Chapter 34, Antihypertensive Drugs TEST BANK INTRODUCTORY CLINICAL PHARMACOLOGY 12TH EDITION By Susan M Ford

TEST BANK INTRODUCTORY CLINICAL PHARMACOLOGY 12TH EDITION By Susan M Ford 1. A client is admitted to the emergency department with a severe headache, nausea, shortness of breath, and blood pressure of 200/120 mm Hg. Which response should the nurse prioritize? A) Take a blood pressure every 30 minutes. B) Alternate the arms for assessing the blood pressure and pulse. C) Continuously monitor the client's status. D) Measure the pulse rate every hour. Answer: C Rationale: When the client has a severe hypertensive emergency (such as an extremely elevated blood pressure), does not have the expected response to drug therapy, or is critically ill, continuous monitoring is performed. The alarm should be set to alert the medical staff if the blood pressure continues to rise. The client is at risk of developing serious complications such as a stroke, kidney failure, or retinopathy if the blood pressure is not lowered quickly. Question format: Multiple Choice Chapter: 34 Learning Objective: 5 Cognitive Level: Apply Client Needs: Physiological Integrity: Reduction of Risk Potential Integrated Process: Clinical Problem-solving Process (Nursing Process) Reference: p. 437, Ongoing Assessment 2. A client presents to the urgent care clinic reporting severe dizziness. On assessment, the nurse learns the client was recently prescribed losartan and quit taking it thinking it was responsible for the dizziness. Which assessment should the nurse prioritize? A) Breathing difficulty B) Rebound hypertension C) Orthostatic hypotension D) Anginal attacks Answer: B Rationale: Rebound hypertension will occur in clients when antihypertensives are abruptly discontinued. In rebound hypertension, there is a sudden rise in blood pressure when the antihypertensives are withheld. Orthostatic hypotension, anginal attacks, and breathing difficulty are the adverse reactions associated with antihypertensive drug usage and may not occur on stopping the drug. Question format: Multiple Choice Chapter: 34 Learning Objective: 4 Cognitive Level: Apply