Hypertension Management Nursing Quiz
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Questions and Answers

A patient with hypertension is prescribed amlodipine. The patient asks the nurse, “Why do I only take it once a day?” Which nursing response is appropriate?

  • “It’s easier to take medications that are dosed once daily.”
  • “By just taking it once a day, there is a cost savings.”
  • “Amlodipine has a long half-life so it is only needed once a day.” (correct)
  • “Taking the drug once a day allows for peak effect at the right time.”
  • The charge nurse is teaching a class of nurses about nifedipine. Which teaching would the charge nurse include?

  • Nifedipine is used to treat atrial arrythmias.
  • Nifedipine blocks calcium channels in vascular smooth muscle. (correct)
  • Nifedipine is only administered intravenously.
  • Nifedipine has a long onset, occurring 2 hours after oral administration.
  • The nurse administers a prescribed dose of amlodipine to a patient at 0800 on Monday. At which time would the nurse anticipate the onset of this medication?

  • 0830 on Monday
  • 1200 on Monday
  • 2000 on Monday
  • 0800 on Tuesday (correct)
  • Which patient assessment data indicates additional teaching by the nurse is required for Ms. James?

    <p>Ms. James reports eating grapefruit for breakfast each morning on her new diet.</p> Signup and view all the answers

    Which patient statements require further nursing action? Select all that apply.

    <p>“I take my beta blocker with my verapamil so I don’t forget.”</p> Signup and view all the answers

    The nurse is teaching a course on calcium channel blockers. Which description of the mechanism of action will the nurse provide?

    <p>Calcium channel blockers prevent contraction of smooth muscle and allow dilation of the coronary arteries.</p> Signup and view all the answers

    The nurse administers a prescribed dose of intravenous verapamil to a patient with a baseline blood pressure (BP) of 210/110 mm Hg at 0800. Which BP reading would the nurse expect to see 15 minutes after administration?

    <p>The BP will start to increase, returning to baseline within 10 to 20 minutes.</p> Signup and view all the answers

    The nurse is teaching about nondihydropyridine calcium channel blockers. Which medication would the nurse include?

    <p>Diltiazem</p> Signup and view all the answers

    The nurse is caring for a patient who is receiving prescribed digoxin and diltiazem. Which assessment data alerts the nurse to a potential interaction?

    <p>Irregular heart rate</p> Signup and view all the answers

    Which teaching would the nurse include for a patient who is being discharged home from an acute care setting on a calcium channel blocker?

    <p>“Keep a daily record of your blood pressure.”</p> Signup and view all the answers

    A patient taking a newly prescribed calcium channel blocker states, “I can’t seem to get my shoes to fit. My feet feel puffy.” Which nursing response is appropriate?

    <p>“I will call the health care provider because you may need a diuretic.”</p> Signup and view all the answers

    A patient who is taking sustained-release diltiazem is having difficulty swallowing the medication. What teaching is appropriate?

    <p>Try swallowing the medication whole in pudding or applesauce.</p> Signup and view all the answers

    What are key points a nurse would include while teaching another nurse about clonidine’s mechanism of action? Select all that apply.

    <p>Clonidine suppresses the sympathetic nerves to the heart, which leads to bradycardia.</p> Signup and view all the answers

    The nurse is preparing to administer an oral dose of clonidine. Which pharmacodynamics would the nurse anticipate?

    <p>Onset of action in 30 to 60 minutes</p> Signup and view all the answers

    A patient who is prescribed transdermal clonidine asks the nurse, “Why do I only change the patch once a week?” Which response would the nurse provide?

    <p>“One week is the length of time that the medication lasts.”</p> Signup and view all the answers

    Which teachings would the nurse need to include for Ms. Abbott, who is being discharged home on clonidine?

    <p>Do not discontinue clonidine suddenly.</p> Signup and view all the answers

    Which actions would the nurse take before administering clonidine? Select all that apply.

