ch 22 antihypertensive drugs Exam
Questions and Answers (verified
answers)2026 RATED A+
Which statement, if made by your patient, signifies that additional patient teaching regarding
antihypertensive treatment is required?
A) "I will check my blood pressure every day and take my medication when it is over 140/90."
B) "I will include rest periods during the day to help me tolerate the fatigue my medicine may cause."
C) "I will change my position slowly to prevent feeling dizzy."
D) "I will not mow my lawn until I see how this medication makes me feel." - CORRECT ANSWERS
A-"I will check my blood pressure every day and take my medication when it is over 140/90."
(Antihypertensive medications need to be taken routinely in order to maintain a normotensive state and
prevent occurrence of complications. Many patients do not adhere to this regimen because
hypertension itself does not cause symptoms, whereas the medication can cause some untoward
effects. Patient teaching is essential)
An annoying side effect of ACE inhibitors that may be minimized by switching to an angiotensin receptor
blocking drug includes
A) orthostatic hypotension.
B) a dry, nonproductive cough.
C) fatigue.
D) hypokalemia. - CORRECT ANSWERS Dry, nonproductive cough
ACE inhibitors prevent the breakdown of bradykinin, frequently causing a nonproductive cough.
Angiotensin receptor blockers do not block this breakdown, thus minimizing this annoying side effect.)
Which would the nurse question if ordered concurrently with ACE inhibitors?
, A) furosemide (Lasix)
B) morphine
C) Colace
D) potassium - CORRECT ANSWERS potassium
ACE inhibitors block the conversion of angiotensin I to angiotensin II, thus also blocking the stimulus for
aldosterone production. Aldosterone is responsible for potassium excretion—decreased aldosterone
can result in increased serum potassium.)
Which would be a priority assessment prior to administering eplerenone (Inspra)?
A) Serum electrolytes
B) Level of consciousness
C) Patient's knowledge level
D) Thiocyanate levels - CORRECT ANSWERS Serum electrolytes
Eplerenone (Inspra) is contraindicated in patients with an elevated serum potassium level (greater than
5.5 mEq/L) or severe renal impairment, Therefore, it is imperative that the nurse assess the patient's
most recent serum electrolytes before administering this medication.)
The nurse would plan to administer which calcium channel blocking drug to a patient with cerebral
arterial spasms following a subarachnoid hemorrhage?
A) amlodipine (Norvasc)
B) diltiazem (Cardizem)
C) nimodipine (Nimotop)
D) verapamil (Calan) - CORRECT ANSWERS nimodipine (Nimotop)
(Nimodipine crosses the blood-brain barrier and has a greater effect on the cerebral arteries than on
other arteries in the body; thus, it is indicated for the treatment of cerebral artery spasm following
subarachnoid hemorrhage.)
Questions and Answers (verified
answers)2026 RATED A+
Which statement, if made by your patient, signifies that additional patient teaching regarding
antihypertensive treatment is required?
A) "I will check my blood pressure every day and take my medication when it is over 140/90."
B) "I will include rest periods during the day to help me tolerate the fatigue my medicine may cause."
C) "I will change my position slowly to prevent feeling dizzy."
D) "I will not mow my lawn until I see how this medication makes me feel." - CORRECT ANSWERS
A-"I will check my blood pressure every day and take my medication when it is over 140/90."
(Antihypertensive medications need to be taken routinely in order to maintain a normotensive state and
prevent occurrence of complications. Many patients do not adhere to this regimen because
hypertension itself does not cause symptoms, whereas the medication can cause some untoward
effects. Patient teaching is essential)
An annoying side effect of ACE inhibitors that may be minimized by switching to an angiotensin receptor
blocking drug includes
A) orthostatic hypotension.
B) a dry, nonproductive cough.
C) fatigue.
D) hypokalemia. - CORRECT ANSWERS Dry, nonproductive cough
ACE inhibitors prevent the breakdown of bradykinin, frequently causing a nonproductive cough.
Angiotensin receptor blockers do not block this breakdown, thus minimizing this annoying side effect.)
Which would the nurse question if ordered concurrently with ACE inhibitors?
, A) furosemide (Lasix)
B) morphine
C) Colace
D) potassium - CORRECT ANSWERS potassium
ACE inhibitors block the conversion of angiotensin I to angiotensin II, thus also blocking the stimulus for
aldosterone production. Aldosterone is responsible for potassium excretion—decreased aldosterone
can result in increased serum potassium.)
Which would be a priority assessment prior to administering eplerenone (Inspra)?
A) Serum electrolytes
B) Level of consciousness
C) Patient's knowledge level
D) Thiocyanate levels - CORRECT ANSWERS Serum electrolytes
Eplerenone (Inspra) is contraindicated in patients with an elevated serum potassium level (greater than
5.5 mEq/L) or severe renal impairment, Therefore, it is imperative that the nurse assess the patient's
most recent serum electrolytes before administering this medication.)
The nurse would plan to administer which calcium channel blocking drug to a patient with cerebral
arterial spasms following a subarachnoid hemorrhage?
A) amlodipine (Norvasc)
B) diltiazem (Cardizem)
C) nimodipine (Nimotop)
D) verapamil (Calan) - CORRECT ANSWERS nimodipine (Nimotop)
(Nimodipine crosses the blood-brain barrier and has a greater effect on the cerebral arteries than on
other arteries in the body; thus, it is indicated for the treatment of cerebral artery spasm following
subarachnoid hemorrhage.)
