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Chapter 22: Antihypertensive Drugs 128 Test Bank for Pharmacology and the Nursing Process 9th Edition Authors: Linda Lilley, Shelly Collins, Julie Snyder | Complete Guide A+ patient is which characteristic? a. CapTOPICril rarely causes first-dose hypotensive effects. b. CapTOPICril has little effect on electrolyte levels. c. CapTOPICril is a prodrug and is metabolized by the liver before becoming active. d. CapTOPICril is not a prodrug and does not need to be metabolized by the liver before becoming active. CORRECT ANSWER: D A prodrug relies on a functioning liver to be converted to its active form. CapTOPICril is not a prodrug, and therefore it would be safer for the patient with liver dysfunction. DIF: COGNITIVE LEVEL: Applying (Application) TOPIC: NURSING PROCESS: Assessment MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 3. During a follow- up visit, the health care provider examines the fundus of the patient‘s eye. Afterw ard, the patient a sks the nurse, ― Why is he looking at my eye s wh en I have high blood pressure? It does not make sense to me!‖ What is the best response by the nurse? a. ― We need to monitor for drug toxicity. ‖ b. ― We must wa tch for increa se d intraocular pressure .‖ c. ― The provider is assessi ng for visual change s that may occur with drug therapy. ‖ d. ― The provider i s making sur e the treatment i s effective over the long term. ‖ CORRECT ANSWER: D

Chapter 22: Antihypertensive Drugs 129 Test Bank for Pharmacology and the Nursing Process 9th Edition Authors: Linda Lilley, Shelly Collins, Julie Snyder | Complete Guide A+ 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. DIF: COGNITIVE LEVEL: Applying (Application) TOPIC: NURSING PROCESS: Evaluation MSC: NCLEX: Physiological Integrity: Physiological Adaptation 4. The nurse is preparing for a community education program on hypertension. Which of these parameters determine the regulation of arterial blood pressure? a. Cardiac output and systemic vascular resistance b. Heart rate and peripheral resistance c. Blood volume and renal blood flow d. Myocardial contractility and arteriolar constriction CORRECT ANSWER: A Blood pressure is determined by the product of cardiac output and systemic vascular resistance. The other options are incorrect. DIF: COGNITIVE LEVEL: Understanding (Comprehension) TOPIC: NURSING PROCESS: General MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 5. When counseling a male patient about the possible adverse effects of antihypertensive drugs, the

Chapter 22: Antihypertensive Drugs 131 Test Bank for Pharmacology and the Nursing Process 9th Edition Authors: Linda Lilley, Shelly Collins, Julie Snyder | Complete Guide A+ According to the JNC-8 guidelines, calcium channel blockers and diuretics are recommended as first-line therapy for management of hypertension in African-American patients. The other drugs are not recommended as first-line drugs for this group. DIF: COGNITIVE LEVEL: Applying (Application) TOPIC: NURSING PROCESS: Implementation MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 7. The nurse is creating a plan of care for a patient with a new diagnosis of hypertension. Which is a potential nursing diagnosis for the patient taking antihypertensive medications? a. Diarrhea b. Sexual dysfunction c. Urge urinary incontinence d. Impaired memory CORRECT ANSWER: B Sexual dysfunction is a potential nursing diagnosis related to possible adverse effects of antihypertensive drug therapy. The other nursing diagnoses are not appropriate. DIF: COGNITIVE LEVEL: Applying (Application) TOPIC: NURSING PROCESS: Nursing Diagnosis MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 8. A patient‘s blood pressure elevates to 270/150 mm Hg, and a hypertensive emergency is

Chapter 22: Antihypertensive Drugs 132 Test Bank for Pharmacology and the Nursing Process 9th Edition Authors: Linda Lilley, Shelly Collins, Julie Snyder | Complete Guide A+ obvious. He is trCORRECT ANSWERferred to the intensive care unit and started on a sodium nitroprusside (Nipride) drip to be titrated per his response. With this medication, the nurse knows that the maximum dose of this drug should be infused for how long? a. 10 minutes b. 30 minutes c. 1 hour d. 24 hours CORRECT ANSWER: A Sodium nitroprusside is a potent vasodilator and may lead to extreme decreases in the patient‘s blood pressure. For this reason, it is never infused at the maximum dose for more than 10 minutes. If this drug does not control a patient‘s blood pressure after 10 minutes, it will most likely be ordered to be discontinued. The other times listed are incorrect. DIF: COGNITIVE LEVEL: Understanding (Comprehension) TOPIC: NURSING PROCESS: Planning MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies 9. A patient with primary hypertension is prescribed drug therapy for the first time. The patient asks how long drug therapy will be needed. Which CORRECT ANSWERwer by the nurse is the correct response? a. ― This therapy will take about 3 months .‖ b. ― This therapy will take about a year. ‖ c. ― This therapy will go on until your s ymptoms disappea r.‖ d. ― Therapy for high blood pre ssur e i s usually lifelong. ‖