Pharmacology and Nursing Assessment Quiz
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Questions and Answers

What is the purpose of asking the patient to perform a 24-hour dietary recall?

To assess the patient's dietary intake and adherence to dietary recommendations.

Which antihypertensive medication is most likely to cause tachycardia? (Select all that apply)

  • Hydralazine (correct)
  • Aliskiren
  • Diazoxide (correct)
  • Eplerenone
  • Valsartan
  • Lisinopril

    • Which action would the nurse perform before starting an infusion of sodium nitroprusside? (Select all that apply)

  • Evaluate the electrocardiogram (correct)
  • Draw baseline serum electrolyte levels (correct)
  • Obtain an intravenous infusion pump (correct)
  • Assess the patient for peripheral edema
  • Perform a neurologic assessment (correct)
  • Assess oxygenation and ventilation (correct)

    • Which medication is contraindicated for concurrent use with captopril?

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

    Which instruction would the nurse provide to the patient before administering the first dose of extended-release doxazosin?

    <p>You will see the capsule shell in your stool, but don't worry, the drug has been absorbed.</p> Signup and view all the answers

    Which comment by the patient indicates understanding about the side effects of enalapril?

    <p>If I develop a chronic cough, I should notify my health care provider.</p> Signup and view all the answers

    Which assessment finding would the nurse use as a clinical indicator of therapeutic effectiveness of candesartan?

    <p>Blood pressure of 120/72 mm Hg</p> Signup and view all the answers

    Which nursing action is appropriate for a patient with a blood pressure reading of 200/120 mm Hg and an order from the health care provider to administer sodium nitroprusside?

    <p>Monitor blood pressure continuously.</p> Signup and view all the answers

    Which patient finding would warrant the nurse holding the prescribed dose of amlodipine?

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

    Which teaching is appropriate for a patient who is prescribed methyldopa during pregnancy?

    <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 needs to be monitored closely while receiving this therapy?

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

    Which action would the nurse take for a patient who is scheduled to begin treatment with carvedilol and reports frequent episodes of asthma?

    <p>Notify the health care provider of this information.</p> Signup and view all the answers

    Which action would the nurse take for a patient who takes bosentan and is diagnosed with liver disease?

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

    Which action would the nurse take for a patient who has been admitted to the hospital and placed on a strict nothing by mouth (NPO) status but who takes a daily dose of lisinopril at home?

    <p>Collaborate with the health care provider to determine whether intravenous enalapril can be prescribed.</p> Signup and view all the answers

    Which is the priority nursing action for a patient who has developed a toxic level of sodium nitroprusside?

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

    Which adverse effect would be most concerning for a patient who is taking clonidine?

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

    What is the calcium level mentioned?

    <p>8 mEq/dL</p> Signup and view all the answers

    What is the potassium level mentioned?

    <p>5 mEq/dL</p> Signup and view all the answers

    What is the apical pulse rate mentioned?

    <p>100 beats/min</p> Signup and view all the answers

    What is the blood pressure reading provided?

    <p>80/60 mm Hg</p> Signup and view all the answers

    Which adverse effect would require immediate medical attention for a patient taking an angiotensin-converting enzyme (ACE) inhibitor?

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

    Which drug would the nurse plan to administer at bedtime for the first dose?

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

    Which risk factor for hypertension should be included when teaching a patient?

    <p>Heart failure</p> Signup and view all the answers

    Which additional medication would alert the nurse to a possible interaction with an ACE inhibitor?

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

    What potential interaction may occur with a patient taking losartan and ibuprofen?

    <p>Ibuprofen can lead to potential renal failure.</p> Signup and view all the answers

    What information would the nurse include when teaching an elderly patient on extended-release doxazosin?

    <p>Be especially careful when changing position after your first dose of the medication.</p> Signup and view all the answers

    How many mg/day would the nurse administer for hydralazine 1.25 mg/kg/day for a patient weighing 22 pounds?

    <p>12.5 mg/day</p> Signup and view all the answers

    Which antihypertensive agent would the nurse avoid administering to a patient with diabetes mellitus?

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

    Which effect indicates that a patient is experiencing a side effect of enalapril?

    <p>A dry, hacking cough</p> Signup and view all the answers

    What is the best action by the nurse when a new patient taking prazosin reports swollen feet?

    <p>Determine the patient's history.</p> Signup and view all the answers

    Which statement indicates that the patient needs additional instruction about antihypertensive treatment?

