Hypertension Medications
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Hypertension medications presented by Stella.
- 1.Mr. Patterson is on Hydrocholorthiazide for his hypertension. You know Mr. Patterson understands the medication when he says:
- A.
His K may increase and needs to watch for signs.
- B.
He needs to contact the Doctor if he gets any flank pain.
- C.
He may have taste disturbance
- D.
He may develop a dry cough.
- 2.This hypertension drug is the first choice for diabetic and renal failure pts.
- A.
K sparing diuretics
- B.
ACE inhibitors
- C.
Loop diuretics
- D.
Calcium channel blockers
- 3.Lasix is usually the first choice of hypertensive medication. What do lasix pt's need to be concerned about?
- A.
Hypokalemeia
- B.
Hyperkalemia
- C.
Hyponatremeia
- D.
Hypernatremia
- 4.Glenn comes into the ED with olguria. Upon his assessment he says that he is on an antihypertensive. Glenn was outside in the hot sun working in his garden when he became dizzy. His wife found him soaked in sweat. What could have caused Glenn's problem?
- A.
ACE inhibitor
- B.
Calcium Channel Blocker
- C.
K sparing diruretic
- D.
Loop Diuretic
- 5.Aldactone can cause which of the following side effects?
- A.
Hypokalemia
- B.
Hypercalcemia
- C.
Hyperkalemia
- D.
Hyperphosphemia
- 6.K sparing diuretic has been prescribed to Lisa. She has been feeling week, tired, and has numbness. Lisa has been eating extra bananas to increase he K because she knows that K sparing diuretics shed K in urine. The nurse responds by saying:
- A.
Lisa will need to go on a K supplement.
- B.
Lisa has become hyperkalemic and needs reeducation on her medication.
- C.
Lisa is only showing 3 of the 5 indicators for hyperkalemia, so she needs to continue her medication.
- D.
Lisa needs to be put on a different hypertensive because she is complaining too much.
- 7.Perry is going on lisinopril. When he asks how it works, the nurse would answer:
- A.
It releases Ca and HCO3 while holding onto K.
- B.
It blocks the angiotensin I from turning into angiotensin II, leaving the vessels dilated for better blood flow.
- C.
It blocks the reabsorbtion of Na.
- D.
Blocks stimulation of beta .
- 8.Cindy is taking a hypertensive. She has been complaining of feeling light headed and dizzy when she stands up. She has not been tasting food correctly and her UA came back with proteinuria. Further testing showed she has angioedema. What could be causing Cindy's problem?
- A.
Lasix
- B.
Aldactone
- C.
Prinivil
- D.
Lostran
- 9.Steven is taking a anti hypertensive. He takes ibuprofen for knee pain as well. Which ant hypertensive medication should Steven have further education on?
- A.
Losartan
- B.
Zestril
- C.
Atenolol
- D.
Norvasc
- 10.This anti hypertensive medication inactivates bradykin.
- A.
Lasix
- B.
Aldactone
- C.
Lisinopril
- D.
Prazosin
- 11.ARB's are a good alternative to ACE inhibitors but carries this extra caution:
- A.
Decrease in K
- B.
Increase bradykin
- C.
Has the same side effects as ACE inhibitors
- D.
Renal Failure
- 12.Cozaar has been prescribed to Mary. When marry asks about complications from Cozaar, the nurse would respond:
- A.
There are no common side effects.
- B.
It is possible to have angioedema
- C.
It is possible for renal failure.
- D.
It's less likely to increase K
- E.
All the above
- 13.Luke is an otherwise healthy man who is hypertensive. When the doctor suggests that Luke take Atenolol, he because concerned. The nurse listens to the concerns and finds Luke needs extra education on the medication when he states:
- A.
It may cause impotence.
- B.
I could have CHF.
- C.
I hate headaches.
- D.
I don't want dry mouth.
- 14.The nurse sees that their patient is on a beta blocker. What does the nurse do to show an understanding of beta blockers and assessment?
- A.
Checks pupil dilation
- B.
Checks apical pulse
- C.
Check labs for K wasting
- D.
Check for peripheral edema
- 15.Nick unerstands his Atenolol and how it works when he states:
- A.
It keeps norephinephrine from stimulating the muscle walls of the small arteries and veins.
- B.
It blocks beta 1 and causes vasodilation and decreases HR.
- C.
It helps maintain renal function.
- D.
Increases excretion of H2O and Na.
- 16.Norvasc is a:
- A.
Loop diuretic
- B.
Beta Blocker
- C.
ACE inhibitor
- D.
Calcium Channel Blocker
- 17.Peggy is switching from lisinopril to norvasc. She understands her new medication when she states:
- A.
I may have headaches
- B.
It causes vadodilation and decreases SVR and lowers B/P
- C.
It may cause edema peripherally
- D.
All the above
- 18.When taking Atenolol, the nurse knows to hold the medication if:
- A.
HR
- B.
Dry Coughing
- C.
Pt becomes hypotensive
- D.
If K levels increase
- 19.Prazosin carries which of the side effects?
- A.
Dry mouth
- B.
Increased K
- C.
Orthostatic BP w/first dose
- D.
Palpitations
- 20.Alpha blockers work by keeping the hormone _________ from simulating the muscle walls of the small arteries/veins.
- A.
Ephinephrine
- B.
Angiotensin 1
- C.
Norepinephrine
- D.
PTH
- 21.Nicole has been taking a central alpha2-agonist. She was doing very well on it and has now ended up in the ED. She reports that she was doing so well that she stopped taking her medication because she felt fine and couldn't afford her medication since being laid off. What could be the reason for Nicole's reaction?
- A.
Over abundance of K in her system
- B.
Orthostatic BP problems
- C.
Drug Induced lupus syndrome
- D.
Withdrawl phenomenon
- 22.Carapres works by:
- A.
Increasing parasympathetic response
- B.
Keeps the hormone norepinephrine from stimulating the muscle walls of the small arteries/veins.
- C.
Decreases sympathetic response
- D.
Directly inhibits renin.
- 23.Hydralazine works on hypertension by:
- A.
Decreases sympathetic response
- B.
Peripheral vasodilation
- C.
Directly inhibits renin
- D.
Blocks Ca from stimulating muscle walls
- 24.Direct vasodilators work by peripheral vasodilation. However, the nurse needs to educate their pt by including which of these side effects in their pt education?
- A.
Increases HR
- B.
Na retention
- C.
Drug induced lupus syndrome
- D.
All the above
- E.
None of the above
- 25.Of all the hypertensive medications on the market, which is the newest?
- A.
Apresoline
- B.
Clonidine
- C.
Tekturna
- D.
Praosin
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