Mastery EAQ Ch. 22

A  Notify the health care provider of this information.

B  Administer an increased dose of the medication.

C  Monitor the patient for a toxic reaction to the drug.

D  Administer a decreased dose of the medication.

A  A patient with constipation

B  A patient with an elevated creatinine level

C  A patient with a heart rate of 90 beats/min

D  A patient with a potassium level of 3.4 mEq/L

A  “Only take this medication in the morning.”

B  “Do not take the medication with food.”

C  “Take the medication with potassium supplements.”

D  “Sit on the side of the bed before getting up, and get up slowly.”

A  Angina pectoris

B  Subarachnoid hemorrhage

C  Hypotension

D  Tachycardia

A  Make certain the patient does not crush the pill.

B  Measure hourly output.

C  Administer with a full glass of water.

D  Monitor blood pressure continuously.

A  Cool, dry, pale extremities

B  Serum potassium of 3.8 mEq/L

C  Serum sodium of 140 mEq/L

D  Blood pressure of 120/72 mm Hg

A  “I should stop the drug if I have ringing in my ears.”

B  “If I develop a chronic cough, I should notify my health care provider.”

C  “If I have trouble sleeping, I should call the health care provider.”

D  “I cannot go out in the sun while on this therapy.”

A  “You will get a headache the first time you take this medication.”

B  “You will see the capsule shell in your stool, but don’t worry, the drug has been absorbed.”

C  “Nausea and vomiting are common but can be helped by eating crackers.”

D  “Some people get a feeling of chills for a few hours after the first dose.”

A  Spironolactone

B  Morphine sulfate

C  Docusate sodium

D  Aspirin

A  “A glass of wine a few times a week should not be a problem.”
“You may develop a nonproductive, dry cough from this medication.”

B  “You may develop a nonproductive, dry cough from this medication.”
“The medication is contraindicated if you develop benign prostatic hypertrophy (BPH).”

C  “The medication is contraindicated if you develop benign prostatic hypertrophy (BPH).”
“A glass of wine a few times a week should not be a problem.”

D  “Do not be concerned if you see the matrix of the capsule in your stool.”
“Be especially careful when changing position after your first dose of the medication.”

A  Ibuprofen can potentiate the effect of losartan.

B  Ibuprofen can lead to potential renal failure.

C  Ibuprofen increases the risk for hypokalemia.

D  The risk for the side effect of cough is increased.

A  Warfarin, Ibuprofen, Alprazolam

B  Warfarin, Alprazolam, Potassium chloride

C  Spironolactone, Warfarin, Alprazolam

D  Spironolactone, Ibuprofen, Potassium chloride

A  Valsartan, Lisinopril

B  Aliskiren, Valsartan

C  Diazoxide, Hydralazine

D  Lisinopril, Eplerenone

A  Instruct the patient to reduce dietary sodium.

B  Instruct the patient to weigh daily.

C  Collaborate with the health care provider to find a combination ACE inhibitor and diuretic.

D  Ask the patient to perform a 24-hour dietary recall.

A  “ACE inhibitors modify the function of the sympathetic nervous system (SNS).”
“Angiotensin II is a potent vasodilator.”

B  “Angiotensin II is a potent vasodilator.”
“They promote sodium and water retention.”

C  “They reduce afterload.”
“Systemic vascular resistance (SVR) is decreased.”

D  “They promote sodium and water retention.”
“ACE inhibitors modify the function of the sympathetic nervous system (SNS).”

A  Send the patient for hemodialysis.

B  Administer aspirin.

C  Administer potassium chloride intravenously.

D  Insert a Foley catheter.

A  Bosentan

B  Treprostinil

C  Sodium nitroprusside

D  Eplerenone

A  Mental status

B  Peripheral pulses

C  Serum potassium

D  Breath sounds

A  Potassium supplements

B  Calcium chloride

C  Intravenous fluids

D  Antianxiety medication

A  Fasting blood glucose level

B  12-Lead electrocardiogram (ECG)

C  Serum cyanide level

D  Hemoglobin and hematocrit levels

A  Discuss incorporation of psyllium-based products in the plan of care with the health care provider. Restrict dietary fiber intake. Limit fluids to 1000 mL/day.

B  Increase the amount of fruits and vegetables in the diet. Inform the patient that this is a common side effect of the medication. Discuss incorporation of psyllium-based products in the plan of care with the health care provider.

C  Restrict dietary fiber intake. Limit fluids to 1000 mL/day. Increase the amount of fruits and vegetables in the diet.

D  Restrict dietary fiber intake. Inform the patient that this is a common side effect of the medication. Limit fluids to 1000 mL/day.

A  Decreased level of the ACE inhibitor

B  Toxic level of lithium

C  Toxic level of the ACE inhibitor

D  Decreased level of lithium

A  Enalapril

B  Losartan

C  Captopril

D  Ramipril

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

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

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

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

A  Determine the patient’s history.

B  Weigh the patient.

C  Call the health care provider.

D  Hold the medication.

