WorksheetsChapters 42 and 43 Review
Total questions: 20
Worksheet time: 10mins
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?
"I will move slowly from a sitting to standing position."
"Blood pressure drugs can cause changes in sexual functioning."
"When my blood pressure is over 140/90, I will take my medication."
"I will wear a medical alert bracelet."
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?
Dry, nonproductive cough
Hypokalemia
Fatigue
Orthostatic hypotension
Which medication should the nurse question if prescribed together with ACE inhibitors?
Docusate sodium (Colace)
Furosemide (Lasix)
Potassium chloride (K-Dur)
Morphine
The nurse should question a prescription for a calcium channel blocker in a patient with which condition?
Dysrhythmia
Hypotension
Angina pectoris
Increased intracranial pressure
During discharge teaching, which statement by the nurse would be MOST appropriate for a patient prescribed a transdermal clonidine (Catapres)?
“Prolonged sitting or standing does not cause hypotension symptoms.”
“Occasional drooling is a common adverse effect of this medication.”
“Your blood pressure should be checked by your health care provider two to three times a week.”
“The patch should be applied to a nonhairy site, and you should not suddenly stop using this drug.”
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?
Diuretics and calcium channel blockers
ACE inhibitors and diuretics
Diuretics and beta blockers
ACE inhibitors and beta blockers
When administering nitroprusside (Nipride) by continuous intravenous infusion, the nurse monitors for which symptom of drug toxicity?
Wheezing
Hypotension
Fever
Hyperglycemia
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?
Migraine headache
Pulmonary emboli
Subarachnoid hemorrhage
Benign prostatic hyperplasia (BPH)
When teaching a patient about a new prescription for carvedilol (Coreg), the nurse explains that this medication reduces blood pressure by which action?
Promotes excretion of sodium
Decreases heart rate
Relaxes muscle tone
Increases urine output
What is the classification of carvedilol (Coreg)?
Beta blocker
ACE inhibitor
Alpha2 blocker
Dual-action alpha1 and beta receptor blocker
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?
Low serum potassium
Reduction in urine output
Increase in blood pressure
Decrease in the heart rate
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?
Perform a visual acuity test on each eye.
Assess for other symptoms of digoxin toxicity.
Prepare to administer digoxin immune fab (Digifab).
Document the finding and reassess in 1 hour.
Phosphodiesterase inhibitors (PDIs) have an added advantage in treating heart failure. These drugs cause a positive inotropic effect and what other effect?
Platelet inhibition
Vasoconstriction
Vasodilation
Bronchodilation
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?
Atropine
Digoxin immune Fab
Sodium polystyrene sulfonate (Kayexalate)
Epinephrine (Adrenalin)
The patient’s serum digoxin level is 0.4 ng/mL. How does the nurse interpret this laboratory value result for digoxin?
Normal therapeutic level
Below the therapeutic level
A toxic serum blood level
Above the therapeutic level
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?
Withhold the digoxin, and reevaluate the heart rate in 4 hours.
Administer half of the prescribed dose to avoid a further decrease in heart rate.
Withhold the digoxin, and assess for signs of decreased cardiac output and digoxin toxicity.
Administer the digoxin; the heart rate would be considered normal because of the client's age.
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?
Increased pulse
Increased platelet count
Decreased blood pressure
Decreased blood glucose level
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?
"I need to change the patch every 24 hours."
"I need to apply the patch to a hairless body site."
"I need to apply the patch to skin areas that are not broken."
"I need to apply the patch to the skin on the upper arm or body."
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?
Pulse oximetry
Cardiac monitor
Noninvasive blood pressure cuff
Non-rebreather oxygen face mask
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?
Count the radial and carotid pulses every morning.
Check the blood pressure every morning and evening.
Stop taking the medication if the pulse is faster than 100 beats/min.
Withhold the medication and call the PHCP if the pulse is slower than 60 beats/min.
