A.   Upper arm

B.   Upper thigh

C.   Lower leg

D.   Forearm

A.   A patient who is on a beta blocker and a thiazide diuretic

B.   A patient who has stopped taking a beta blocker because of cost

C.   A patient who has been on beta blockers for 1 day

D.   A patient who is taking a beta blocker and furosemide

A.   Assess oxygenation and ventilation. Obtain an intravenous infusion pump. Draw baseline serum electrolyte levels. Assess the patient for peripheral edema.

B.   Draw baseline serum electrolyte levels. Evaluate the electrocardiogram. Perform a neurologic assessment. Assess the patient for peripheral edema.

C.   Perform a neurologic assessment. Assess oxygenation and ventilation. Draw baseline serum electrolyte levels. Assess the patient for peripheral edema.

D.   Evaluate the electrocardiogram. Perform a neurologic assessment. Assess oxygenation and ventilation. Obtain an intravenous infusion pump.

A.   Blood pressure of 140/90 mm Hg after walking up two flights of stairs

B.   Diastolic pressure of 70 mm Hg

C.   Systolic pressure consistently above 140 mm Hg

D.   Diastolic blood pressure of 80 mm Hg after exercise

A.   "This type of hypertension has a definitive cause."

B.   "Once you have surgery, this will go away."

C.   "This type of hypertension is not treatable."

D.   "The cause of your hypertension is unknown but treatable."

A.   Promoting cardiovascular health

B.   Reducing heart failure

C.   Increasing life span of population

D.   Reducing renal morbidity and mortality

A.   Benzothiazepines

B.   Dihydropyridines

C.   Phenylalkylamines

D.   Aliskiren

A.   Clonidine

B.   Doxazosin

C.   Terazosin

D.   Carvedilol

A.   Milk

B.   Soft drinks

C.   Laxative

D.   Alcohol

A.   Terazosin (Hytrin)

B.   Tamsulosin (Flomax)

C.   Doxazosin (Cardura)

D.   Prazosin (Minipress)

A.   Carvedilol

B.   Doxazosin

C.   Clonidine

D.   Nebivolol

A.   Hypotension

B.   Decrease in platelet aggregation

C.   Rash

D.   Bradycardia

A.   Ambrisentan

B.   Epoprostenol

C.   Treprostinil

D.   Sildenafil

A.   "The health care provider can work with you on changing the dose or medication."

B.   "Sexual dysfunction happens with this therapy, and you will learn to accept it."

C.   "Don’t worry. Eventually, tolerance will develop."

D.   "This is an unusual occurrence, but it is important to stay on your medication."

A.   "CCBs increase blood return to heart."

B.   "CCBs promote excretion of water."

C.   "CCBs block reabsorption of sodium."

D.   "CCBs relax vascular smooth muscle."

A.   Decreased effect of the nonsteroidal anti-inflammatory drug

B.   Decreased effect of the angiotensin II receptor–blocker drug

C.   Increased effect of the nonsteroidal anti-inflammatory drug

D.   Increased effect of the angiotensin II receptor–blocker drug

A.   Decreased effect of the angiotensin II receptor–blocker drug

B.   Increased effect of the angiotensin II receptor blocker drug

C.   Increased effect of the rifampin

D.   Decreased effect of the rifampin

A.   Furosemide

B.   Metoprolol

C.   Valsartan

D.   Enalapril

A.   Take the radial pulse for 1 full minute before administering the drug.

B.   Monitor serum calcium and sodium levels daily.

C.   Schedule the dose to be taken in the evening.

D.   Encourage intake of foods rich in potassium.

A.   Anorexia

B.   Syncope

C.   Vomiting

D.   Rash

A.   "Take the medication on an empty stomach."

B.   "Remove the old patch before applying the new patch."

C.   "Stay in bed for at least an hour after receiving a new patch."

