Medical Surgical Nursing II (NURS223) Exam 3 Questions & Answers

Medical Surgical Nursing II (NURS223) Exam 3 Questions & Answers-Which medication is most likely to cause constipation? - Diltiazem OR Verapamil The nurse is teaching a patient with essential hypertension who has a new prescription for verapamil. Which statement by the patient indicates that teaching was effective? - I will increase my intake of fluid and foods high in fiber- TO PREVENT CONSTIPATION I will call my healthcare provider if I notice swelling in my ankles- SIDE EFFECT OF VERAPAMIL IS EDEMA Verapamil has been administered to a patient.The nurse should closely monitor for which adverse effect - Dizziness Headache Ankle edema Heart block The nurse is teaching a patient about the reason for the administration of calcium channel blockers. Which info should be included in the teaching plan? - This medication will enlarge the blood vessels to lower your blood pressure The nurse is preparing to administer amlodipine. Which assessment finding would require immediate action? - Blood pressure of 80/60mmHg- ALREADY HYPOTENSIVE Patient is taking verapamil. Which instruction should the nurse give the patient to help prevent a common adverse effect of this drug? - Increase fluid & fiber- PREVENT CONSTIPATION A patient with a hypertensive emergency is admitted to the hospital. Which medication should the nurse be prepared to administer to this patient? - Sodium nitroprusside- has immediate effect and its the drug of choice in hypertensive emergencies Nurse is caring for a patient receiving vasodilators. Which instruction should the nurse give the patients to combat a common adverse effect? - Rise slowly from a sitting to standing position - Common adverse effect is orthostatic hypotension Which assessment finding is most important for the nurse to obtain before administering hydralazine? - Blood pressure Nurse is caring for a patient receiving hydralazine. The healthcare provider prescribes propranolol. Drug such as propranolol is often combined with hydralazine for which purpose? - To prevent against reflex tachycardia Hydralazine is vasodilator that lowers BP, but can trigger reflex tachycardia. Beta blockers, like propranolol, often added to regimen to normalize heart rate Patient receiving nitroprusside intravenous infusion. Patient's wife asks why furosemide is being prescribed along with this drug. Nurse's response based on which concept? - Many vasodilators cause retention of sodium & water