Hypertension
Hypertension increases the risk for all of the following EXCEPT:
A. Coronary Artery Disease/MI
B. strokes/TIA
C. Diabetes
D. Incontinence
E. Visual Impairment
F. Kidney Failure
D. Incontinence
When providing discharge teaching for a patient about furosemide (Lasix), a loop diuretic, the nurse knows she should include all of the following information except:
A. Take this med in the AM to avoid sleep disturbance d/t the diuretic effects.
B. Change positions slowly in case of positional hypotension.
C. You will have decreased elimination of digoxin with concurrent use of this medication and higher likelihood of toxicity.
D. Wear a hat and sunscreen if outdoors because your skin will be extra sensitive to sunlight
E. This med could cause ototoxicity.
C. You will have decreased elimination of digoxin with concurrent use of this medication and higher likelihood of toxicity.
(LITHIUM!)
if loop and dig, can result in hypokalemia and higher likelihood of dysrhythmias
The GOOD cholesterol is the _______ (LDL/HDL) and the BAD cholesterol is the _______ (LDL/HDL).
HDL- H for HIGH you want it high it's good!
>60 desirable
LDL- L for LOW you want it low it's bad bc it has the most cholesterol!
<100 desirable
Most diagnosed cases of hypertension are classified as:
A. primary/idiopathic HTN
B. secondary/idiopathic HTN
C. tertiary/idiopathic HTN
D. secondary HTN
A. primary/idiopathic HTN
Your patient taking spironolactone (Aldactone) is at risk for which electrolyte imbalance:
A. hyponatremia
B. hypercalcemia
C. hypokalemia
D. hyperkalemia
D. hyperkalemia
When educating a patient about starting atorvastatin (Lipitor), the nurse knows the patient needs further education when the patient makes which statement:
A. "I might get a headache or have some muscle aches."
B. "I should take it this medication with breakfast."
C. "I will need to stop drinking grapefruit juice."
D. "If I develop dark urine and general fatigue I should call my HCP."
B. "I should take it this medication with breakfast."
Your 56-year-old African American client with stage 2 hypertension asks which medication she will be prescribed? As a nurse you know which two drug classes provide the best reduction in BP for this population?
A. K+ sparing diuretics & ARBs
B. Loop diuretics & Ace inhibitors
C. Thiazide diuretics & CCBs
D. Thiazide diuretics & Beta-Blockers
C. Thiazide diuretics & CCBs
A patient nurse receives receives an order for IV osmitrol (Mannitol). For which two patients is this order appropriate?
A. A patient with left sided heart failure and pulmonary edema.
B. A patient with increased intracranial pressure from a head injury.
C. A patient with right sided heart failure and significant ascites.
D. A patient with renal failure.
B. A patient with increased intracranial pressure from a head injury.
D. A patient with renal failure.
A patient taking gemfibrozil (Lopid), understands possible side effects when she reports that she will alert a HCP if she notices what signs/symptoms?
A. facial flushing and oliguria
B. unexplained bruising and abdominal bloating
C. dark urine and flank pain
D. unexplained bruising and excessive hypoglycemia
D. unexplained bruising and excessive hypoglycemia
A patient on an ACE inhibitor could potentially experience which side effects?
A. nephropathy & cough
B. cough, orthostatic hypotension & hyperkalemia
C. cough & angioedema
D. increased lithium levels & hyperkalemia
B. cough, orthostatic hypotension & hyperkalemia
What is gout? Which 2 classes of diuretics do we need to educate patients to be aware of the possibility of gout when taking?
-build up of uric acid crystals that deposits in the joints (pain, redness, swelling)
-Loop and Thiazide diuretics
Your patient taking cholestyramine (Questran) complains of alternating diarrhea/constipation and nausea. As the nurse you will know:
A. Notify the HCP immediately.
B. This indicates a serious adverse reaction to the medication and will alert the HCP.
C. Know these are common side effects to this class of medication. CTM.
C. Know these are common side effects to this class of medication.
The nurse knows a patient experiencing a hypertensive crisis could experience the following signs/symptoms: (SATA, 4 correct)
A. Oliguria
B. Angina
C. Incontinence
D. Retinal hemorrhage
E. SBP > 120 mmHg
F. Headache
A. Oliguria
B. Angina
D. Retinal hemorrhage
F. Headache
In general, what are the basic nursing responsibilities for taking care of a patient needs diuretics? What do we assess?
-BP, HR, I&O
-Daily weight
-Serum electrolytes (K+, glucose....)
-skin turgor
For which two patients would a prescription for gemfibrozil be inappropriate?
A. a patient with gall bladder disease
B. a patient with kidney disease
C. a patient with heart disease
D. a patient with late stage hepatitis
A. a patient with gall bladder disease
D. a patient with late stage hepatitis
Can cause gall stones and hepatotoxicity as adverse side effects!