ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 22 : Antihypertensive Drugs Questions
Question 1 of 5
A patient with severe liver disease is receiving the angiotensin-converting enzyme (ACE) inhibitor, captopril. The nurse is aware that the advantage of this drug for this patient is which characteristic?
Correct Answer: D
Rationale: A prodrug relies on a functioning liver to be converted to its active form. Captopril is not a prodrug, and therefore it would be safer for the patient with liver dysfunction.
Question 2 of 5
During a follow-up visit, the health care provider examines the fundus of the patient's eye. Afterward, the patient asks the nurse, -Why is he looking at my eyes when I have high blood pressure? It does not make sense to me! What is the best response by the nurse?
Correct Answer: D
Rationale: The physician would examine the fundus of a patient's eyes during antihypertensive therapy because it is a more reliable indicator than blood pressure readings of the long-term effectiveness of treatment.
Question 3 of 5
The nurse is preparing for a community education program on hypertension. Which of these parameters determine the regulation of arterial blood pressure?
Correct Answer: A
Rationale: Blood pressure is determined by the product of cardiac output and systemic vascular resistance. The other options are incorrect.
Question 4 of 5
When counseling a male patient about the possible adverse effects of antihypertensive drugs, the nurse will discuss which potential problem?
Correct Answer: A
Rationale: Sexual dysfunction is a common complication of antihypertensive medications and may be manifested in men as decreased libido or impotence. The other options are incorrect.
Question 5 of 5
The nurse is reviewing drug therapy for hypertension. According to the JNC-8 guidelines, antihypertensive drug therapy for a newly diagnosed hypertensive black patient would most likely include which drug or drug classes?
Correct Answer: C
Rationale: According to the JNC-8 guidelines, calcium channel blockers and thiazide diuretics are recommended as first-line therapy for management of hypertension in black patients. The other drugs are not recommended as first-line drugs for this group.