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Chapter 22: Antihypertensive Drugs
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• A patient with primary hypertension is prescribed drug therapy for the first time. T
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he patient asks how long drug therapy will be needed. Which answer by the nurse is t
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he correct response?
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a. “This therapy will take about 3 months.”
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b. “This therapy will take about a year.”
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c. “This therapy will go on until your symptoms disappear.”
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d. “Therapy for high blood pressure is usually lifelong.”
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ANS: D e
There is no cure for the disease, and treatment will be lifelong. The other answers are no
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tappropriate.
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• A patient who has been taking antihypertensive drugs for a few months complains
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of having apersistent dry cough. The nurse knows that this cough is an adverse effect
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of which class of antihypertensive drugs?
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a. Beta blockers e
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b. Angiotensin-converting enzyme (ACE) inhibitors e e e
c. Angiotensin II receptor blockers (ARBs) e e e e
d. Calcium channel blockerse e
ANS: B e
ACE inhibitors cause a characteristic dry, nonproductive cough that reverses when ther
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apy isstopped. The other drug classes do not cause this cough.
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• A pregnant woman is experiencing hypertension. The nurse knows that whi
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ch drug iscommonly used for a pregnant patient who is experiencing hyperten
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sion?
a. mannitol (Osmitrol) e
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b. enalapril (Vasotec)
e
c. hydrochlorothiazide (HydroDIURIL)
e
d. methyldopa (Aldomet)e
ANS: D e
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Methyldopa is used in the treatment of hypertension during pregnancy. The other opti
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ons areincorrect.
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• The nurse is reviewing the JNC 7 guidelines for treatment of hypertension. W
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hich bloodpressure would be classified as “prehypertension” according to the JN
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C 7 guidelines?
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a. 118/76 mm Hg e e
b. 130/88 mm Hg e e
c. 150/90 mm Hg e e
d. 160/104 mm Hg
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ANS: B e
Prehypertension is defined as having a systolic blood pressure between 120 and 139
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