D.   "Keep the new patch on for 30 minutes before removing the old patch."

A.   Respiratory assessment

B.   Orthostatic blood pressure assessment

C.   Assessment of blood glucose levels

D.   Teaching about potential tachycardia

A.   Thiazide

B.   Potassium-sparing

C.   Osmotic

D.   Loop

A.   "This medication will vasodilate your blood vessels to lower your blood pressure."

B.   "This medication will work to cause your body to get rid of fluid."

C.   "This medication will help you to lose weight to lower your blood pressure."

D.   "This medication will help your body to get rid of sodium."

A.   Decreased cardiac output

B.   Increased urinary output

C.   Tachypnea

D.   Tachycardia

A.   Heart rate of 40 beats/min

B.   Temperature of 38°C (100.4°F)

C.   Respiratory rate of 20 breaths/min

D.   Blood pressure of 110/70 mm Hg

A.   Losartan

B.   Sodium nitroprusside

C.   Treprostinil

D.   Eplerenone

A.   Tell the patient that the cough will subside in a few days.

B.   Consult with the health care provider to switch the medication.

C.   Instruct the patient to take antitussive medication until the symptoms subside.

D.   Assess the patient for other symptoms of upper respiratory infection.

A.   Vomiting and diarrhea, Difficulty ambulating to the bathroom, Disorientation to person, place, and time

B.   Constipation, Difficulty ambulating to the bathroom, Dizziness,

C.   Constipation, Difficulty ambulating to the bathroom, Disorientation to person, place, and time

D.   Dizziness, Headache, Vomiting and diarrhea

A.   Blood pressure of 80/60 mm Hg

B.   Apical pulse of 100 beats/min

C.   Potassium level of 5 mEq/dL

D.   Calcium level of 8 mEq/dL

A.   Diarrhea

B.   Angioedema

C.   Fatigue

D.   Dry, nonproductive cough

A.   Doxazosin

B.   Enalapril

C.   Furosemide

D.   Hydralazine

A.   Diabetes, Emphysema, Stroke

B.   Stroke, Heart failure, Cardiovascular disease

C.   Heart failure, Diabetes, Emphysema

D.   Cardiovascular disease, Diabetes, Emphysema

A.   15.0 mg/day

B.   12.5 mg/day

C.   10.5 mg/day

D.   16.5 mg/day

A.   Felodipine

B.   Candesartan

C.   Hydrochlorothiazide

D.   Propranolol

A.   Serum sodium of 147 mEq/L

B.   A dry, hacking cough

C.   Persistent dry mouth

D.   Serum potassium of 4.2 mEq/L

A.   Hold the medication.

B.   Weigh the patient.

C.   Determine the patient’s history.

D.   Call the health care provider.

A.   "I will change my position slowly to prevent feeling dizzy."

B.   "I will include rest periods during the day to help me tolerate the fatigue my medicine may cause."

C.   "I will not mow my lawn until I see how this medication makes me feel."

D.   "I will check my blood pressure daily and take my medication when it is over 140/90 mm Hg."

A.   Ramipril

B.   Losartan

C.   Captopril

D.   Enalapril

A.   Decreased level of the ACE inhibitor

B.   Decreased level of lithium

C.   Toxic level of the ACE inhibitor

D.   Toxic level of lithium

A.   Increase the amount of fruits and vegetables in the diet. Inform the patient that this is a common side effect of the medication. Discuss incorporation of psyllium-based products in the plan of care with the health care provider.

B.   Restrict dietary fiber intake. Limit fluids to 1000 mL/day. Increase the amount of fruits and vegetables in the diet.

C.   Discuss incorporation of psyllium-based products in the plan of care with the health care provider. Restrict dietary fiber intake. Limit fluids to 1000 mL/day.

D.   Restrict dietary fiber intake. Inform the patient that this is a common side effect of the medication. Limit fluids to 1000 mL/day.

