“PHARMACOLOGY ANTIHYPERTENSIVE
DRUGS EXAM ”LATEST EXAM SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
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Pharmacology and the Nursing Process: Chapter 22: Antihypertensive Drugs
1. The nurse is administering antihypertensive drugs to older adult patients.
The nurse knows that which adverse effect is of most concern for these
patients?
a. Dry mouth
b. Hypotension
c. Restlessness
d. Constipation
b. Hypotension
2. When giving antihypertensive drugs, the nurse will consider giving the first
dose at bedtime for which class of drugs?
a. Alpha blockers such as doxazosin (Cardura)
b. Diuretics such as furosemide (Lasix)
c. ACE inhibitors such as captopril (Capoten)
d. Vasodilators such as hydralazine (Apresoline)
a. Alpha blockers such as doxazosin (Cardura)
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3. A 46-year-old man started antihypertensive drug therapy 3 months earlier
and is in the office for a follow-up visit. While the nurse is taking his blood
pressure, he informs the nurse that he has had some problems with sexual
intercourse. Which is the most appropriate response by the nurse?
a. "Not to worry. Eventually, tolerance will develop."
b. "The physician can work with you on changing the dose and/or drugs."
c. "Sexual dysfunction happens with this therapy, and you will learn to accept
it."
d. "This is an unusual occurrence, but it is important to stay on your
medications."
b. "The physician can work with you on changing the dose and/or drugs."
4. When a patient is being taught about the potential adverse effects of an ACE
inhibitor, which of these effects should the nurse mention as possibly
occurring when this drug is taken to treat hypertension?
a. Diarrhea
b. Nausea
c. Dry, nonproductive cough
d. Sedation
c. Dry, nonproductive cough
5. A patient has a new prescription for an ACE inhibitor. During a review of the
patient's list of current medications, which would cause concern for a possible
interaction with this new prescription? (Select all that apply.)
a. A benzodiazepine taken as needed for allergies
b. A potassium supplement taken daily
c. An oral anticoagulant taken daily
d. An opioid used for occasional severe pain
b. A potassium supplement taken daily
7. The nurse is assessing a patient who will be starting antihypertensive
therapy with an ACE inhibitor. Which condition, if present in the patient, would
be a reason for cautious use?
a. Asthma
b. Rheumatoid arthritis
c. Hyperthyroidism
d. Renal insufficiency
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d. Renal insufficiency
The nurse is assessing the patient's knowledge regarding drug therapy
prescribed for the treatment of hypertension. Which statement by the patient
indicates the need for further teaching by the nurse?
"I will wear a medical alert bracelet."
"I will move slowly from a sitting to standing position."
"Blood pressure drugs can cause changes in sexual functioning."
"When my blood pressure is over 140/90, I will take my medication."
"When my blood pressure is over 140/90, I will take my medication."
Patients must adhere to prescribed antihypertensive regimen to prevent end-organ
damage. Many patients do not adhere to this regimen because hypertension itself
does not cause symptoms, but the medication may produce unwanted adverse
effects. Patient teaching is essential.
The nurse understands a patient who is treated for hypertension may be
switched to an angiotensin receptor blocker (ARB) because of which
angiotensin-converting enzyme (ACE) inhibitor adverse effect?
Fatigue
Hypokalemia
Orthostatic hypotension
Dry, nonproductive cough
Dry, nonproductive cough
ACE inhibitors block the breakdown of bradykinins and may cause a dry,
nonproductive cough. ARBs do not block this breakdown, thus minimizing this
adverse effect. ACE inhibitors and ARBs are equally effective for the treatment of
hypertension, but ARBs do not cause cough.
Which medication should the nurse question if prescribed together with ACE
inhibitors?
Furosemide (Lasix)
Morphine
Docusate sodium (Colace)
Potassium chloride (K-Dur)
Potassium chloride (K-Dur)
ACE inhibitors block the conversion of angiotensin I to angiotensin II, thus also
blocking the stimulus for aldosterone production. Aldosterone is responsible for