Blood Pressure Exam with Complete
Solutions
A client has been prescribed ramipril 5 mg PO daily with the scheduled
dose due at 08:00. After reviewing the client's most recent blood work, the
nurse should consider withholding the dose because of what laboratory
finding? - 🧠 ANSWER ✔✔elevated potassium levels
A client who is taking an ACE inhibitor informs the nurse that she is
considering having a child. What information should the nurse provide to
the client related to this new information? - 🧠 ANSWER ✔✔ACE inhibitors
are contraindicated during pregnancy because they are teratogenic.
,A client has not responded normally to rescue inhaler therapy. When
subcutaneous epinephrine is prescribed, the nurse should anticipate what
reaction to occur? - 🧠 ANSWER ✔✔Instant bronchodilation
A client is receiving fosinopril. Which adverse effect would the nurse
caution the client about to help to promote compliance? - 🧠 ANSWER
✔✔Cough
A nurse is providing care to a client diagnosed with stage 2 hypertension.
The nurse understands that most clients with stage 2 hypertension will
require how many antihypertensives to lower blood pressure to goal
initially? - 🧠 ANSWER ✔✔2
The female client states that her father has had high blood pressure all of
his life and he is healthy. She does not understand why the care provider
has prescribed medication for her blood pressure. What is the nurse's best
response? - 🧠 ANSWER ✔✔"With high blood pressure, blood vessels may
be damaged and that can cause heart and kidney disease."
A client, newly diagnosed with hypertension is started on captopril, an ACE
inhibitor. The client should be informed of the possibility of what adverse
effect? - 🧠 ANSWER ✔✔Persistent cough
, When describing the adverse effects associated with ACE inhibitors, which
would the nurse include? (Select all that apply.) - 🧠 ANSWER
✔✔Constipation
Proteinuria
Photosensitivity
Cough
When preparing a plan of care for a client in hypovolemic shock, which
partial nursing diagnosis might be relevant to the patient's condition? - 🧠
ANSWER ✔✔Ineffective Tissue Perfusion
A client develops primary hypertension and asks the nurse, "How long will I
need to receive therapy?" The nurse responds based on the understanding
that therapy would be required for how long? - 🧠 ANSWER ✔✔Lifelong
A 48-year-old client with a blood pressure of 198/112 mm Hg reports
severe headache and drowsiness. The nurse notes that the client is
disoriented and has begun to vomit. What is the primary nursing goal for
this client experiencing a hypertensive emergency? - 🧠 ANSWER
✔✔Implement interventions to lower blood pressure.
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