A  Persistent dry mouth

B  Serum potassium of 4.2 mEq/L

C  Serum sodium of 147 mEq/L

D  A dry, hacking cough

A  Candesartan

B  Hydrochlorothiazide

C  Felodipine

D  Propranolol

A  10.5 mg/day

B  15.0 mg/day

C  16.5 mg/day

D  12.5 mg/day

A  Diabetes, Emphysema, Stroke

B  Heart failure, Diabetes, Emphysema

C  Cardiovascular disease, Diabetes, Emphysema

D  Stroke, Heart failure, Cardiovascular disease

A  Doxazosin

B  Enalapril

C  Furosemide

D  Hydralazine

A  Angioedema

B  Fatigue

C  Dry, nonproductive cough

D  Diarrhea

A  Apical pulse of 100 beats/min

B  Calcium level of 8 mEq/dL

C  Blood pressure of 80/60 mm Hg

D  Potassium level of 5 mEq/dL

A  Constipation, Difficulty ambulating to the bathroom, Disorientation to person, place, and time

B  Vomiting and diarrhea, Difficulty ambulating to the bathroom, Disorientation to person, place, and time

C  Dizziness, Headache, Vomiting and diarrhea

D  Constipation, Difficulty ambulating to the bathroom, Dizziness,

A  Tell the patient that the cough will subside in a few days.

B  Instruct the patient to take antitussive medication until the symptoms subside.

C  Assess the patient for other symptoms of upper respiratory infection.

D  Consult with the health care provider to switch the medication.

A  Treprostinil

B  Sodium nitroprusside

C  Eplerenone

D  Losartan

A  Blood pressure of 110/70 mm Hg

B  Respiratory rate of 20 breaths/min

C  Heart rate of 40 beats/min

D  Temperature of 38°C (100.4°F)

A  Decreased cardiac output

B  Tachycardia

C  Tachypnea

D  Increased urinary output

A  “This medication will work to cause your body to get rid of fluid.”

B  “This medication will help your body to get rid of sodium.”

C  “This medication will help you to lose weight to lower your blood pressure.”

D  “This medication will vasodilate your blood vessels to lower your blood pressure.”

A  Thiazide

B  Potassium-sparing

C  Loop

D  Osmotic

A  Orthostatic blood pressure assessment

B  Teaching about potential tachycardia

C  Respiratory assessment

D  Assessment of blood glucose levels

A  “Remove the old patch before applying the new patch.”

B  “Stay in bed for at least an hour after receiving a new patch.”

C  “Keep the new patch on for 30 minutes before removing the old patch.”

D  “Take the medication on an empty stomach.”

A  Syncope

B  Vomiting

C  Anorexia

D  Rash

A  Encourage intake of foods rich in potassium.

B  Take the radial pulse for 1 full minute before administering the drug.

C  Monitor serum calcium and sodium levels daily.

D  Schedule the dose to be taken in the evening.

A  Valsartan

B  Metoprolol

C  Furosemide

D  Enalapril

A  Decreased effect of the angiotensin II receptor–blocker drug

B  Increased effect of the angiotensin II receptor blocker drug

C  Decreased effect of the rifampin

D  Increased effect of the rifampin

A  Decreased effect of the angiotensin II receptor–blocker drug

B  Increased effect of the angiotensin II receptor–blocker drug

C  Decreased effect of the nonsteroidal anti-inflammatory drug

D  Increased effect of the nonsteroidal anti-inflammatory drug

A  “CCBs relax vascular smooth muscle.”

B  “CCBs increase blood return to heart.”

C  “CCBs block reabsorption of sodium.”

D  “CCBs promote excretion of water.”

A  “This is an unusual occurrence, but it is important to stay on your medication.”

B  “The health care provider can work with you on changing the dose or medication.”

C  “Sexual dysfunction happens with this therapy, and you will learn to accept it.”

D  “Don’t worry. Eventually, tolerance will develop.”

A  Epoprostenol

B  Ambrisentan

C  Treprostinil

D  Sildenafil

A  Bradycardia

B  Hypotension

C  Rash

D  Decrease in platelet aggregation

A  Doxazosin

B  Clonidine

C  Nebivolol

D  Carvedilol

A  Terazosin (Hytrin)

B  Tamsulosin (Flomax)

C  Prazosin (Minipress)

D  Doxazosin (Cardura)

A  Alcohol

B  Soft drinks

C  Laxative

D  Milk

A  Doxazosin

B  Clonidine

C  Terazosin

D  Carvedilol

A  Aliskiren

B  Dihydropyridines

C  Benzothiazepines

D  Phenylalkylamines

A  Reducing renal morbidity and mortality

B  Promoting cardiovascular health

C  Reducing heart failure

D  Increasing life span of population

A  “Once you have surgery, this will go away.”

B  “This type of hypertension has a definitive cause.”

C  “The cause of your hypertension is unknown but treatable.”

D  “This type of hypertension is not treatable.”

A  Diastolic pressure of 70 mm Hg

B  Blood pressure of 140/90 mm Hg after walking up two flights of stairs

C  Systolic pressure consistently above 140 mm Hg

D  Diastolic blood pressure of 80 mm Hg after exercise

A  Evaluate the electrocardiogram. Perform a neurologic assessment. Assess oxygenation and ventilation. Obtain an intravenous infusion pump.

B  Assess oxygenation and ventilation. Obtain an intravenous infusion pump. Draw baseline serum electrolyte levels. Assess the patient for peripheral edema.

C  Draw baseline serum electrolyte levels. Evaluate the electrocardiogram. Perform a neurologic assessment. Assess the patient for peripheral edema.

D  Perform a neurologic assessment. Assess oxygenation and ventilation. Draw baseline serum electrolyte levels. Assess the patient for peripheral edema.

A  A patient who has been on beta blockers for 1 day

B  A patient who is taking a beta blocker and furosemide

C  A patient who is on a beta blocker and a thiazide diuretic

D  A patient who has stopped taking a beta blocker because of cost

A  Forearm

B  Upper thigh

C  Lower leg

D  Upper arm