Mastery EAQ Ch. 22

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

B  Notify the health care provider of this information.

C  Administer an increased dose of the medication.

D  Administer a decreased dose of the medication.

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

B  A patient with constipation

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

D  A patient with an elevated creatinine level

A  “Do not take the medication with food.”

B  “Only take this medication in the morning.”

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

D  “Take the medication with potassium supplements.”

A  Hypotension

B  Angina pectoris

C  Tachycardia

D  Subarachnoid hemorrhage

A  Measure hourly output.

B  Administer with a full glass of water.

C  Make certain the patient does not crush the pill.

D  Monitor blood pressure continuously.

A  Cool, dry, pale extremities

B  Blood pressure of 120/72 mm Hg

C  Serum sodium of 140 mEq/L

D  Serum potassium of 3.8 mEq/L

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

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

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

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

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

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

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

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

A  Spironolactone

B  Aspirin

C  Morphine sulfate

D  Docusate sodium

A  “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.”

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

C  “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.”

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

A  Ibuprofen increases the risk for hypokalemia.

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

C  Ibuprofen can lead to potential renal failure.

D  Ibuprofen can potentiate the effect of losartan.

A  Spironolactone, Ibuprofen, Potassium chloride

B  Spironolactone, Warfarin, Alprazolam

C  Warfarin, Ibuprofen, Alprazolam

D  Warfarin, Alprazolam, Potassium chloride

A  Lisinopril, Eplerenone

B  Valsartan, Lisinopril

C  Aliskiren, Valsartan

D  Diazoxide, Hydralazine

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

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

C  Instruct the patient to reduce dietary sodium.

D  Instruct the patient to weigh daily.

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

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

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

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

A  Administer aspirin.

B  Insert a Foley catheter.

C  Administer potassium chloride intravenously.

D  Send the patient for hemodialysis.

A  Eplerenone

B  Sodium nitroprusside

C  Bosentan

D  Treprostinil

A  Serum potassium

B  Breath sounds

C  Peripheral pulses

D  Mental status

A  Intravenous fluids

B  Calcium chloride

C  Potassium supplements

D  Antianxiety medication

A  12-Lead electrocardiogram (ECG)

B  Fasting blood glucose level

C  Serum cyanide level

D  Hemoglobin and hematocrit levels

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

B  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.

C  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.

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

A  Decreased level of lithium

B  Toxic level of lithium

C  Decreased level of the ACE inhibitor

D  Toxic level of the ACE inhibitor

A  Enalapril

B  Losartan

C  Captopril

D  Ramipril

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

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

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

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

A  Weigh the patient.

B  Hold the medication.

C  Call the health care provider.

D  Determine the patient’s history.

A  Serum potassium of 4.2 mEq/L

B  A dry, hacking cough

C  Persistent dry mouth

D  Serum sodium of 147 mEq/L

A  Candesartan

B  Felodipine

C  Hydrochlorothiazide

D  Propranolol

A  10.5 mg/day

B  16.5 mg/day

C  15.0 mg/day

D  12.5 mg/day

A  Cardiovascular disease, Diabetes, Emphysema

B  Diabetes, Emphysema, Stroke

C  Stroke, Heart failure, Cardiovascular disease

D  Heart failure, Diabetes, Emphysema

A  Enalapril

B  Furosemide

C  Doxazosin

D  Hydralazine

A  Dry, nonproductive cough

B  Diarrhea

C  Angioedema

D  Fatigue

A  Potassium level of 5 mEq/dL

B  Calcium level of 8 mEq/dL

C  Blood pressure of 80/60 mm Hg

D  Apical pulse of 100 beats/min

A  Constipation, Difficulty ambulating to the bathroom, Dizziness,

B  Dizziness, Headache, Vomiting and diarrhea

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

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

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

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

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

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

A  Sodium nitroprusside

B  Eplerenone

C  Losartan

D  Treprostinil

A  Respiratory rate of 20 breaths/min

B  Heart rate of 40 beats/min

C  Blood pressure of 110/70 mm Hg

D  Temperature of 38°C (100.4°F)

A  Increased urinary output

B  Decreased cardiac output

C  Tachypnea

D  Tachycardia

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

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

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

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

A  Thiazide

B  Osmotic

C  Loop

D  Potassium-sparing

A  Respiratory assessment

B  Orthostatic blood pressure assessment

C  Teaching about potential tachycardia

D  Assessment of blood glucose levels

A  “Take the medication on an empty stomach.”

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

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

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

A  Rash

B  Anorexia

C  Vomiting

D  Syncope

A  Encourage intake of foods rich in potassium.

B  Monitor serum calcium and sodium levels daily.

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

D  Schedule the dose to be taken in the evening.

A  Metoprolol

B  Furosemide

C  Enalapril

D  Valsartan

A  Increased effect of the angiotensin II receptor blocker drug

B  Decreased effect of the rifampin

C  Increased effect of the rifampin

D  Decreased effect of the angiotensin II receptor–blocker drug

A  Decreased effect of the angiotensin II receptor–blocker drug

B  Increased effect of the angiotensin II receptor–blocker drug

C  Increased effect of the nonsteroidal anti-inflammatory drug

D  Decreased effect of the nonsteroidal anti-inflammatory drug

A  “CCBs increase blood return to heart.”

B  “CCBs promote excretion of water.”

C  “CCBs block reabsorption of sodium.”

D  “CCBs relax vascular smooth muscle.”

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

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

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

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

A  Ambrisentan

B  Epoprostenol

C  Sildenafil

D  Treprostinil

A  Bradycardia

B  Rash

C  Hypotension

D  Decrease in platelet aggregation

A  Nebivolol

B  Clonidine

C  Carvedilol

D  Doxazosin

A  Terazosin (Hytrin)

B  Prazosin (Minipress)

C  Doxazosin (Cardura)

D  Tamsulosin (Flomax)

A  Milk

B  Laxative

C  Soft drinks

D  Alcohol

A  Carvedilol

B  Doxazosin

C  Terazosin

D  Clonidine

A  Benzothiazepines

B  Dihydropyridines

C  Phenylalkylamines

D  Aliskiren

A  Reducing renal morbidity and mortality

B  Promoting cardiovascular health

C  Reducing heart failure

D  Increasing life span of population

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

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

C  “This type of hypertension is not treatable.”

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

A  Systolic pressure consistently above 140 mm Hg

B  Diastolic pressure of 70 mm Hg

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

D  Diastolic blood pressure of 80 mm Hg after exercise

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

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

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

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

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

B  A patient who is taking a beta blocker and furosemide

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

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

A  Lower leg

B  Forearm

C  Upper arm

D  Upper thigh