nicotinic acid [Slo-Niacin]. Which laboratory value is most important for the nurse to monitor for in this patient?

The nurse is caring for a patient prescribed a cholesterol-lowering drug. Which drug is least likely to cause systemic side effects?

The nurse is caring for a patient prescribed gemfibrozil [Lopid]. For which patient should the nurse question the use of this drug?

Which discharge instructions should the nurse include for a patient prescribed cholestyramine [Questran]?

Which are beneficial effects that can be derived from simvastatin [Zocor] and other drugs in this class? (Select all that apply.)

The healthcare provider prescribes lovastatin [Mevacor] for a patient discharged from the hospital post-myocardial infarction. Which instructions are most appropriate for the nurse to include in the patient's teaching plan? (Select all that apply.)

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