TEST BANK
Chapters 36–50
Complete Test Banks covering all chapters (1 to 69)
are available in the bundled package
,Table of Contents are given below
36. Hypertension
37. Coronary Artery Disease and Acute Coronary Syndrome
38. Heart Failure
39. Dysrhythmias
40. Inflammatory and Structural Heart Disorders
41. Vascular Disorders
42. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
43. Assessment: Gastrointestinal System
44. Nutrition Problems
45. Obesity
46. Upper Gastrointestinal Problems
47. Lower Gastrointestinal Problems
48. Liver, Biliary Tract, and Pancreas Problems
49. Assessment: Urinary System
50. Renal and Urologic Problems
,
, Which action would the nurse take when giving the first dose of oral labetalol
to a patient hospitalized with hypertension?
Encourage the use of hard candy to prevent dry mouth.
Teach the patient that headaches often occur with this drug.
Instruct the patient to call for help if heart palpitations occur.
➔ Ask the patient to request assistance before getting out of bed.
Labetalol decreases sympathetic nervous system activity by blocking
both a- and 13-adrenergicreceptors, leading to vasodilation and a
decrease in heart rate, which can cause severe orthostatic hypotension.
Heart palpitations, dry mouth, dehydration, and headaches are possible
side effects of other antihypertensives.
J
Question 3 pts
Which patient action indicates that the nurse's teaching about diet
modifications for stage 1 hypertension has been effective?
The patient avoids eating nuts or nut butters.
The patient restricts intake of 1ish and legumes.
➔ The patient drinks low-fat milk with each meal.
The patient has two cups of coffee in the morning.
Increased levels of diet potassium and calcium are associated with lower
BP. People with hypertension should receive adequate intake of these
from food sources such as low-fat milk. Plant based and Mediterranean
diets with increased fruit, nut, vegetable, legumes, and lean proteins
from fish and vegetables decreases BP and mortality rates from
cardiovascular disease. Caffeine intake or restriction and decreased
protein intake are not recommendations.
Question 4 pts
Which information would the nurse teach the patient who has been prescribed
captopril?
Include high-potassium foods such as bananas in the diet.
Increase fluid intake if dryness of the mouth is a problem.
➔ Change position slowly to help prevent dizziness and falls.
Check the blood pressure in both arms before taking the drug.
The angiotensin-converting enzyme (ACE) inhibitors often cause
orthostatic hypotension, and patients should be taught to change
position slowly to allow the vascular system time to compensate for the
position change. Increasing fluid intake may counteract the effect of the
drug. The BP should be taken in the nondominant arm by newly
diagnosed patients in the morning, before taking the drug, and in the
evening. Because ACE inhibitors cause potassium retention, increased
intake of high-potassium foods is inappropriate.
Chapters 36–50
Complete Test Banks covering all chapters (1 to 69)
are available in the bundled package
,Table of Contents are given below
36. Hypertension
37. Coronary Artery Disease and Acute Coronary Syndrome
38. Heart Failure
39. Dysrhythmias
40. Inflammatory and Structural Heart Disorders
41. Vascular Disorders
42. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
43. Assessment: Gastrointestinal System
44. Nutrition Problems
45. Obesity
46. Upper Gastrointestinal Problems
47. Lower Gastrointestinal Problems
48. Liver, Biliary Tract, and Pancreas Problems
49. Assessment: Urinary System
50. Renal and Urologic Problems
,
, Which action would the nurse take when giving the first dose of oral labetalol
to a patient hospitalized with hypertension?
Encourage the use of hard candy to prevent dry mouth.
Teach the patient that headaches often occur with this drug.
Instruct the patient to call for help if heart palpitations occur.
➔ Ask the patient to request assistance before getting out of bed.
Labetalol decreases sympathetic nervous system activity by blocking
both a- and 13-adrenergicreceptors, leading to vasodilation and a
decrease in heart rate, which can cause severe orthostatic hypotension.
Heart palpitations, dry mouth, dehydration, and headaches are possible
side effects of other antihypertensives.
J
Question 3 pts
Which patient action indicates that the nurse's teaching about diet
modifications for stage 1 hypertension has been effective?
The patient avoids eating nuts or nut butters.
The patient restricts intake of 1ish and legumes.
➔ The patient drinks low-fat milk with each meal.
The patient has two cups of coffee in the morning.
Increased levels of diet potassium and calcium are associated with lower
BP. People with hypertension should receive adequate intake of these
from food sources such as low-fat milk. Plant based and Mediterranean
diets with increased fruit, nut, vegetable, legumes, and lean proteins
from fish and vegetables decreases BP and mortality rates from
cardiovascular disease. Caffeine intake or restriction and decreased
protein intake are not recommendations.
Question 4 pts
Which information would the nurse teach the patient who has been prescribed
captopril?
Include high-potassium foods such as bananas in the diet.
Increase fluid intake if dryness of the mouth is a problem.
➔ Change position slowly to help prevent dizziness and falls.
Check the blood pressure in both arms before taking the drug.
The angiotensin-converting enzyme (ACE) inhibitors often cause
orthostatic hypotension, and patients should be taught to change
position slowly to allow the vascular system time to compensate for the
position change. Increasing fluid intake may counteract the effect of the
drug. The BP should be taken in the nondominant arm by newly
diagnosed patients in the morning, before taking the drug, and in the
evening. Because ACE inhibitors cause potassium retention, increased
intake of high-potassium foods is inappropriate.
