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 cli
n n n n n n n n n n n n n
nic visit. n
Which prescription should the nurse anticipate the client to receive that
n n n n n n n n n n
n is least likely toexacerbate asthma?
n n n n n
A. Carteolol (Ocupress). n
B. Propranolol hydrochloride (Inderal). n n
C. Pindolol (Visken). Incorrect n n
D. Metoprolol tartrate (Lopressor). Correctn n n
The best antihypertensive agent for clients with asthma is metoprolol (Lopressor
n n n n n n n n n n
) (C), a beta2
n n n
blocking agent which is also cardioselective and less likely to cause bronchoconst
n n n n n n n n n n n
riction.
Pindolol (A) is a beta2 blocker that can cause bronchoconstriction and increase a
n n n n n n n n n n n n
sthmatic
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 antih
n n n n n n n n n n n n
ypertensive
agent used in managing angina, it can increase a client's risk for bronchoconstri
n n n n n n n n n n n n
ction due to its n n n
nonselective beta blocker action. Propranolol (D) also blocks the beta2 receptors
n n n n n n n n n n
n in the lungs,
n n
causing bronchoconstriction, and is not indicated in clients with asthma and oth
n n n n n n n n n n n
er obstructive
n
pulmonary disorders. n
• A male client who has been taking propranolol (Inderal) for 18 months tells t
n n n n n n n n n n n n n
he nurse that thehealthcare provider discontinued the medication because his
n n n n n n n n n n n
blood pressure has been normal forthe past three months. Which instruction s
n n n n n n n n n n n n
hould the nurse provide?
n n n
A. Obtain another antihypertensive prescription to avoid withdrawal symp
n n n n n n n
toms.
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
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B. Stop the medication and keep an accurate record of blood pressure.
n n n n n n n n n n
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+
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C. Report any uncomfortable symptoms after stopping the medication.
n n n n n n n
D. Ask the healthcare provider about tapering the drug dose over the next
n n n n n n n n n n n n
week. Correct n
Although the healthcare provider discontinued the propranolol, measures to pre
n n n n n n n n n
vent rebound n
cardiac excitation, such as progressively reducing the dose over one to two weeks
n n n n n n n n n n n n
n (C), should be
n n
recommended to prevent rebound tachycardia, hypertension, and ventricular d
n n n n n n n n
ysrhythmias.
Abrupt cessation (A and B) of the beta-
n n n n n n n
blocking agent may precipitate tachycardia and rebound
n n n n n n
hypertension, so gradual weaning should be recommended. (D) is not indicated.
n n n n n n n n n n
A 9-year-
n
old is hospitalized for neutropenia and is placed in reverse isolation. The child
n n n n n n n n n n n n n
asks thenurse, "Why do you have to wear a gown and mask when you are in m
n n n n n n n n n n n n n n n n n
y room?" How should thenurse respond?
n n n n n n
A. “To protect you because you can get an infection very easily.” Corr
n n n n n n n n n n n
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+
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 cli
n n n n n n n n n n n n n
nic visit. n
Which prescription should the nurse anticipate the client to receive that
n n n n n n n n n n
n is least likely toexacerbate asthma?
n n n n n
A. Carteolol (Ocupress). n
B. Propranolol hydrochloride (Inderal). n n
C. Pindolol (Visken). Incorrect n n
D. Metoprolol tartrate (Lopressor). Correctn n n
The best antihypertensive agent for clients with asthma is metoprolol (Lopressor
n n n n n n n n n n
) (C), a beta2
n n n
blocking agent which is also cardioselective and less likely to cause bronchoconst
n n n n n n n n n n n
riction.
Pindolol (A) is a beta2 blocker that can cause bronchoconstriction and increase a
n n n n n n n n n n n n
sthmatic
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 antih
n n n n n n n n n n n n
ypertensive
agent used in managing angina, it can increase a client's risk for bronchoconstri
n n n n n n n n n n n n
ction due to its n n n
nonselective beta blocker action. Propranolol (D) also blocks the beta2 receptors
n n n n n n n n n n
n in the lungs,
n n
causing bronchoconstriction, and is not indicated in clients with asthma and oth
n n n n n n n n n n n
er obstructive
n
pulmonary disorders. n
• A male client who has been taking propranolol (Inderal) for 18 months tells t
n n n n n n n n n n n n n
he nurse that thehealthcare provider discontinued the medication because his
n n n n n n n n n n n
blood pressure has been normal forthe past three months. Which instruction s
n n n n n n n n n n n n
hould the nurse provide?
n n n
A. Obtain another antihypertensive prescription to avoid withdrawal symp
n n n n n n n
toms.
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.
n n n n n n n n n n
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.
n n n n n n n
D. Ask the healthcare provider about tapering the drug dose over the next
n n n n n n n n n n n n
week. Correct n
Although the healthcare provider discontinued the propranolol, measures to pre
n n n n n n n n n
vent rebound n
cardiac excitation, such as progressively reducing the dose over one to two weeks
n n n n n n n n n n n n
n (C), should be
n n
recommended to prevent rebound tachycardia, hypertension, and ventricular d
n n n n n n n n
ysrhythmias.
Abrupt cessation (A and B) of the beta-
n n n n n n n
blocking agent may precipitate tachycardia and rebound
n n n n n n
hypertension, so gradual weaning should be recommended. (D) is not indicated.
n n n n n n n n n n
A 9-year-
n
old is hospitalized for neutropenia and is placed in reverse isolation. The child
n n n n n n n n n n n n n
asks thenurse, "Why do you have to wear a gown and mask when you are in m
n n n n n n n n n n n n n n n n n
y room?" How should thenurse respond?
n n n n n n
A. “To protect you because you can get an infection very easily.” Corr
n n n n n n n n n n n
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+