    <p>I will check my blood pressure daily and take my medication when it is over 140/90 mm Hg.</p> Signup and view all the answers

    Which antihypertensive drug would the nurse anticipate administering for a patient who is hypertensive with liver dysfunction?

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

    Which adverse effect would the nurse monitor for in a patient prescribed an ACE inhibitor and also taking lithium?

    <p>Toxic level of lithium</p> Signup and view all the answers

    Which intervention would be included in the care plan for a patient reporting constipation after receiving clonidine?

    <p>Increase the amount of fruits and vegetables.</p> Signup and view all the answers

    Which is the most essential assessment for a patient receiving sodium nitroprusside infusion for 4 days?

    <p>Serum cyanide level</p> Signup and view all the answers

    Which patient should the nurse assess first among those treated for hypertension?

    <p>A patient who has stopped taking a beta blocker</p> Signup and view all the answers

    Which medication would the nurse anticipate administering if minoxidil toxicity is suspected?

    <p>Intravenous fluids</p> Signup and view all the answers

    Which parameter would the nurse evaluate for the effectiveness of lisinopril in a hypertensive patient with heart failure?

    <p>Breath sounds</p> Signup and view all the answers

    Which medication would the nurse anticipate to treat hypertension and improve survival after a myocardial infarction?

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

    Which action would the nurse expect to perform for a patient who has developed toxicity while receiving lisinopril?

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

    Which rationale explains how ACE inhibitors treat hypertension?

    <p>They reduce afterload.</p> Signup and view all the answers

    What priority action should the nurse take for a patient developing pulmonary edema while on ACE inhibitors?

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

    Which assessment finding would require patient teaching about treatment for hypertension?

    <p>Systolic pressure consistently above 140 mm Hg</p> Signup and view all the answers

    Which statement would the nurse include in the teaching plan for a patient who is diagnosed with idiopathic hypertension?

    <p>The cause of your hypertension is unknown but treatable.</p> Signup and view all the answers

    Which goal does antihypertensive therapy aim for?

    <p>Reducing renal morbidity and mortality</p> Signup and view all the answers

    Which antihypertensive drug has a black box warning?

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

    Which antihypertensive drug has asthma as a contraindication?

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

    Which item taken with adrenergic drugs causes additive central nervous system (CNS) depression?

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

    Which alpha1-blocker drug is most commonly prescribed?

    <p>Doxazosin (Cardura)</p> Signup and view all the answers

    Which antihypertensive drug is said to cause a lesser degree of sexual dysfunction?

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

    Which black box warning is given on nitroprusside?

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

    Which drug is commonly known as Viagra?

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

    Which response is appropriate by the nurse to the patient who states he has had some problems with erectile dysfunction since starting antihypertensive drug therapy 3 months ago?

    <p>The health care provider can work with you on changing the dose or medication.</p> Signup and view all the answers

    Which statement by the nurse demonstrates knowledge of the use of calcium channel blockers (CCBs) for management of hypertension?

    <p>CCBs relax vascular smooth muscle.</p> Signup and view all the answers

    Which is the most appropriate site for the patient to apply a transdermal clonidine patch?

    <p>Upper arm</p> Signup and view all the answers

    Which effect would the nurse anticipate from the interaction between an angiotensin II blocker and a nonsteroidal anti-inflammatory drug?

    <p>Decreased effect of the angiotensin II receptor-blocker drug</p> Signup and view all the answers

    Which result would the nurse anticipate from the interaction between an angiotensin II receptor blocker and rifampin?

    <p>Decreased effect of the angiotensin II receptor-blocker drug</p> Signup and view all the answers

    Which information would the nurse provide to a patient who is prescribed a clonidine transdermal patch?

    <p>Get up slowly from a sitting to a standing position.</p> Signup and view all the answers

    Which assessment finding indicates a therapeutic effect of clonidine?

    <p>Blood pressure decrease from 150/100 mm Hg to 110/70 mm Hg.</p> Signup and view all the answers

    Which medication will decrease vasoconstriction by blocking angiotensin II receptor sites?

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

    Which nursing intervention is appropriate for a patient who is taking hydrochlorothiazide?

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

    Which side effect of an alpha-adrenergic antagonist drug would the nurse monitor for after the patient receives the first dose?

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

    Which information does the nurse need to include in the teaching plan for a patient who is receiving transdermal clonidine?

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

    Which nursing intervention is a priority for a patient who is prescribed a nonselective beta blocker?

    <p>Respiratory assessment</p> Signup and view all the answers

    Which type of diuretic would the nurse anticipate will be used as a first-line drug therapy for a patient with hypertension?

