A patient with a history of hypertension treated with a diuretic and an angiotensin-converting enzyme(ACE) inhibitor arrives in the emergency department complaining of a severe headache and nausea and has a blood pressure(BP) of 238/118 mm Hg. Which question should the nurse ask first?

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Cardiovascular NCLEX Questions with Rationale Questions

Question 1 of 4

A patient with a history of hypertension treated with a diuretic and an angiotensin-converting enzyme(ACE) inhibitor arrives in the emergency department complaining of a severe headache and nausea and has a blood pressure(BP) of 238/118 mm Hg. Which question should the nurse ask first?

Correct Answer: B

Rationale: Sudden withdrawal of antihypertensive medications can cause rebound hypertension and hypertensive crisis. Although many over-the-counter medications can cause hypertension, antihistamines and acetaminophen do not increase BP. Stressful events will increase BP but not usually to the level seen in this patient.

Question 2 of 4

A patient's recently elevated BP has prompted the primary care provider to prescribe furosemide (Lasix). The nurse should closely monitor which of the following?

Correct Answer: D

Rationale: Loop diuretics can cause potassium depletion. They do not normally affect level of consciousness, erythrocytes, or oxygen saturation.

Question 3 of 4

Regarding arrhythmias, which is TRUE?

Correct Answer: C

Rationale: In atrial fibrillation, the atria beat rapidly and irregularly, leading to variable ventricular response rates.

Question 4 of 4

Regarding treatment of hypertension of a 53 years-old woman already prescribed ramipril 10 mg daily but has a blood pressure of 150/95 mmHg, which ONE of the following prescriptions is TRUE

Correct Answer: D

Rationale: Ramipril 10 mg is the maximum dose. If BP remains uncontrolled, adding a calcium channel blocker like amlodipine is recommended as per guidelines (e.g., NICE), making D the correct choice.

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