Herzing University NSG 223 Med Surg II Exam 3
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Which medication is most likely to cause constipation? -
Answer-Diltiazem OR Verapamil
The nurse is teaching a patient with essential hypertension
who has a new prescription for verapamil. Which
statement by the patient indicates that teaching was
effective? - Answer-I will increase my intake of fluid and
foods high in fiber- TO PREVENT CONSTIPATION
I will call my healthcare provider if I notice swelling in my
ankles- SIDE EFFECT OF VERAPAMIL IS EDEMA
Verapamil has been administered to a patient.The nurse
should closely monitor for which adverse effect - Answer-
Dizziness
Headache
Ankle edema
Heart block
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The nurse is teaching a patient about the reason for the
administration of calcium channel blockers. Which info
should be included in the teaching plan? - Answer-This
medication will enlarge the blood vessels to lower your
blood pressure
The nurse is preparing to administer amlodipine. Which
assessment finding would require immediate action? -
Answer-Blood pressure of 80/60mmHg- ALREADY
HYPOTENSIVE
Patient is taking verapamil. Which instruction should the
nurse give the patient to help prevent a common adverse
effect of this drug? - Answer-Increase fluid & fiber-
PREVENT CONSTIPATION
A patient with a hypertensive emergency is admitted to the
hospital. Which medication should the nurse be prepared
to administer to this patient? - Answer-Sodium
nitroprusside- has immediate effect and its the drug of
choice in hypertensive emergencies
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Nurse is caring for a patient receiving vasodilators. Which
instruction should the nurse give the patients to combat a
common adverse effect? - Answer-Rise slowly from a
sitting to standing position- Common adverse effect is
orthostatic hypotension
Which assessment finding is most important for the nurse
to obtain before administering hydralazine? - Answer-
Blood pressure
Nurse is caring for a patient receiving hydralazine. The
healthcare provider prescribes propranolol. Drug such as
propranolol is often combined with hydralazine for which
purpose? - Answer-To prevent against reflex tachycardia
Hydralazine is vasodilator that lowers BP, but can trigger
reflex tachycardia. Beta blockers, like propranolol, often
added to regimen to normalize heart rate
Patient receiving nitroprusside intravenous infusion.
Patient's wife asks why furosemide is being prescribed
along with this drug. Nurse's response based on which
concept? - Answer-Many vasodilators cause retention of
sodium & water