NURSING N179hesi-critical-care-exam-questions-with-answers-and-rationales. HESI Critical Care Exam Questions with Answers and Rationales latest update 2022/2023 RATED A+

NURSING N179hesi-critical-care-exam-questions-with-answers-and-
rationales. HESI Critical Care Exam Questions with Answers and
Rationales latest update 2022/2023 RATED A+




A client with asthma receives a prescription for high blood pressure during a
clinic visit.


Which prescription should the nurse anticipate the client to receive
that is least likely to exacerbate asthma?
A. Carteolol (Ocupress).


B. Propranolol hydrochloride (Inderal).


C. Pindolol (Visken). Incorrect


D. Metoprolol tartrate (Lopressor). Correct


The best antihypertensive agent for clients with asthma is metoprolol
(Lopressor) (C), a beta2


blocking agent which is also cardioselective and less likely to cause
bronchoconstriction.


Pindolol (A) is a beta2 blocker that can cause bronchoconstriction and increase
asthmatic
NURSING N179hesi-critical-care-exam-questions-with-answers-and-
rationales. HESI Critical Care Exam Questions with Answers and
Rationales latest update 2022/2023 RATED A+

, NURSING N179hesi-critical-care-exam-questions-with-answers-and-
rationales. HESI Critical Care Exam Questions with Answers and
Rationales latest update 2022/2023 RATED A+



symptoms. Although carteolol (B) is a beta blocking agent and an effective
antihypertensive


agent used in managing angina, it can increase a client's risk for
bronchoconstriction due to its


nonselective beta blocker action. Propranolol (D) also blocks the beta2
receptors in the lungs,


causing bronchoconstriction, and is not indicated in clients with asthma and
other obstructive


pulmonary disorders.




 A male client who has been taking propranolol (Inderal) for 18 months
tells the nurse that the healthcare provider discontinued the medication
because his blood pressure has been normal for the past three months.
Which instruction should the nurse provide?
A. Obtain another antihypertensive prescription to avoid withdrawal
symptoms.



NURSING N179hesi-critical-care-exam-questions-with-answers-and-
rationales. HESI Critical Care Exam Questions with Answers and
Rationales latest update 2022/2023 RATED A+

, NURSING N179hesi-critical-care-exam-questions-with-answers-and-
rationales. HESI Critical Care Exam Questions with Answers and
Rationales latest update 2022/2023 RATED A+

B. Stop the medication and keep an accurate record of blood pressure.




NURSING N179hesi-critical-care-exam-questions-with-answers-and-
rationales. HESI Critical Care Exam Questions with Answers and
Rationales latest update 2022/2023 RATED A+

, NURSING N179hesi-critical-care-exam-questions-with-answers-and-
rationales. HESI Critical Care Exam Questions with Answers and
Rationales latest update 2022/2023 RATED A+

C. Report any uncomfortable symptoms after stopping the medication.


D. Ask the healthcare provider about tapering the drug dose over the next
week. Correct


Although the healthcare provider discontinued the propranolol, measures to
prevent rebound


cardiac excitation, such as progressively reducing the dose over one to two
weeks (C), should be


recommended to prevent rebound tachycardia, hypertension, and ventricular
dysrhythmias.


Abrupt cessation (A and B) of the beta-blocking agent may precipitate
tachycardia and rebound


hypertension, so gradual weaning should be recommended. (D) is not
indicated.


A 9-year-old is hospitalized for neutropenia and is placed in reverse isolation.
The child asks the nurse, "Why do you have to wear a gown and mask when
you are in my room?" How should the nurse respond?
A. “To protect you because you can get an infection very easily.”
NURSING N179hesi-critical-care-exam-questions-with-answers-and-
rationales. HESI Critical Care Exam Questions with Answers and
Rationales latest update 2022/2023 RATED A+