Correct Answers
1. Calcium channel blockers Answer: - Amlodipine [Norvasc]
-Verapamil [Calan]
-Nifedipine [Procardia]
-Diltiazem [Cardizem]
2. Answer Answer: Channel Blockers Answer: Watch for Answer:
-hypotension*
-peripheral edema
-flushing
-headache
-GI upset
-bradycardia
-bronchocontstiction
3. Beta-andrenergic blockers Answer: - Metoprolol [Lopressor]
-Atenolol [Tenormin]
-Propranolol [Inderal]
-Nadolol [Corgard]
-Sotalol [Betapace]
4. Beta-andrenergic blockers Answer: - end in "olol"
5. Beta-Andrenergic blockers Answer: Watch for Answer:
-bradycardia
-hypotension
-CHF
-Bronchospasms
-Impotence
6. Beta blockers Answer: This drug can mask the symptoms of hypoglycemia in clients with
diabetes
7. Antihypertensives Answer: Nursing implications
-monitor vital signs
-teach clients about OH for initial dosing and other lifestyle changes [weight reduction, sodium
,restriction, and daily exercise]
-monitor electrolyte, hepatic, and renal serum blood studies
-avoid abrupt withdrawals; may cause rebound phenomenon of excessive rise in BP
8. Ace-inhibitors Answer: end in -PRIL
, 9. Ace-Inhibitors Answer: - Captopril [Capoten]
--> given oral for hypertensive crisis
-Enalapril [Vasotec]
-Benazepril [lotensin]
-Fosinopril [Monopril]
10. ACE inhibitors Answer: - block the conversion of angiotensin I to angiotensin II, a
vasoconstrictor
-decrease in blood pressure
11. Beta-Adrenergic Answer: - prevent sympathetic stimulation of heart, thereby reducing
heart rate and contractility
12. Answer Answer:-channel blockers Answer: - block Answer Answer: influx into the
beta-receptors
-decreases the force of the myocardial contraction
-reduce the heart rate
-decrease PVR [peripheral vascular resistance]
13. drug selection Answer: 1. thiazide diuretics
2. beta-adrenergic blockers
3. ACE inhibitors
4. CCB
14. ACE inhibitors, Beta blockers, and CCB teaching Answer: Nursing
implications Answer:
-take medication as prescribed, no stoping abruptly
-never double-up on doses if missed one
-Change positions slowly; watch for postural hypertension
-avoid OTC medications
-take caution in hot weather, hot showers, hot tub baths, or prolonged sitting or standing --> cause
hypotension
-teach client about multidrug therapy, don't discontinue antihypertensive medication when another
medication is started
15. Prehypertension Answer: Treatment Answer: lifestyle changes
16. Stage 1 hypertension Answer: Treatment Answer: Thiazide diuretics and loop
diuretics
17. Diuretics Answer: - monitor potassium