Karch: Ch. 43 - Drugs Affecting Blood Pressure
Exam Questions and Correct Answers
1. A patient is receiving verapamil. What would be important for the
nurse to stress that the patient avoid?
Grapefruit juice
Milk
Apple juice
Yogurt answer:
Grapefruit juice
2. A nurse is educating a group of nursing students on the mechanisms
of action of angiotensin-converting enzyme inhibitors (ACEI). Which
medication should the nurse explain as the hormone produced by
the adrenal cortex?
Angiotens
in
Aldosteron
e Renin
Enalapril answer: Aldosterone
3. A nurse is caring for a client experiencing a hypertensive
emergency. If blood pressure is not lowered immediately, what can
occur? (Select all that apply.)
Damage to the heart
Damage to the kidneys
Damage to the gall
bladder Damage to the
pancreas
Damage to the eyes answer: Damage
to the heart Damage to the kidneys
,Damage to the eyes
4. A nurse is educating a patient with hypertension who is prescribed
losartan on the mechanism of action of the drug. Which mode of
action helps losartan to bring about its antihypertensive effect?
By blocking the aldosterone receptors
By preventing the conversion of angiotensin I
,By blocking the angiotensin II receptors
By preventing renin secretion answer: By blocking the angiotensin II receptors
5. Which question would be most important for a nurse to ask a
female client who is starting on an angiotensin II receptor blocker
for hypertension?
"Do you eat something when you take your
medications?" "How much physical exercise do you
get?"
"When was your last menstrual period?"
"Have you always weighed 150 pounds?" answer: "When was your last menstrual
period?"
6. A clinic nurse has been assigned a 49-year-old female client
who has a history of diabetes. A recent diagnosis of hypertension has
been made, and the client has been prescribed a thiazide diuretic
and labetalol. The client will be scheduled to return to the clinic
once a month for the next 6 months. A priority action by the nurse
will be to answer:
question the client about her dietary
intake. monitor the client's blood
pressure.
weigh the client.
monitor the client's respiratory rate. answer: monitor the client's blood pressure.
7. An older adult who lives in a long-term care facility has recently
begun taking losartan (Cozaar) for the treatment of hypertension.
The nurse who provides care for this resident should recognize that
this change in the resident's med- ication regimen make create a
risk for answer:
constipation.
falls.
xerostomia (dry mouth).
, depression. answer: falls.
8. When circulatory shock occurs, there is massive vasodilation
causing pooling of the blood in the periphery of the body. An ICU
nurse caring for a patient in circulatory shock knows that the
pooling of blood in the periphery leads to answer:
Exam Questions and Correct Answers
1. A patient is receiving verapamil. What would be important for the
nurse to stress that the patient avoid?
Grapefruit juice
Milk
Apple juice
Yogurt answer:
Grapefruit juice
2. A nurse is educating a group of nursing students on the mechanisms
of action of angiotensin-converting enzyme inhibitors (ACEI). Which
medication should the nurse explain as the hormone produced by
the adrenal cortex?
Angiotens
in
Aldosteron
e Renin
Enalapril answer: Aldosterone
3. A nurse is caring for a client experiencing a hypertensive
emergency. If blood pressure is not lowered immediately, what can
occur? (Select all that apply.)
Damage to the heart
Damage to the kidneys
Damage to the gall
bladder Damage to the
pancreas
Damage to the eyes answer: Damage
to the heart Damage to the kidneys
,Damage to the eyes
4. A nurse is educating a patient with hypertension who is prescribed
losartan on the mechanism of action of the drug. Which mode of
action helps losartan to bring about its antihypertensive effect?
By blocking the aldosterone receptors
By preventing the conversion of angiotensin I
,By blocking the angiotensin II receptors
By preventing renin secretion answer: By blocking the angiotensin II receptors
5. Which question would be most important for a nurse to ask a
female client who is starting on an angiotensin II receptor blocker
for hypertension?
"Do you eat something when you take your
medications?" "How much physical exercise do you
get?"
"When was your last menstrual period?"
"Have you always weighed 150 pounds?" answer: "When was your last menstrual
period?"
6. A clinic nurse has been assigned a 49-year-old female client
who has a history of diabetes. A recent diagnosis of hypertension has
been made, and the client has been prescribed a thiazide diuretic
and labetalol. The client will be scheduled to return to the clinic
once a month for the next 6 months. A priority action by the nurse
will be to answer:
question the client about her dietary
intake. monitor the client's blood
pressure.
weigh the client.
monitor the client's respiratory rate. answer: monitor the client's blood pressure.
7. An older adult who lives in a long-term care facility has recently
begun taking losartan (Cozaar) for the treatment of hypertension.
The nurse who provides care for this resident should recognize that
this change in the resident's med- ication regimen make create a
risk for answer:
constipation.
falls.
xerostomia (dry mouth).
, depression. answer: falls.
8. When circulatory shock occurs, there is massive vasodilation
causing pooling of the blood in the periphery of the body. An ICU
nurse caring for a patient in circulatory shock knows that the
pooling of blood in the periphery leads to answer:
