Cardiovascular Drugs Pharm Test Bank
(Antihypertensives, Antianginal, Heart
Failure, Dysrhythmics, Coagulation
Modifier Drugs) Newest Version
A patient has a new order for the adrenergic drug doxazosin (Cardura). When
providing education about this drug, the nurse will include which instructions? -
Answer--Be sure to lie down after taking the first dose, because the first-dose
hypotension may make you dizzy.
A patient with severe liver disease is receiving the angiotensin-converting enzyme
(ACE) inhibitor, captopril (Capoten). The nurse is aware that the advantage of this
drug for this patient is which characteristic? - Answer--Captopril is not a prodrug and
does not need to be metabolized by the liver before becoming active.
During a follow-up visit, the health care provider examines the fundus of the patient's
eye. Afterward, the patient asks the nurse, "Why is he looking at my eyes when I
have high blood pressure? It does not make sense to me!" What is the best
response by the nurse? - Answer--The provider is making sure the treatment if
effective over the long term.
The nurse is preparing for a community education program on hypertension. Which
of these parameters determine the regulation of arterial blood pressure? -
Answer--Cardiac output and systemic vascular resistance.
When counseling a male patient about the possible adverse effects of
antihypertensive drugs, the nurse will discuss which potential problem? -
Answer--Impotence
The nurse is reviewing drug therapy for hypertension. According to the JNC-8
guidelines, antihypertensive drug therapy for a newly diagnosed hypertensive
African-American patient would most likely include which drug or drug classes? -
Answer--Calcium channel blockers with thiazide diuretics
The nurse is creating a plan of care for a patient with a new diagnosis of
hypertension. Which is a potential nursing diagnosis for the patient taking
antihypertensive medications? - Answer--Sexual dysfunction
, A patient's blood pressure elevates to 270/150 mm Hg, and a hypertensive
emergency is obvious. He is transferred to the intensive care unit and started on a
sodium nitroprusside (Nipride) drip to be titrated per his response. With this
medication, the nurse knows that the maximum dose of this drug should be infused
for how long? - Answer--10 minutes
A patient with primary hypertension is prescribed drug therapy for the first time. The
patient asks how long drug therapy will be needed. Which answer by the nurse is the
correct response? - Answer--Therapy for high blood pressure is usually lifelong.
A patient who has been taking antihypertensive drugs for a few months complains of
having a persistent dry cough. The nurse knows that this cough is an adverse effect
of which class of antihypertensive drugs? - Answer--Angiotensin-Converting Enzyme
Inhibitors
A patient with type 2 diabetes mellitus has been found to have trace proteinuria. The
prescriber writes an order for an angiotensin-converting enzyme (ACE) inhibitor.
What is the main reason for prescribing this class of drug for this patient? -
Answer--Renal protective effects
The nurse is reviewing the orders for a patient and notes a new order for an
angiotensin-converting enzyme (ACE) inhibitor. The nurse checks the current
medication orders, knowing that this drug class may have a serious interaction with
what other drug class? - Answer--Nonsteroidal Anti-inflammatory Drugs
An older adult patient will be taking a vasodilator for hypertension. Which adverse
effect is of most concern for the older adult patient taking this class of drug? -
Answer--Hypotension
When teaching a patient about antihypertensive drug therapy, which statements by
the nurse are correct? (Select all that apply.) - Answer--a. You need to have your
blood pressure checked once a week and keep track of the readings.
c. An exercise program may be helpful in treating hypertension, but let's check with
your doctor first.
f. Please continue taking the medication, even if you are feeling better.
When the nurse is administering topical nitroglycerin ointment, which technique is
correct? - Answer--Remove the old ointment before the new ointment is applied.
The nurse is giving intravenous nitroglycerin to a patient who has just been admitted
because of an acute myocardial infarction. Which statement is true regarding the
administration of the intravenous form of this medication? -
Answer--Non-polyvinylchloride (non-PVC) plastic IV bags and tubing must be used.
