NUR 311-adams5e_tif_ch26_final-Adams, Pharmacology for Nurses: A Pathophysiologic Approach, 5/E Chapter 26 - $17.49   Add to cart

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NUR 311-adams5e_tif_ch26_final-Adams, Pharmacology for Nurses: A Pathophysiologic Approach, 5/E Chapter 26

Adams, Pharmacology for Nurses: A Pathophysiologic Approach, 5/E Chapter 26 Question 1 Type: MCSA The patient receives hydrochlorothiazide (Microzide). He tells the nurse he is urinating a lot and questions how this drug affects his blood pressure. What is the best response by the nurse? 1. "Hydrochlorothiazide (Microzide) enhances kidney function causing you to urinate more and that decreases your blood pressure." 2. "Hydrochlorothiazide (Microzide) decreases the fluid in your bloodstream and this lowers your blood pressure." 3. "Hydrochlorothiazide (Microzide) dilates your blood vessels so you urinate more and your blood pressure decreases." 4. "Hydrochlorothiazide (Microzide) increases your heart rate; this pumps blood faster to your kidneys so you urinate more and your blood pressure decreases." Correct Answer: 2 Rationale 1: Hydrochlorothiazide (Microzide) does not enhance kidney function. Rationale 2: Blood volume is one of the three factors influencing blood pressure. Diuretics like hydrochlorothiazide (Microzide) decrease blood pressure by decreasing total blood volume. Rationale 3: Hydrochlorothiazide (Microzide) does not dilate blood vessels. Rationale 4: Hydrochlorothiazide (Microzide) does not increase heart rate. Global Rationale: Blood volume is one of the three factors influencing blood pressure. Diuretics like hydrochlorothiazide (Microzide) decrease blood pressure by decreasing total blood volume. Hydrochlorothiazide (Microzide) does not increase heart rate. Hydrochlorothiazide (Microzide) does not dilate blood vessels. Hydrochlorothiazide (Microzide) does not enhance kidney function. Cognitive Level: Applying Client Need: Physiological Integrity Client Need Sub: Pharmacological and Parenteral Therapies QSEN Competencies: III.A.1 Demonstrate knowledge of basic scientific methods and processes. AACN Essentials Competencies: III.1 Explain the interrelationships among theory, practice, and research. NLN Competencies: Knowledge and Science: Integration of knowledge from nursing and other disciplines. Nursing/Integrated Concepts: Nursing Process: Implementation Learning Outcome: 26-6 Differentiate between drug classes used for the primary treatment of hypertension and the agents reserved for persistent hypertension.

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