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WorksheetsNSM: Diuretics and Antihypertensives
Total questions: 10
Worksheet time: 6mins
A patient has a new prescription Lisinopril following a clinic visit. What should the nurse include in teaching about the drug? Select all that apply.
Take medication with meals
Report any persistent cough that may develop
Report to the clinic for weekly blood serum lab checks
Take blood pressure before dose, log findings, and report significant changes
Avoid grapefruit juice while taking Lisinopril
A patient is taking the diuretic furosemide and is asking the nurse about foods with potassium content. Which statement by the patient indicates accurate understanding after nurse instructions?
"I will take furosemide along with my hypertensive medication."
"I will eat foods like apricots, dates, citrus fruits, bananas, and drink orange juice."
"I will limit calcium in my diet by avoid milk."
"I will limit spinach since vitamin K will affect my K labs."
Before administering oral hydrochlorothiazide (HCTZ), what must the nurse assess for safe medication administration? Select all that apply.
Intracranial pressure
HCTZ levels
Hgb and Hct levels
Potassium levels
Blood pressure
The nurse is caring for a patient who is prescribed hydrochlorothiazide for hypertension. Following administration of this medication, the nurse should anticipate what effect?
Increased blood pressure related to increased cardiac output
Increased urine output related to diuretic effect
Elevated potassium
Mild agitation
Which medication is appropriate to administer to a patient with a serum potassium level of 6.5 mEq/L?
Triamterene
Lisinopril
Furosemide
Spironolactone
The nurse correctly explains to the patient that which medication lowers the blood pressure by relaxing blood vessels?
Losartan
Lovastatin
Lisinopril
Nifedipine
Which serious side effect is most associated with taking an angiotensin-converting enzyme inhibitor (ACE-inhibitor)?
Visual disturbances
Hypokalemia
Leg muscle pain
Swelling of the lips
Your patient is prescribed an Angiotensin II Receptor Blocker (ARB) for the treatment of blood pressure management. Which statement below BEST describes how this medication will manage blood pressure in a patient?
“This medication will increase systemic vascular resistance (SVR) and decrease blood pressure, while decreasing blood volume through the excretion of sodium and water.”
“This medication will decrease systemic vascular resistance (SVR) and decrease blood pressure, while decreasing blood volume through the excretion of sodium and water.”
“ARBs will cause vasoconstriction and increase renal blood flow and volume.”
“ARBs will cause vasodilation and the kidneys to retain sodium and water.”
A patient has a dose of Spironolactone due at 1000. Which finding below would require the nurse to hold the dose and notify the physician for further orders?
Magnesium 1.5 mg/dL
BUN 18
Sodium 140 mEq/L
Potassium 7 mEq/L
You're providing discharge teaching to a patient who will be taking Spirinolactone. Which items below should the patient limit in their diet? Select all that apply:
Salt-substitututes
Spinach
Bananas
Rice
Cheese
