CH 22- Sherpath- WEEK 4
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Questions and Answers

What is the typical timeframe for a medication to achieve its full therapeutic effects?

  • 6 to 8 weeks
  • 1 to 2 weeks
  • 2 to 4 weeks
  • 4 to 6 weeks (correct)

    • Which of the following is a risk factor for hypertension that must be treated?

  • Diabetes
  • Alzheimer's disease
  • Stroke (correct)
  • Emphysema

    • What should patients be educated about concerning the dosing of medications?

  • Furosemide should be taken in the evening
  • Bedtime dosing can prevent injury (correct)
  • All medications can be taken at any time
  • Enalapril has to be taken twice daily

    • Which medication may cause a potential interaction with an ACE inhibitor?

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

    What possible effect can occur when combining losartan and ibuprofen?

    <p>Decreased effect of losartan</p> Signup and view all the answers

    Which of the following medications should be used with caution in patients taking ACE inhibitors?

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

    Which statement about hypertension and heart-related risks is accurate?

    <p>Hypertension increases the risk of cardiovascular disease.</p> Signup and view all the answers

    Which medication is indicated for delayed dosing considerations due to its dosing schedule?

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

    What is the main purpose of administering intravenous fluids in cases of minoxidil overdose?

    <p>To counteract excessive hypotension</p> Signup and view all the answers

    Which sign indicates the therapeutic effectiveness of lisinopril in a heart failure patient?

    <p>Clear or improved breath sounds</p> Signup and view all the answers

    Which medication is indicated to treat hypertension and improve survival after a myocardial infarction?

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

    What adverse effect must the nurse monitor for when a patient is on an ACE inhibitor like lisinopril?

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

    Why is monitoring peripheral edema relevant in a patient taking ACE inhibitors?

    <p>It shows the effectiveness of decreasing blood volume</p> Signup and view all the answers

    Which of the following medications is not indicated for the treatment of hypertension?

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

    What is a common misconception about the therapeutic effects of ACE inhibitors?

    <p>They primarily improve mental status.</p> Signup and view all the answers

    Which of the following treatments would not directly assist a patient with minoxidil toxicity?

    <p>Potassium supplements</p> Signup and view all the answers

    Which medication belongs to the category of angiotensin II receptor blockers?

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

    What is a primary nursing intervention for a patient taking hydrochlorothiazide?

    <p>Encourage intake of foods rich in potassium</p> Signup and view all the answers

    After administering an alpha-adrenergic antagonist, which side effect should the nurse specifically monitor for?

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

    What important instruction should a nurse give to a patient receiving transdermal clonidine?

    <p>Remove the old patch before applying the new patch</p> Signup and view all the answers

    Which statement about beta blockers is correct?

    <p>They block beta receptors in the heart.</p> Signup and view all the answers

    What might occur if adequate potassium is not replaced in a patient on hydrochlorothiazide?

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

    Which choice reflects a non-critical monitoring requirement for patients on hydrochlorothiazide?

    <p>Checking for symptoms of electrolyte imbalance</p> Signup and view all the answers

    What effect might diuresis from hydrochlorothiazide have at night?

    <p>Increased nocturia</p> Signup and view all the answers

    What is the primary use of sodium nitroprusside in patient care?

    <p>Treatment of severe hypertensive emergencies</p> Signup and view all the answers

    What action should a nurse take if a patient experiences toxicity from lisinopril?

    <p>Prepare the patient for hemodialysis</p> Signup and view all the answers

    Which of the following explains how ACE inhibitors treat hypertension?

    <p>They reduce the systemic vascular resistance (SVR)</p> Signup and view all the answers

    Which action does NOT contribute to the effectiveness of ACE inhibitors in managing hypertension?

    <p>They promote increased vascular resistance</p> Signup and view all the answers

    What should a nurse prioritize for a patient developing pulmonary edema while on ACE inhibitors and positive inotropes?

    <p>Instruct the patient to restrict dietary sodium</p> Signup and view all the answers

    Which statement correctly identifies a misconception about angiotensin II?

    <p>Angiotensin II has a vasodilatory effect</p> Signup and view all the answers

    Which approach is NOT recommended for managing a patient who refuses additional medications for heart failure?

    <p>Suggest increasing the dosage of existing medications</p> Signup and view all the answers

    What role does systemic vascular resistance (SVR) play in hypertension management with ACE inhibitors?

    <p>It regulates the resistance against blood flow from the heart</p> Signup and view all the answers

    What should a patient prescribed methyldopa during pregnancy be taught regarding rising from a seated position?

    <p>Sit on the side of the bed before getting up, and get up slowly.</p> Signup and view all the answers

    Which patient receiving losartan requires closer monitoring due to possible renal issues?

    <p>A patient with an elevated creatinine level.</p> Signup and view all the answers

    What should a nurse do for a patient with asthma who is prescribed carvedilol?

    <p>Notify the health care provider about the patient's asthma.</p> Signup and view all the answers

    Which statement about the administration of methyldopa is correct?

    <p>Timing of the dosage is not restricted to the morning.</p> Signup and view all the answers

    What potential side effect should be monitored in patients taking losartan?

    <p>Renal dysfunction.</p> Signup and view all the answers

    Which of the following medications can lead to hyperkalemia?

    <p>Losartan.</p> Signup and view all the answers

    What is a contraindication for the use of carvedilol?

    <p>History of asthma.</p> Signup and view all the answers

    Why would a health care provider need to be notified when a patient with asthma is prescribed carvedilol?

    <p>Beta blockers can trigger bronchoconstriction.</p> Signup and view all the answers

    What should a nurse do for a patient with liver disease who is prescribed bosentan?

    <p>Notify the health care provider</p> Signup and view all the answers

    If a patient is NPO but takes lisinopril daily, what is the correct nursing action?

    <p>Obtain a prescription for intravenous enalapril</p> Signup and view all the answers

    What is the priority nursing action for a patient experiencing toxic levels of sodium nitroprusside?

    <p>Stop the infusion of the drug</p> Signup and view all the answers

    What is a significant risk of abruptly stopping bosentan in a patient with liver disease?

    <p>Development of hypertensive crisis</p> Signup and view all the answers

    Why is enalapril preferred for patients requiring parenteral ACE inhibitors?

    <p>It is the only available ACE inhibitor in parenteral form</p> Signup and view all the answers

    What is the immediate effect when sodium nitroprusside infusion is stopped?

    <p>Rapid increase in blood pressure</p> Signup and view all the answers

    Which of the following nursing actions is unnecessary if a patient is on a strict NPO order and taking oral medications?

    <p>Administering medications without water</p> Signup and view all the answers

    In what scenario is it acceptable to maintain a patient on bosentan despite liver impairment?

    <p>It is never acceptable</p> Signup and view all the answers

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