N7 Pharmacology Antihypertensive Agents

Found at the EVOLVE website

Lilley: Pharmacology and the Nursing Process, 4th Edition

 

Multiple Choice Review Questions Chapter 24

1.           

Which of the following statements, if made by your patient, signifies that additional patient teaching regarding antihypertensive treatment is required?

A.            “I will check my blood pressure every day and take my medication when it is over 140/90.”

B.            “I will include rest periods during the day to help me tolerate the fatigue my medicine may cause.”

C.            “I will change my position slowly to prevent feeling dizzy.”

D.            “I will not mow my lawn until I see how this medication makes me feel.”

2.           

An annoying side effect of ACE inhibitors that may be minimized by switching to an angiotensin receptor-blocking agent includes:

A.            Orthostatic hypotension

B.            A dry, nonproductive cough

C.            Fatigue

D.            Hypokalemia

3.           

Which of the following should not be taken concurrently with ACE inhibitors?

A.            Lasix

B.            Morphine

C.            Colace

D.            Potassium

4.           

Direct-acting vasodilators have which of the following effects on the heart rate?

A.            Heart rate decreases

B.            Heart rate remains significantly unchanged

C.            Heart rate increases

D.            Heart rate becomes irregular

5.           

The nurse would plan to administer which of the following calcium channel blocking agents to a patient with cerebral arterial spasms following a subarachnoid hemorrhage?

A.            Amlodipine (Norvasc)

B.            Diltiazem (Cardizem)

C.            Nimodipine (Nimotop)

D.            Verapamil (Calan)

6.           

The nurse would question an order for a calcium channel-blocking agent in a patient with:

A.            Angina pectoris

B.            Increased intracranial pressure

C.            Hypotension

D.            Dysrhythmia

7.           

Which of the following statements would be appropriate during discharge teaching for a patient receiving clonidine (Catapres)?

A.            “Your blood pressure should be checked by a physician at least once a year.”

B.            “Increasing fluid and fiber in your diet can help prevent the side effect of constipation.”

C.            “Excessive exercise or prolonged standing is not a problem with clonidine as it can be with other antihypertensive agents.”

D.            “If you are having difficulty with the common side effect of excessive drooling, notify your physician so your dosage can be adjusted.”

8.           

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

A.            ACE inhibitors and diuretics.

B.            Diuretics and calcium antagonists

C.            Diuretics and beta-blockers

D.            ACE inhibitors and beta-blockers

9.           

Labetalol (Normodyne) and carvedilol (Coreg) are classified as:

A.            Beta-blocking agents

B.            Alpha1-blocking agents

C.            Combined alpha- and beta-blocking agents

D.            Calcium channel blockers

10.           

During assessment of a patient diagnosed with pheochromocytoma, the nurse auscultates a blood pressure of 210/110 mm Hg. The nurse would expect to administer which of the following medications?

A.            Nadolol (Corgard)

B.            Phentolamine (Regitine)

C.            Dobutamine (Dobutrex)

D.            Verapamil (Calan)

11.           

When administering nitroprusside (Nipride) intravenously, the nurse ensures that:

A.            The medication is protected from light

B.            The IV infuses no faster than 2 mcg/min

C.            The patient’s blood pressure is monitored every 2 hours

D.            The initial bolus is infused over 5 minutes

12.           

The nurse would monitor for reflex tachycardia in a patient receiving which classification of antihypertensive agents?

A.            Calcium channel blockers

B.            Cardioselective beta-blockers

C.            Nonselective beta-blockers

D.            Direct-acting vasodilators

13.           

A patient prescribed prazosin (Minipress) does not have a history of hypertension. The nurse would assess for what disorder for which this medication is also used?

A.            Pulmonary emboli

B.            Obstructive benign prostatic hyperplasia

C.            Seizure disorder

D.            Subarachnoid hemorrhage

14.           

ACE inhibitors and angiotensin receptor blockers both work to decrease blood pressure by:

A.            Preventing the formation of angiotensin II

B.            Enhancing sodium and water resorption

C.            Increasing the breakdown of bradykinin

D.            Inhibiting aldosterone secretion

15.           

A priority nursing diagnosis for patient’s taking an antihypertensive medication would include:

A.            Alteration in cardiac output related to effects on the sympathetic nervous system

B.            Knowledge deficit related to medication regimen

C.            Fatigue related to side effects of medication

D.            Alteration in comfort related to nonproductive cough

Answers: 1a, 2b, 3d, 4c, 5c, 6c, 7b, 8b, 9c, 10b, 11a, 12d, 13b, 14d, 15a