A.   12-Lead electrocardiogram (ECG)

B.   Fasting blood glucose level

C.   Hemoglobin and hematocrit levels

D.   Serum cyanide level

A.   Calcium chloride

B.   Intravenous fluids

C.   Potassium supplements

D.   Antianxiety medication

A.   Serum potassium

B.   Peripheral pulses

C.   Breath sounds

D.   Mental status

A.   Eplerenone

B.   Bosentan

C.   Sodium nitroprusside

D.   Treprostinil

A.   Administer potassium chloride intravenously.

B.   Send the patient for hemodialysis.

C.   Insert a Foley catheter.

D.   Administer aspirin.

A.   "Angiotensin II is a potent vasodilator." "They promote sodium and water retention."

B.   "They reduce afterload." "Systemic vascular resistance (SVR) is decreased."

C.   "ACE inhibitors modify the function of the sympathetic nervous system (SNS)." "Angiotensin II is a potent vasodilator."

D.   "They promote sodium and water retention." "ACE inhibitors modify the function of the sympathetic nervous system (SNS)."

A.   Ask the patient to perform a 24-hour dietary recall.

B.   Instruct the patient to reduce dietary sodium.

C.   Collaborate with the health care provider to find a combination ACE inhibitor and diuretic.

D.   Instruct the patient to weigh daily.

A.   Valsartan, Lisinopril

B.   Lisinopril, Eplerenone

C.   Diazoxide, Hydralazine

D.   Aliskiren, Valsartan

A.   Spironolactone, Warfarin, Alprazolam

B.   Spironolactone, Ibuprofen, Potassium chloride

C.   Warfarin, Alprazolam, Potassium chloride

D.   Warfarin, Ibuprofen, Alprazolam

A.   The risk for the side effect of cough is increased.

B.   Ibuprofen can potentiate the effect of losartan.

C.   Ibuprofen increases the risk for hypokalemia.

D.   Ibuprofen can lead to potential renal failure.

A.   "Do not be concerned if you see the matrix of the capsule in your stool." "Be especially careful when changing position after your first dose of the medication."

B.   "You may develop a nonproductive, dry cough from this medication." "The medication is contraindicated if you develop benign prostatic hypertrophy (BPH)."

C.   "The medication is contraindicated if you develop benign prostatic hypertrophy (BPH)." "A glass of wine a few times a week should not be a problem."

D.   "A glass of wine a few times a week should not be a problem." "You may develop a nonproductive, dry cough from this medication."

A.   Morphine sulfate

B.   Aspirin

C.   Spironolactone

D.   Docusate sodium

A.   "You will get a headache the first time you take this medication."

B.   "Nausea and vomiting are common but can be helped by eating crackers."

C.   "You will see the capsule shell in your stool, but don’t worry, the drug has been absorbed."

D.   "Some people get a feeling of chills for a few hours after the first dose."

A.   "I should stop the drug if I have ringing in my ears."

B.   "I cannot go out in the sun while on this therapy."

C.   "If I develop a chronic cough, I should notify my health care provider."

D.   "If I have trouble sleeping, I should call the health care provider."

A.   Blood pressure of 120/72 mm Hg

B.   Serum sodium of 140 mEq/L

C.   Serum potassium of 3.8 mEq/L

D.   Cool, dry, pale extremities

A.   Make certain the patient does not crush the pill.

B.   Administer with a full glass of water.

C.   Measure hourly output.

D.   Monitor blood pressure continuously.

A.   Subarachnoid hemorrhage

B.   Angina pectoris

C.   Tachycardia

D.   Hypotension

A.   "Take the medication with potassium supplements."

B.   "Do not take the medication with food."

C.   "Only take this medication in the morning."

D.   "Sit on the side of the bed before getting up, and get up slowly."

A.   A patient with a potassium level of 3.4 mEq/L

B.   A patient with a heart rate of 90 beats/min

C.   A patient with an elevated creatinine level

D.   A patient with constipation

A.   Monitor the patient for a toxic reaction to the drug.

B.   Notify the health care provider of this information.

C.   Administer an increased dose of the medication.

D.   Administer a decreased dose of the medication.