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

    Which statement would the nurse include in the teaching plan about the reason for the administration of calcium channel blockers?

    <p>This medication will vasodilate your blood vessels to lower your blood pressure.</p> Signup and view all the answers

    Which assessment finding indicates a therapeutic effect for a patient taking an alpha-blocker?

    <p>Increased urinary output</p> Signup and view all the answers

    Which assessment finding indicates that a patient is having an adverse effect of adrenergic drug therapy for hypertension?

    <p>Heart rate of 40 beats/min</p> Signup and view all the answers

    Which antihypertensive medication is used to treat pulmonary artery hypertension related to severe heart failure?

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

    Which action would the nurse take for a patient who takes an angiotensin-converting enzyme inhibitor and developed a dry, uncomfortable, nonproductive cough?

    <p>Consult with the health care provider to switch the medication</p> Signup and view all the answers

    Which finding indicates that the patient is experiencing adverse effects of hydralazine? Select all that apply.

    <p>Vomiting and diarrhea</p> Signup and view all the answers

    Which assessment finding requires immediate action for a patient who is prescribed amlodipine?

    <p>Blood pressure lower than 90/60 mm Hg</p> Signup and view all the answers

    What is the priority nursing action for a patient with pulmonary edema despite taking a positive inotrope and an ACE inhibitor?

    <p>Collaborate with the health care provider to change the ACE inhibitor to a combination ACE inhibitor and thiazide diuretic.</p> Signup and view all the answers

    Which antihypertensive medication is most likely to cause tachycardia? (Select all that apply)

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

    Which action would the nurse perform before starting an infusion of sodium nitroprusside? (Select all that apply)

    <p>Perform a neurologic assessment.</p> Signup and view all the answers

    Which medication is contraindicated for concurrent use with captopril?

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

    Which instruction would the nurse provide to the patient before administering the first dose of extended-release doxazosin?

    <p>You will see the capsule shell in your stool, but don't worry, the drug has been absorbed.</p> Signup and view all the answers

    Which comment by the patient indicates understanding about the side effects of enalapril?

    <p>If I develop a chronic cough, I should notify my health care provider.</p> Signup and view all the answers

    What assessment finding would indicate the therapeutic effectiveness of candesartan?

    <p>Blood pressure of 120/72 mm Hg</p> Signup and view all the answers

    Which nursing action is appropriate for a patient with a blood pressure reading of 200/120 mm Hg who is to receive sodium nitroprusside?

    <p>Monitor blood pressure continuously.</p> Signup and view all the answers

    What patient finding would warrant the nurse holding the prescribed dose of amlodipine?

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

    Which teaching is appropriate for a patient who is prescribed methyldopa during pregnancy?

    <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 needs to be monitored closely while receiving this therapy?

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

    What action would the nurse take for a patient scheduled to begin treatment with carvedilol and who reports frequent episodes of asthma?

    <p>Notify the health care provider of this information.</p> Signup and view all the answers

    What action would the nurse take for a patient diagnosed with liver disease and taking bosentan?

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

    What is the priority nursing action for a patient who has developed a toxic level of sodium nitroprusside?

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

    Which adverse effect would be most concerning for a patient taking clonidine?

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

    What is the calcium level provided?

    <p>8 mEg/dL</p> Signup and view all the answers

    What is the potassium level provided?

    <p>5 mEg/dL</p> Signup and view all the answers

    What is the apical pulse rate provided?

    <p>100 beats/min</p> Signup and view all the answers

    What is the blood pressure reading provided?

    <p>80/60 mm Hg</p> Signup and view all the answers

    Which adverse effect would require immediate medical attention for a patient who is taking an angiotensin-converting enzyme (ACE) inhibitor?

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

    Which drug would the nurse plan to administer at bedtime for the first dose?

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

    Which risk factor for hypertension would be included when teaching a patient why hypertension must be treated? (Select all that apply)

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

    Which additional medication in a patient's treatment regimen would alert the nurse to a possible interaction with an angiotensin-converting enzyme (ACE) inhibitor? (Select all that apply)

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

    What is a potential interaction for a patient taking losartan and ibuprofen?

    <p>Ibuprofen can lead to potential renal failure.</p> Signup and view all the answers

    Which statement about extended-release doxazosin is true? (Select all that apply)

    <p>Do not be concerned if you see the matrix of the capsule in your stool.</p> Signup and view all the answers

    How many mg/day would the nurse plan to administer with an order to administer hydralazine 1.25 mg/kg/day when the patient weighs 22 pounds?

