LEHNE'S PHARMACOLOGY CH 46 QUESTIONS AND ANSWERS 2022

To protect against reflex tachycardia - The nurse is caring for a patient receiving hydralazine [Apresoline]. The healthcare provider prescribes propranolol [Inderal]. The nurse knows that a drug such as propranolol often is combined with hydralazine for what purpose? Blood pressure - Which assessment finding is most important for the nurse to obtain before administering hydralazine [Apresoline]? Fatigue Dizziness Headache - A patient is prescribed hydralazine [Apresoline] for the treatment of essential hypertension. Which expected adverse effects should the nurse discuss with the patient? Many vasodilators cause retention of sodium and water. - The nurse is caring for a patient receiving a nitroprusside [Nipride] intravenous infusion. The patient's wife asks why furosemide [Lasix] is being prescribed along with this drug. The nurse's response is based on which concept? "I will rise slowly when changing from a sitting to a standing position." - The nurse is teaching a patient who has just been prescribed a vasodilator. Which statement by the patient indicates that the teaching was effective? Obtain a baseline weight and weigh daily. Prepare for arterial line insertion. Cover the solution with an opaque bag. - A patient in a hypertensive crisis is being started on a continuous sodium nitroprusside [Nipride] infusion. What interventions are essential before the nurse administers nitroprusside [Nipride]? Sudden confusion - The nurse is caring for a patient who has been receiving intravenous sodium nitroprusside [Nitropress] for 3 days. Which assessement data indicate the patient may be experiencing thiocyanate toxicity? Adjust the intravenous infusion rate to the blood pressure response. - The patient is admitted for the management of a hypertensive emergency. The healthcare provider prescribes sodium nitroprusside [Nipride] drug therapy. What is the priority nursing action during this treatment? Severe hypertension - The nurse is preparing to administer minoxidil [Loniten] 5 mg orally. What is the only cardiovascular indication for this mediacation? Sodium nitroprusside [Nipride] - A patient with hypertensive emergency is admitted to the hospital. Which medication should the nurse be prepared to administer to this patient? True - (T/F) Hydralazine (Apresoline) reduces the work of the heart by reducing afterload False - (T/F) Hydralazine (Apresoline) lowers blood pressure by causing vasodilation and diuresis False - (T/F) An adverse effect of minoxidil is impairment in tissue perfusion True - (T/F) The effects of an IV infusion of nitroprusside end within minutes of stopping the infusion False - (T/F) Nitroglycerin is used to treat angina because it dilates arterioles in the heart, allowing more oxygen to get to heart muscle cells True - (T/F) Orthostatic hypotension is more likely to occur when a patient is receiving a drug that dilates veins than one that dilates arterioles False - (T/F) Reflex tachycardia only occurs with drugs that dilate both arterioles and veins True - (T/F) Drugs with the suffix -lol are used to slwo the heart when reflex tachycardia occurs True - (T/F) When a patient is receiving nitroprusside, the nurse would report a thiocyanate level greater than 0.1 mg/mL Pulse 120 beats/min - Which would be a priority to report to the prescriber of hydralazine (Apresoline)? Furosemide - Which drug is commonly prescribed for patients with heart failure when prescribed hydralazine because of the adverse effect of sodium retention? Shortness of breath - When caring for a patient who is prescribed minoxidil, it is most important for the nurse to assess for what?