Answers Graded A+
A patient who has just begun taking an treatment of hypertension? - ANSWER -
angiotensin converting enzyme (ACE) inhibitor Thiazide diuretics and beta-adrenergic blockers
calls the nurse and reports feeling very dizzy
when standing up and asks if the medication
should be discontinued. What is the nurse's best Prior to the administration of a beta-adrenergic
response? - ANSWER -"Rise to a sitting or blocker, the nurse notes the patient to have a
standing position slowly; your symptoms will heart rate of 52 beats/min, peripheral edema,
resolve." crackles in the bases of the lungs, and mottled
skin. Which is the priority nursing action? -
ANSWER -Withhold the medication and
Which nursing assessment confirms that the notify the health care provider.
angiotensin II receptor blocker (ARB) that a
patient is taking is effective? - ANSWER -
Blood pressure has decreased. When displayed by the patient, which symptom
would be most indicative to the nurse to withhold
a recently prescribed beta-adrenergic blocker? -
How does propranolol (Inderal) control ANSWER -Wheezing
hypertension? - ANSWER -Reduces the
sympathetic stimulation in cardiac muscle
The nurse has provided information to a patient
with diabetes who has been prescribed a beta-
Which class of antihypertensive agents should adrenergic blocker. Which statement by the
be avoided by patients with asthma? - patient indicates a need for further teaching? -
ANSWER -Beta-adrenergic blocking agents ANSWER -"If I get dizzy, I will stop taking
the medication."
Which is true about postural hypotension during
therapy with direct vasodilators? - The nurse is providing instruction to a patient
ANSWER -It gradually resolves with who was recently prescribed an ACE inhibitor for
continued medication use. hypertension. Which is an adverse effect of this
medication? - ANSWER -Chronic cough
The nurse instructs the patient to avoid the
sudden discontinuation of beta-adrenergic The nurse is explaining to a patient how ACE
blockers so as to avoid which symptom? - inhibitors affect blood pressure. Which statement
ANSWER -Increased angina accurately describes the action of these
medications? - ANSWER -They inhibit
vasoconstriction.
What is mean arterial pressure (MAP)? -
ANSWER -The average pressure
throughout each cycle of the heartbeat Which common adverse effect of an angiotensin
II receptor antagonist will the nurse expect to
assess in a patient? - ANSWER -Headache
Which agents are preferred for the initial
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