NR 293 Pharmacology Quiz 3 4 5 Antihypertensives ch 22

1. A 46-year-old man has been taking clonidine for 5 months. For the past 2 months, his blood pressure has been normal. During this office visit, he tells the nurse that he would like to stop taking the drug. What is the nurse’s best response?
2. When administering angiotensin-converting enzyme (ACE) inhibitors, the nurse keeps in mind that which are possible adverse effects? (Select all that apply.)
3.  A patient is being treated for a hypertensive emer-gency. The nurse expects which drug to be used?
4. A beta1 blocker is prescribed for a patient with heart failure and hypertension. Which adverse effects, if present, may indicate a serious problem is develop-ing while the patient is taking this medication? (Select all that apply.)
5. Which finding in the patent taking Lisinopril would be an indication to discontinue the drug immediately and avoid taking it in the future?
6. , The nurse is administering antihypertensive drugs to older adult patients. The nurse knows that which adverse effect is of most concern for these patients?
7. When giving antihypertensive drugs, the nurse will con-sider giving the first dose at bedtime for which class of drugs?
8. A patient with diabetes develops hypertension. The nurse will anticipate administering which type of medication to treat hypertension in this patient?

9 When counseling a male patient about the possible adverse effects of antihypertensive drugs, the nurse will discuss which potential problem?

10. 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?
11. 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?

12 A patient who has been taking antihypertensive drugs for a few months states that a new, persistent dry cough is very bothersome. The nurse knows that this cough is an adverse effect of which class of antihypertensive drugs?

Chapter 23 Antianginal

13 What is the purpose of antianginal drug therapy?

14. The nurse will teach a patient who will be taking nitroglycerin about which common adverse effect of this drug?

15For a patient using transdermal nitroglycerin patches, the nurse knows that the prescriber will order which procedure for preventing tolerance?

16 Which of the following describes the rationale for the administration of nitroglycerin by the sublingual route?

17. During his morning walk, a man begins to experience chest pain. He sits down and takes one nitroglycerin sublingual tablet. After 5 minutes, the chest pain is worsening. What action would be the priority in this situation?

Ch. 24 Heart failure

18. As part of treatment for early heart failure, a patient is started on an angiotensin- converting enzyme (ACE) inhibitor. The nurse will monitor the patient’s laboratory work for which potential effect?
19. When caring for a patient who is taking digoxin, the nurse will monitor for which signs and symptoms of toxicity? (Select all that apply.)
20. The nurse would identify the most serious side effect of milrinone as
21. The nurse will instruct a patient taking desmopressin acetate as a nasal spray for the treatment of diabetes insipidus to perform which action to obtain maxi-mum benefit from the drug?
22. During vasopressin therapy, which is the priority nursing action?
23. a. Check blood glucose levels regularly
24. When monitoring for the therapeutic effects of intranasal desmopressin (DDAVP) in a patient who has diabetes insipidus, which assessment finding will the nurse look for as an indication that the medication therapy is successful?
25. A patient who is beginning therapy with levothyroxine asks the nurse when the medication will start working. What is the nurse’s best answer?
26. A patient wants to switch brands of levothyroxine. What is the nurse’s best response?
27. Patient teaching for a patient taking antithyroid medication will include the need to avoid which foods?

27 Which information needs to be included in the nurse’s teaching of patients taking thyroid medications? (Select all that apply.)

28. A patient is scheduled for a radioactive isotope study. The scheduling nurse notes that he takes levothyroxine daily. Which medication order needs to be made before the radioactive isotope study is scheduled?
29. A patient who is beginning therapy with propylthiouracil (PTU) asks the nurse when the medication will start working. What is the nurse’s best answer?

Antidiabetic Drug chapter 32

30. When administering insulin, the nurse must keep in mind that which is the most immediate and serious adverse effect of insulin therapy?
31. A dose of long-acting insulin has been ordered for bedtime for a patient with diabetes. The nurse expects to give which type of insulin?

32When monitoring a patient who is taking corticosteroids, the nurse observes for which adverse effects? (Select all that apply.)

33. A 50-year-old man has been taking prednisone as part of treatment for bronchitis. He notices that the dosage of the medication decreases. During a follow-up office visit, he asks the nurse why he must continue the medication and why he cannot just stop taking it now that he feels better. What is the rationale behind the tapering dosages?
34. The nurse is reviewing the use of oral glucocorticoids. Which of these is the preferred oral gluco-corticoid for anti-inflammatory or immunosuppressant purposes?

35. A patient has Cushing’s syndrome. The nurse expects which drug to be used to inhibit the function of the adrenal cortex in the treatment of this syndrome?

d. Fludrocortisone

36. Because corticosteroids may cause sodium retention, the nurse will closely monitor patients with which condition when administering corticosteroids?
37. The nurse would recognize which potential side effect of glucocorticoid therapy in young children?
38. To assist in counteracting the adverse effects of glucocorticoid therapy, the nurse would encourage the patient to increase levels of which nutrient in the diet?
39. . Peter has developed a severe skin rash after a camping trip. The health care provider is planning to prescribe prednisone (Deltasone). The nursing assessment reveals that Peter has type 1 diabetes. a. Does that finding affect Peter’s treatment? Explain your answer. b. To help minimize gastrointestinal effects, what advice will the nurse have for someone taking an oral form of a systemic glucocorticoid?

40. After undergoing a thyroidectomy as treatment for a thyroid tumor that turned out to be benign, Rebecca is given a prescription for levothyroxine. “I thought I would be cured after this surgery!” she exclaimed. “Why do I have to take a pill every day?” What will the nurse explain to Rebecca?