Nurses (18th Edition) - Chapter 22
Interactive Review Questions with
Verified Answers
A patient with hypertension for whom a diuretic is ordered asks the nurse how a "kidney
pill" can help blood pressure. Which information about how diuretics lower blood
pressure guides the nurse's response? - ANSWERSDecreasing circulatory volume and
dilating peripheral arterioles.
A patient is starting on an angiotensin-converting enzyme (ACE) inhibitor. Which
assessment does the nurse include in the patient's care plan? - ANSWERSClose
observation after the initial dose until blood pressure stabilizes in 2 to 3 hours.
Which is the correct advantage of beta-adrenergic blocking agents over other
antihypertensive medications? - ANSWERSThey cause minimal orthostatic or exercise
hypotension..
Which antihypertensive medication is more effective in African Americans and older
adult patients? - ANSWERSCalcium channel blockers
Which adverse effect of ACE inhibitors is more common in women than men? -
ANSWERSCough.
A patient with a history of diabetes mellitus is prescribed aliskiren (Tekturna) for the
treatment of hypertension. Which electrolyte imbalance may occur with this medication?
- ANSWERSHyperkalemia.
A patient is prescribed eplerenone (Inspra) for the treatment of hypertension. Which
kind of juice should be avoided by this patient? - ANSWERSGrapefruit.
A patient has been prescribed amlodipine (Norvasc) for the treatment of hypertension.
Which medication is contraindicated for this patient? - ANSWERSDigoxin (Lanoxin).
A patient with hypertension has suffered a heart attack. Which agent does the nurse
anticipate will be ordered by the healthcare provider? - ANSWERSBeta-adrenergic
blocker.
A patient who is in hypertensive crisis is ordered nitroprusside sodium (Nitropress).
Which route will the nurse use to administer this drug? - ANSWERSIntravenous.