If a hypertensive client with asthma takes the maximal dose of his diuretic and his blood pressure still isn't controlled, the nurse understands the next step in controlling his hypertension would be to:

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ANCC Cardiovascular Certification Practice Questions Questions

Question 1 of 5

If a hypertensive client with asthma takes the maximal dose of his diuretic and his blood pressure still isn't controlled, the nurse understands the next step in controlling his hypertension would be to:

Correct Answer: A

Rationale: Step 1: Enalapril is an ACE inhibitor that helps lower blood pressure by blocking the production of angiotensin II, a potent vasoconstrictor. Step 2: Adding enalapril would be the appropriate next step as it provides an additional mechanism of action to control hypertension. Step 3: Changing to a beta blocker (B) or adding another diuretic (C) may not address the underlying cause of the uncontrolled hypertension. Step 4: Increasing the drug dosage above recommended levels (D) can lead to adverse effects without necessarily improving blood pressure control.

Question 2 of 5

To prevent arterial trauma during the use of the IABP, the nurse should

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

A patient with atrial fibrillation is ambulating in the hallway on the coronary step-down unit and suddenly tells you, 'I feel really dizzy.' Which action should you take first?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A client is scheduled for an MRI. What questions will you need to ask the client to make sure they are a candidate for this type of procedure? How will you prepare the client for this diagnostic test? What medications may you need to administer?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

What organism causes endocarditis in 55% of cases?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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