WorksheetsAbrams Chapter 26
Total questions: 20
Worksheet time: 11mins
What is the primary goal of antihypertensive therapy?
Cure hypertension
Prevent end-organ damage
Increase cardiac output
Reduce heart rate
Which class of drugs is considered first-line for managing hypertension?
Beta blockers
ACE inhibitors
Calcium channel blockers
Thiazide diuretics
ACE inhibitors lower blood pressure by:
Blocking calcium channels
Increasing aldosterone
Inhibiting angiotensin-converting enzyme
Stimulating beta receptors
A common adverse effect of ACE inhibitors is:
Diarrhea
Dry cough
Bradycardia
Muscle cramps
5. The lab value that should be monitored in patients taking ACE inhibitors is:
Potassium
Calcium
Sodium
Glucose
What is the mechanism of action of angiotensin II receptor blockers (ARBs)?
Promote sodium retention
Inhibit renin
Block angiotensin II receptors
Decrease aldosterone secretion
Which of the following is a contraindication for beta-blocker use?
A. Atrial fibrillation
B. Chronic heart failure
C. Asthma
D. Hypertension
What is the primary action of calcium channel blockers?
Decrease heart contractility and dilate arteries
Increase peripheral resistance
Stimulate cardiac conduction
Inhibit aldosterone
Which adverse effect is most associated with calcium channel blockers?
Constipation
Hypokalemia
Sedation
Dry mouth
Beta blockers primarily lower blood pressure by:
Increasing renal blood flow
Blocking beta-adrenergic receptors
Stimulating alpha receptors
Enhancing calcium reuptake
Which antihypertensive medication may cause rebound hypertension if stopped abruptly?
Clonidine
Lisinopril
Amlodipine
Losartan
What is the action of diuretics in hypertension management?
Increase plasma volume
Retain sodium and water
Promote sodium and water excretion
Raise heart rate
A patient taking hydrochlorothiazide should be monitored for which electrolyte imbalance?
Hyperkalemia
Hypokalemia
Hypernatremia
Hypercalcemia
Which antihypertensive drug is safe to use during pregnancy?
Enalapril
Labetalol
Losartan
Aliskiren
Patient teaching for antihypertensive therapy should include:
Double dose if one is missed
Stop medication if BP normalizes
Change positions slowly to prevent dizziness
Avoid all physical activity
The nurse is reviewing discharge instructions for a patient with a newly initiated order for captopril, an ACE inhibitor. The nurse would indicate that which of the following adverse effects is most common?
tinnitus
dry, persistent cought
muscle weakness
constipation
The patient with a blood pressure of 154/92 is diagnosed with essential hypertension (stage 2). What would the nurse expect to be potentially included as part of the patient’s initial treatment plan along with lifestyle modification? (Select all that apply.)
ACE inhibitor
loop diuretic
angiotensin receptor blocker (ARB)
calcium channel blocker (CCB)
Orthostatic hypotension is a potential outcome of antihypertensive drugs that places older adults at risk for injury from falls. Instructions given to the patient to decrease this effect include which of the following? (Select all that apply.)
Take the dose at bedtime
Change position slowly when rising from bed and chair
Increase fluid intake by 500 mL/day
Decrease the dose until symptoms disappear
A patient with a history of hypertension comes to the emergency department with double vision and a blood pressure of 240/120 mm Hg. The physician on call orders sodium nitroprusside by continuous infusion, with continual blood pressure monitoring. This drug’s immediate action is to lower blood pressure by which of the following mechanisms?
increasing peripheral vascular resistance
increasing cardiac output
dilating venous and arterial vessels
decreasing heart rate
A patient in the intensive care unit has been receiving sodium nitroprusside for 2 days. The nurse needs to monitor for which of the following?
thiocyanate toxicity
hyperglycemia
hyperkalemia
metabolic alkalosis
