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Chapters 42 and 43 Review

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

The nurse is assessing the patient's knowledge regarding drug therapy prescribed for the treatment of hypertension. Which statement by the patient indicates the need for further teaching by the nurse?

a)

"I will move slowly from a sitting to standing position."

b)

"Blood pressure drugs can cause changes in sexual functioning."

c)

"When my blood pressure is over 140/90, I will take my medication."

d)

"I will wear a medical alert bracelet."

2.

The nurse understands a patient who is treated for hypertension may be switched to an angiotensin receptor blocker (ARB) because of which angiotensin-converting enzyme (ACE) inhibitor adverse effect?

a)

Dry, nonproductive cough

b)

Hypokalemia

c)

Fatigue

d)

Orthostatic hypotension

3.

Which medication should the nurse question if prescribed together with ACE inhibitors?

a)

Docusate sodium (Colace)

b)

Furosemide (Lasix)

c)

Potassium chloride (K-Dur)

d)

Morphine

4.

The nurse should question a prescription for a calcium channel blocker in a patient with which condition?

a)

Dysrhythmia

b)

Hypotension

c)

Angina pectoris

d)

Increased intracranial pressure

5.

During discharge teaching, which statement by the nurse would be MOST appropriate for a patient prescribed a transdermal clonidine (Catapres)?

a)

“Prolonged sitting or standing does not cause hypotension symptoms.”

b)

“Occasional drooling is a common adverse effect of this medication.”

c)

“Your blood pressure should be checked by your health care provider two to three times a week.”

d)

“The patch should be applied to a nonhairy site, and you should not suddenly stop using this drug.”

6.

The nurse is conducting a community education program. When explaining different medication regimens to treat hypertension, it would be accurate to state that African Americans probably respond best to which combination of medications?

a)

Diuretics and calcium channel blockers

b)

ACE inhibitors and diuretics

c)

Diuretics and beta blockers

d)

ACE inhibitors and beta blockers

7.

When administering nitroprusside (Nipride) by continuous intravenous infusion, the nurse monitors for which symptom of drug toxicity?

a)

Wheezing

b)

Hypotension

c)

Fever

d)

Hyperglycemia

8.

A patient who is prescribed doxazosin (Cardura) does not have a history of hypertension. The nurse knows this medication is also used for what condition?

a)

Migraine headache

b)

Pulmonary emboli

c)

Subarachnoid hemorrhage

d)

Benign prostatic hyperplasia (BPH)

9.

When teaching a patient about a new prescription for carvedilol (Coreg), the nurse explains that this medication reduces blood pressure by which action?

a)

Promotes excretion of sodium

b)

Decreases heart rate

c)

Relaxes muscle tone

d)

Increases urine output

10.

What is the classification of carvedilol (Coreg)?

a)

Beta blocker

b)

ACE inhibitor

c)

Alpha2 blocker

d)

Dual-action alpha1 and beta receptor blocker

11.

The nurse is preparing to administer digoxin (Lanoxin) 0.25mg intravenous push to a patient. Which is an expected patient outcome related to the administration of digoxin?

a)

Low serum potassium

b)

Reduction in urine output

c)

Increase in blood pressure

d)

Decrease in the heart rate

12.

A patient prescribed digoxin (Lanoxin) 0.25 mg and furosemide (Lasix) 40 mg for the treatment of systolic heart failure states, “I am starting to see yellow halos around lights.” Which action will the nurse take?

a)

Perform a visual acuity test on each eye.

b)

Assess for other symptoms of digoxin toxicity.

c)

Prepare to administer digoxin immune fab (Digifab).

d)

Document the finding and reassess in 1 hour.

13.

Phosphodiesterase inhibitors (PDIs) have an added advantage in treating heart failure. These drugs cause a positive inotropic effect and what other effect?

a)

Platelet inhibition

b)

Vasoconstriction

c)

Vasodilation

d)

Bronchodilation

14.

The nurse reviews an adult patient’s laboratory values and notes a digoxin level of 11 ng/mL and a serum potassium level of 6.2 mEq/L. The nurse would notify the health care provider and anticipate which medication will be prescribed to administer?

a)

Atropine

b)

Digoxin immune Fab

c)

Sodium polystyrene sulfonate (Kayexalate)

d)

Epinephrine (Adrenalin)

15.

The patient’s serum digoxin level is 0.4 ng/mL. How does the nurse interpret this laboratory value result for digoxin?

a)

Normal therapeutic level

b)

Below the therapeutic level

c)

A toxic serum blood level

d)

Above the therapeutic level

16.

The nurse is auscultating a 56-year-old adult client's apical heart rate before giving digoxin and notes that the heart rate is 48 beats/minute. Which action should the nurse take?

a)

Withhold the digoxin, and reevaluate the heart rate in 4 hours.

b)

Administer half of the prescribed dose to avoid a further decrease in heart rate.

c)

Withhold the digoxin, and assess for signs of decreased cardiac output and digoxin toxicity.

d)

Administer the digoxin; the heart rate would be considered normal because of the client's age.

17.

A client who began medication therapy with prazosin hydrochloride 1 week earlier arrives at the health care clinic for follow-up evaluation and care. The nurse interprets that the client is experiencing the expected benefit of therapy if which is noted?

a)

Increased pulse

b)

Increased platelet count

c)

Decreased blood pressure

d)

Decreased blood glucose level

18.

A hypertensive client has been prescribed clonidine hydrochloride, a transdermal patch. The nurse provides written instructions to the client on the use of the patch. Which statement by the client indicates the need for further instruction?

a)

"I need to change the patch every 24 hours."

b)

"I need to apply the patch to a hairless body site."

c)

"I need to apply the patch to skin areas that are not broken."

d)

"I need to apply the patch to the skin on the upper arm or body."

19.

The nurse has been given a medication prescription to administer intravenous (IV) hydralazine. The nurse obtains which priority piece of equipment needed for use during administration of this medication?

a)

Pulse oximetry

b)

Cardiac monitor

c)

Noninvasive blood pressure cuff

d)

Non-rebreather oxygen face mask

20.

A primary health care provider (PHCP) writes a prescription for digoxin, 0.25 mg daily. The nurse teaches the client about the medication and tells the client that it is most important to be sure to implement which measure?

a)

Count the radial and carotid pulses every morning.

b)

Check the blood pressure every morning and evening.

c)

Stop taking the medication if the pulse is faster than 100 beats/min.

d)

Withhold the medication and call the PHCP if the pulse is slower than 60 beats/min.