    <p>12.5 mg/day</p> Signup and view all the answers

    Which antihypertensive agent would the nurse avoid administering to a patient with diabetes mellitus?

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

    Which effect indicates that a patient is experiencing a side effect of enalapril?

    <p>A dry, hacking cough</p> Signup and view all the answers

    Which action would the nurse expect to perform for a patient who has developed toxicity while receiving lisinopril?

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

    Which priority action would the nurse take for a patient who develops pulmonary edema while taking a positive inotrope and an ACE inhibitor for heart failure?

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

    Which assessment finding would require patient teaching about treatment for hypertension?

    <p>Systolic pressure consistently above 140 mm Hg</p> Signup and view all the answers

    Which statement would the nurse include in the teaching plan for a patient who is diagnosed with idiopathic hypertension?

    <p>The cause of your hypertension is unknown but treatable.</p> Signup and view all the answers

    Which goal does antihypertensive therapy aim for?

    <p>Reducing renal morbidity and mortality</p> Signup and view all the answers

    Which antihypertensive drug has a black box warning?

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

    Which antihypertensive drug has asthma as a contraindication?

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

    Which item taken with adrenergic drugs causes additive central nervous system (CNS) depression?

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

    Which alpha1-blocker drug is most commonly prescribed?

    <p>Doxazosin (Cardura)</p> Signup and view all the answers

    Which antihypertensive drug is said to cause a lesser degree of sexual dysfunction?

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

    Which black box warning is given on nitroprusside?

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

    Which drug is commonly known as Viagra?

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

    Which response is appropriate by the nurse to the patient who states he has had problems with erectile dysfunction since starting antihypertensive drug therapy?

    <p>The health care provider can work with you on changing the dose or medication.</p> Signup and view all the answers

    Which statement by the nurse demonstrates knowledge of use of calcium channel blockers (CCBs) for management of hypertension?

    <p>CCBs relax vascular smooth muscle.</p> Signup and view all the answers

    Which is the most appropriate site for the patient to apply a transdermal clonidine patch?

    <p>Upper arm</p> Signup and view all the answers

    Which effect would the nurse anticipate from the interaction between an angiotensin II blocker and a nonsteroidal anti-inflammatory drug?

    <p>Decreased effect of the angiotensin II receptor-blocker drug</p> Signup and view all the answers

    Which result would the nurse anticipate from the interaction between an angiotensin II receptor blocker and rifampin?

    <p>Decreased effect of the angiotensin II receptor-blocker drug</p> Signup and view all the answers

    Which information would the nurse provide to a patient who is prescribed a clonidine transdermal patch?

    <p>Get up slowly from a sitting to a standing position.</p> Signup and view all the answers

    Which assessment finding indicates a therapeutic effect of clonidine?

    <p>Blood pressure decrease from 150/100 mm Hg to 110/70 mm Hg</p> Signup and view all the answers

    Which medication will decrease vasoconstriction by blocking angiotensin II receptor sites?

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

    Which nursing intervention is appropriate for a patient who is taking hydrochlorothiazide?

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

    Which side effect of an alpha-adrenergic antagonist drug would the nurse monitor for after the patient receives the first dose?

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

    Which information does the nurse need to include in the teaching plan for a patient who is receiving transdermal clonidine?

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

    Which nursing intervention is a priority for a patient who is prescribed a nonselective beta blocker?

    <p>Respiratory assessment</p> Signup and view all the answers

    Which type of diuretic would the nurse anticipate will be used as a first-line drug therapy for a patient with hypertension?

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

    Which statement would the nurse include in the teaching plan about the reason for the administration of calcium channel blockers?

    <p>This medication will vasodilate your blood vessels to lower your blood pressure.</p> Signup and view all the answers

    Which assessment finding indicates a therapeutic effect for a patient taking an alpha blocker?

    <p>Increased urinary output</p> Signup and view all the answers

    Which assessment finding indicates that a patient is having an adverse effect of adrenergic drug therapy for hypertension?

    <p>Heart rate of 40 beats/min</p> Signup and view all the answers

    Which antihypertensive medication is used to treat pulmonary artery hypertension related to severe heart failure?

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

    Which action would the nurse take for a patient who takes an angiotensin-converting enzyme inhibitor and developed a dry, uncomfortable, nonproductive cough that has persisted for several weeks?

    <p>Consult with the health care provider to switch the medication</p> Signup and view all the answers

    Which finding indicates that the patient is experiencing adverse effects of hydralazine? Select all that apply.

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

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