CH 22-sherpath- week 4

The nurse is administering oral hydralazine at 0800 to a patient for hypertension. At which time would the nurse anticipate the onset of the drug?

A continuous infusion of sodium nitroprusside has been stopped. Which effect on the patient’s blood pressure would the nurse anticipate?

Ms. Jones reports episodes of joint and muscle pain to the nurse. What would the nurse’s priority action be?

A patient has been on a sodium nitroprusside infusion for 6 days and starts talking about the color of the sky while pointing to the ceiling. What does the nurse suspect?

The nurse is teaching a patient who is being discharged on hydralazine. Which patient statement indicates understanding?

The nurse is explaining to a patient the way that hydralazine lowers blood pressure. Which nursing statement is appropriate?

The nurse is reviewing the medication list for a patient admitted with a hypertensive emergency. Which drug would the nurse anticipate for administration that produces both venous and arteriolar dilation?

The nurse is administering a prescribed dose of sodium nitroprusside to a patient at 2100 hours. At what time will the nurse anticipate the peak effect of the drug?

The nurse is reviewing absorption of vasodilators. Which nursing statement is appropriate?

A patient who has been admitted for a hypertensive crisis is prescribed hydralazine. Which nursing intervention is the priority?

For which patients does the nurse recognize a contraindication for vasodilators?

A patient experiencing hypertensive crisis has been receiving intravenous sodium nitroprusside for the past 5 days. The patient is restless and is no longer able to answer common questions. Which nursing intervention is appropriate?

At a follow-up appointment, a patient who is taking hydralazine for hypertension reports feeling lightheaded and dizzy when standing up. What teaching will the nurse provide?

Which assessment finding would the nurse report as a complication related to volume expansion in a patient who is prescribed vasodilator therapy?

Place the steps of the renin-angiotensin-aldosterone system (RAAS) in order.

The nurse is teaching a course on the mechanism of action of angiotensin-converting enzyme (ACE) inhibitors. Which teaching will the nurse include?

The nurse is administering valsartan to a patient with hypertension at 0800. Based on the onset of the drug, at which time will the nurse anticipate an effect on the patient’s blood pressure?

Which nursing action is the priority when administering lisinopril to Mr. Lowe for the first time?

Before starting the lisinopril for Mr. Lowe, which assessment data requires nursing intervention first?

The nurse is preparing to administer captopril to a patient. Which patient action would cause the nurse to hold the medication?

A 25-year-old female patient is being discharged from the hospital on valsartan after a hypertensive crisis. Which information would the nurse include in the discharge teaching? Select all that apply.

The nurse is teaching a class on angiotensin receptor blockers (ARBs). What would the nurse include in the teaching?

The nurse administered a dose of lisinopril at 0800, and the patient’s blood pressure was 189/96 mm Hg. Based on the pharmacodynamics of the drug, at which time would the nurse anticipate the greatest reduction in blood pressure?

A patient who is prescribed lisinopril asks the nurse, “Will this drug help the swelling in my legs?” Which nursing response is appropriate?

The nurse is completing discharge teaching, which includes the direction, “Do not stop the angiotensin-converting enzyme (ACE) inhibitor abruptly.” Which effect would the nurse tell the patient to expect if the medication were stopped suddenly?

For which patients is the use of an angiotensin-converting enzyme (ACE) inhibitor contraindicated?

The nurse is providing education to a patient who is being discharged on valsartan. Which patient responses indicate that more education is required?

A patient who is hospitalized following a planned orthopedic surgery has been taking a routine dose of lisinopril since the operative day. Which action will the nurse take when a sudden onset of facial swelling is noted?

A patient who is taking metoprolol questions the nurse regarding the need for liver function tests. Which nursing response is appropriate?

The nurse administers an oral dose of metoprolol at 0800 to a patient with hypertension. At which time will the nurse anticipate the peak effect?

The charge nurse is teaching a group of new nurses about safe administration of beta blockers. Which statements indicate that further teaching is required? Select all that apply.

The nurse is teaching Ms. Jones about her new prescription for metoprolol. What teachings will the nurse include?

The nurse is conducting a health history on a patient who is taking a beta blocker. Which assessment data present contraindications or cautions to beta blocker therapy? Select all that apply

The health care provider prescribes a maintenance dose of metoprolol 250 mg orally twice daily for hypertension. Which action would the nurse take upon receiving the prescription?

The charge nurse is teaching a new nurse about beta blockers. Which teaching would the nurse include?

A patient is admitted to the emergency department with a blood pressure of 222/110 mm Hg. For which reason would the nurse anticipate intravenous (IV) beta blocker administration?

A 30-year-old female patient who is taking a beta blocker asks the nurse, “Can I take this drug if I am considering pregnancy?” Which nursing response is appropriate?

A patient who has hypertension and asthma asks, “Why can’t I take a beta blocker for my hypertension?” Which nursing response is appropriate?

The nurse is caring for a patient with newly diagnosed hypertension who has been prescribed metoprolol. Which teaching would the nurse include?

The nurse is teaching a patient who is being discharged with a prescription for metoprolol. Which patient statement indicates understanding of the teaching?

A patient has been taking metoprolol IR for 6 weeks. Current assessment data includes a heart rate of 72 beats per minute and blood pressure of 126/74 mm Hg. The patient reports occasional dizziness, insomnia, and fatigue. Which recommendation will the nurse provide for this patient?

Oral Hydralazine Onset Time

Sodium Nitroprusside Infusion Stop

Joint and Muscle Pain

Thiocyanate Toxicity Symptoms

Hydralazine Patient Understanding

Hydralazine's Blood Pressure Action

Hypertensive Emergency Drug

Sodium Nitroprusside Peak Time

Minoxidil Absorption

Hypertensive Crisis Nursing Priority

Vasodilator Contraindication

Sodium Nitroprusside Toxicity

Hydralazine Teaching for Dizziness

Vasodilator Volume Expansion

Hydralazine Dosage

Hydralazine

Peripheral Vascular Resistance

Sodium Nitroprusside

Hypertensive Emergency

Vasodilators