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. Concurrent use with digoxin will decrease the elimination of digoxin
D. Wear a hat and sunscreen if outdoors because your skin will be extra sensitive to sunlight
E. Check your weight daily
C.
would be elimination of Lithium that decreases
if loop and dig, can result in hypokalemia and higher likelihood of dysrhythmias & dig toxicity
The GOOD cholesterol is the _______ (LDL/HDL) and the BAD cholesterol is the _______ (LDL/HDL).
HDL- H for HIGH/HEALTHY 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 renal failure.
B. A patient with increased intracranial pressure from a head injury.
C. A patient with renal failure.
Fibric acid agents such as gemfibrozil (Lopid) do which of the following?
A. lower VLDL & increase HDL
B. just lower LDL
C. lower HDL and increase LDL
D. just increase HDL
-have little effect on LDL cholesterol
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
Which type of diuretic is known for it's side effect of photosensitivity?
A. loop
B. potassium-sparing
C. osmotic
D. thiazide
D. thiazide
*big nursing responsibility - avoid direct sunlight bc patients are usually photosensitive within the first 10-14 days of taking it
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.
Upon assessing patient RW, the nurse notes a DBP >120 in addition to chest pain and SOB. The nurse alerts the provider who determines the patient is having a hypertensive crisis and needs a rapid decrease in BP. Which medication would the nurse expect to see ordered for a patient in this situation?
A. nitroprusside sodium IV
B. lasix
C. niacin
D. warfarin
A
In general, what are some main assessments for patients taking any type of diuretic? (select all that apply)
A. blood pressure
B. daily weight
C. temperature
D. I&O
E. serum electrolytes
ABDE - BP, weight, I&O, electrolytes
Because of the intense flushing that usually comes with administration of Niacin, what could you teach the patient as a means to reduce the flushing symptoms?
A. avoid aspirin
B. take one tablet of aspirin 30 minutes before dose
C. take with a meal
D. take other medications 1 hour before or 4 hours after the niacin is taken
B