(Antihypertensives, Antianginal, Heart
Failure, Dysrhythmics, Coagulation
Modifier Drugs) Newest Version
A patient has a new order for the adrenergic drug doxazosin (Cardura). When
providing education about this drug, the nurse will include which instructions? -
Answer--Be sure to lie down after taking the first dose, because the first-dose
hypotension may make you dizzy.
A patient with severe liver disease is receiving the angiotensin-converting enzyme
(ACE) inhibitor, captopril (Capoten). The nurse is aware that the advantage of this
drug for this patient is which characteristic? - Answer--Captopril is not a prodrug and
does not need to be metabolized by the liver before becoming active.
During a follow-up visit, the health care provider examines the fundus of the patient's
eye. Afterward, the patient asks the nurse, "Why is he looking at my eyes when I
have high blood pressure? It does not make sense to me!" What is the best
response by the nurse? - Answer--The provider is making sure the treatment if
effective over the long term.
The nurse is preparing for a community education program on hypertension. Which
of these parameters determine the regulation of arterial blood pressure? -
Answer--Cardiac output and systemic vascular resistance.
When counseling a male patient about the possible adverse effects of
antihypertensive drugs, the nurse will discuss which potential problem? -
Answer--Impotence
The nurse is reviewing drug therapy for hypertension. According to the JNC-8
guidelines, antihypertensive drug therapy for a newly diagnosed hypertensive
African-American patient would most likely include which drug or drug classes? -
Answer--Calcium channel blockers with thiazide diuretics
The nurse is creating a plan of care for a patient with a new diagnosis of
hypertension. Which is a potential nursing diagnosis for the patient taking
antihypertensive medications? - Answer--Sexual dysfunction
, A patient's blood pressure elevates to 270/150 mm Hg, and a hypertensive
emergency is obvious. He is transferred to the intensive care unit and started on a
sodium nitroprusside (Nipride) drip to be titrated per his response. With this
medication, the nurse knows that the maximum dose of this drug should be infused
for how long? - Answer--10 minutes
A patient with primary hypertension is prescribed drug therapy for the first time. The
patient asks how long drug therapy will be needed. Which answer by the nurse is the
correct response? - Answer--Therapy for high blood pressure is usually lifelong.
A patient who has been taking antihypertensive drugs for a few months complains of
having a persistent dry cough. The nurse knows that this cough is an adverse effect
of which class of antihypertensive drugs? - Answer--Angiotensin-Converting Enzyme
Inhibitors
A patient with type 2 diabetes mellitus has been found to have trace proteinuria. The
prescriber writes an order for an angiotensin-converting enzyme (ACE) inhibitor.
What is the main reason for prescribing this class of drug for this patient? -
Answer--Renal protective effects
The nurse is reviewing the orders for a patient and notes a new order for an
angiotensin-converting enzyme (ACE) inhibitor. The nurse checks the current
medication orders, knowing that this drug class may have a serious interaction with
what other drug class? - Answer--Nonsteroidal Anti-inflammatory Drugs
An older adult patient will be taking a vasodilator for hypertension. Which adverse
effect is of most concern for the older adult patient taking this class of drug? -
Answer--Hypotension
When teaching a patient about antihypertensive drug therapy, which statements by
the nurse are correct? (Select all that apply.) - Answer--a. You need to have your
blood pressure checked once a week and keep track of the readings.
c. An exercise program may be helpful in treating hypertension, but let's check with
your doctor first.
f. Please continue taking the medication, even if you are feeling better.
When the nurse is administering topical nitroglycerin ointment, which technique is
correct? - Answer--Remove the old ointment before the new ointment is applied.
The nurse is giving intravenous nitroglycerin to a patient who has just been admitted
because of an acute myocardial infarction. Which statement is true regarding the
administration of the intravenous form of this medication? -
Answer--Non-polyvinylchloride (non-PVC) plastic IV bags and tubing must be used.
