HESI Comprehensive Exit Practice Exam 1 Answered A+ Solution Guide

1. 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 at least likely to exacerbate asthma ANS Metoprolol tartrate (Lopres- sor) Best antihypertensive med for asthmatics. Beta2 blocking agent -- also a cardiose- lective and less likely to cause bronchoconstriction. 2. 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 3 months. Which instruction should the nurse provide ANS Ask the healthcare provider about tapering the drug dose over the next week. HCP discontinued drug BUT measures to prevent rebound cardiac excitation, such as progressively reducing the dose over 1 or 2 weeks, should be recommended to prevent rebound tachycardia, hypertension, and ventricular dysrhythmias. 3. A client who is taking clonidine ( Catapres, Duraclon) reports drowsiness. Which additional assessment should the nurse make ANS How long has the client been taking the medication? Drowsiness can occur in the early weeks of treatment with clonidine and with continued use becomes less intense, so the length of time the client has been on the medication provides information to direct additional instruction.