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. (A)</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.” (A), “I take my verapamil when I drink my morning grapefruit juice.” (B)</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. (A)</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. (A)</p> Signup and view all the answers

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

<p>Diltiazem (B)</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 (B)</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.” (A), “Record each angina attack in a journal.” (B), “Assess your heart rate before taking your medication.” (C), “Do not chew or crush the sustained-release medication.” (D)</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.” (D)</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. (B)</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. (A), The effects of clonidine are mostly on the heart and vascular system. (B), Clonidine suppresses the sympathetic regulation of blood vessels, which produces vasodilation. (D)</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 (C)</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.” (B)</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. (B), Avoid hazardous activities initially. (C), The medication can cause dry mouth. (D)</p> Signup and view all the answers

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

<p>Assess for pregnancy. (A), Obtain a baseline blood pressure. (B)</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. (D)</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 (B)</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. (B), Metabolism of clonidine occurs in the liver. (C)</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 (B)</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. (D)</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. (C)</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. (B)</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. (C)</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 (B)</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.” (A)</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.” (B)</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 (D)</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 (C)</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 (B)</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 (A)</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. (A), The half-life and duration of digoxin are very long. (B), Oral digoxin begins to work in 30 minutes to 2 hours. (C), Digoxin increases myocardial contraction, which increases cardiac output. (D)</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 (B)</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.” (B)</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 (A), Potassium 3.1 mEq/L (B), History of renal failure (D)</p> Signup and view all the answers

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

<p>Reports of blurry vision (A), Reports of halos around objects (B), Disoriented to person, place, and time (C), Vomiting (D)</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.” (A)</p> Signup and view all the answers

Flashcards

Amlodipine half-life

Amlodipine stays in the body for a long time, needing only one dose a day.

Nifedipine action

Nifedipine prevents calcium from entering blood vessel muscles.

Amlodipine onset time

The medication starts to work about 24 hours after administration.

Hypertension medication

A high blood pressure drug that may be used.

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Nursing response about Amlodipine

The correct answer is "Amlodipine has a long half-life, so it is taken once a day."

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Calcium channel

A protein that controls the flow of calcium into cells.

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Vascular smooth muscle

Muscle tissue in blood vessels that helps regulate blood pressure.

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Medication Time

The time when the medication is administered

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Medication Onset

The moment the medication begins to show its effect.

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Medication Half-life

How long it takes for half of the medicine to leave the body.

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