    <p>Assess for pregnancy.</p> Signup and view all the answers

    Which statement is accurate regarding the central nervous system (CNS) side effects of clonidine?

    <p>Avoid activities that require concentration.</p> Signup and view all the answers

    The nurse is administering an oral dose of clonidine at 0600. At which time would the nurse anticipate the onset of the medication?

    <p>0700</p> Signup and view all the answers

    The nurse is teaching a new nurse about the pharmacokinetics of oral clonidine. Which teachings would the nurse include?

    <p>Clonidine is lipid soluble and well absorbed.</p> Signup and view all the answers

    Which description of the mechanism of action of clonidine is accurate?

    <p>Decreases peripheral vascular resistance and decreases cardiac output</p> Signup and view all the answers

    Which teaching would the nurse include for a patient receiving a transdermal clonidine patch?

    <p>Remove one patch before applying another.</p> Signup and view all the answers

    A nurse is reviewing home medications with a patient at the time of admission and learns the patient is taking 2 mg of clonidine twice a day. Which nursing intervention would be the priority?

    <p>Question the dosage.</p> Signup and view all the answers

    A patient is taking clonidine 0.1 mg twice a day and questions if the medication is safe during pregnancy. Which response would the nurse provide?

    <p>Clonidine is not recommended for pregnant women.</p> Signup and view all the answers

    Which teaching would the nurse provide to a patient receiving clonidine who reports xerostomia?

    <p>Chew gum to help with discomfort.</p> Signup and view all the answers

    A patient taking clonidine daily was unable to refill the medication and presents to the emergency department with rebound hypertension. What assessment data will the nurse anticipate?

    <p>Sinus tachycardia</p> Signup and view all the answers

    The charge nurse is explaining to a group of nurses how toxicity with digoxin occurs. Which statement made by a nurse about digoxin indicates further teaching is necessary?

    <p>“The half-life of digoxin is very short.”</p> Signup and view all the answers

    The health care provider is changing medications from digoxin to a newer medication for heart failure. How will the nurse explain this change to the patient?

    <p>“There are newer medications that do not have the risk for toxicity.”</p> Signup and view all the answers

    The nurse is administering a dose of oral digoxin at 0800 on Monday. The nurse will anticipate the effects of the digoxin dose to last until which time?

    <p>0800 on Thursday</p> Signup and view all the answers

    Based on Mrs. Thomas’s history and current assessment, which adverse effect of digoxin would the nurse suspect?

    <p>Digoxin toxicity</p> Signup and view all the answers

    The nurse is assessing a patient before the administration of an oral dose of digoxin. Which assessment data requires nursing action before medication administration?

    <p>Potassium level 3.2 mEq/L</p> Signup and view all the answers

    The nurse is evaluating the patient’s digoxin level. Which digoxin level requires nursing intervention?

    <p>1.2 ng/mL</p> Signup and view all the answers

    Which statements about the pharmacodynamic and pharmacokinetic of digoxin toxicity are correct?

    <p>Toxicity can occur easily due to the narrow therapeutic range of digoxin.</p> Signup and view all the answers

    The nurse is administering an intravenous (IV) dose of digoxin at 1130. At which time would the nurse anticipate the onset of the drug?

    <p>1140</p> Signup and view all the answers

    A patient who is taking digoxin states, “I take this medication for my high blood pressure.” How would the nurse respond to educate the patient?

    <p>“Digoxin is used for heart failure and atrial fibrillation.”</p> Signup and view all the answers

    The nurse is assessing a patient with a new prescription for digoxin. Which assessment data are contraindications or cautions for digoxin therapy?

    <p>History of ventricular tachycardia</p> Signup and view all the answers

    Which patient assessment findings would the nurse associate with potential digoxin toxicity?

    <p>Reports of blurry vision</p> Signup and view all the answers

    The nurse is conducting teaching for a patient who is being discharged on digoxin. What patient statement indicates the need for further teaching?

    <p>“My weight will likely go up and down.”</p> Signup and view all the answers

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