A.   Lower leg

B.   Upper arm

C.   Upper thigh

D.   Forearm

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

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

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

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

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

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

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

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

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

B.   Diastolic blood pressure of 80 mm Hg after exercise

C.   Diastolic pressure of 70 mm Hg

D.   Systolic pressure consistently above 140 mm Hg

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

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

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

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

A.   Reducing renal morbidity and mortality

B.   Reducing heart failure

C.   Increasing life span of population

D.   Promoting cardiovascular health

A.   Benzothiazepines

B.   Dihydropyridines

C.   Phenylalkylamines

D.   Aliskiren

A.   Doxazosin

B.   Clonidine

C.   Carvedilol

D.   Terazosin

A.   Alcohol

B.   Laxative

C.   Soft drinks

D.   Milk

A.   Prazosin (Minipress)

B.   Terazosin (Hytrin)

C.   Doxazosin (Cardura)

D.   Tamsulosin (Flomax)

A.   Doxazosin

B.   Nebivolol

C.   Clonidine

D.   Carvedilol

A.   Hypotension

B.   Bradycardia

C.   Rash

D.   Decrease in platelet aggregation

A.   Epoprostenol

B.   Sildenafil

C.   Ambrisentan

D.   Treprostinil

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

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

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

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

A.   "CCBs increase blood return to heart."

B.   "CCBs relax vascular smooth muscle."

C.   "CCBs promote excretion of water."

D.   "CCBs block reabsorption of sodium."

A.   Decreased effect of the nonsteroidal anti-inflammatory drug

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

C.   Increased effect of the nonsteroidal anti-inflammatory drug

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

A.   Decreased effect of the rifampin

B.   Increased effect of the rifampin

C.   Increased effect of the angiotensin II receptor blocker drug

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

A.   Valsartan

B.   Metoprolol

C.   Furosemide

D.   Enalapril

A.   Encourage intake of foods rich in potassium.

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

C.   Monitor serum calcium and sodium levels daily.

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

A.   Rash

B.   Anorexia

C.   Syncope

D.   Vomiting

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

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

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

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

A.   Teaching about potential tachycardia

B.   Orthostatic blood pressure assessment

C.   Assessment of blood glucose levels

D.   Respiratory assessment

A.   Loop

B.   Osmotic

C.   Thiazide

D.   Potassium-sparing

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.   Tachycardia

B.   Increased urinary output

C.   Decreased cardiac output

D.   Tachypnea

A.   Respiratory rate of 20 breaths/min

B.   Heart rate of 40 beats/min

C.   Blood pressure of 110/70 mm Hg

D.   Temperature of 38°C (100.4°F)

A.   Treprostinil

B.   Sodium nitroprusside

C.   Eplerenone

D.   Losartan

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

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

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

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.   Dizziness, Headache, Vomiting and diarrhea

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

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

A.   Calcium level of 8 mEq/dL

B.   Potassium level of 5 mEq/dL

C.   Blood pressure of 80/60 mm Hg

D.   Apical pulse of 100 beats/min

A.   Angioedema

B.   Fatigue

C.   Diarrhea

D.   Dry, nonproductive cough

A.   Enalapril

B.   Hydralazine

C.   Furosemide

D.   Doxazosin

A.   Cardiovascular disease, Diabetes, Emphysema

B.   Heart failure, Diabetes, Emphysema

C.   Stroke, Heart failure, Cardiovascular disease

D.   Diabetes, Emphysema, Stroke

A.   15.0 mg/day

B.   10.5 mg/day

C.   12.5 mg/day

D.   16.5 mg/day

A.   Hydrochlorothiazide

B.   Candesartan

C.   Felodipine

D.   Propranolol

A.   Serum sodium of 147 mEq/L

B.   Serum potassium of 4.2 mEq/L

C.   A dry, hacking cough

D.   Persistent dry mouth

A.   Call the health care provider.

B.   Hold the medication.

C.   Determine the patient’s history.

D.   Weigh the patient.

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

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

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

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

A.   Losartan

B.   Enalapril

C.   Ramipril

D.   Captopril

A.   Decreased level of lithium

B.   Toxic level of the ACE inhibitor

C.   Toxic level of lithium

D.   Decreased level of the ACE inhibitor

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

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

C.   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.

D.   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.

A.   12-Lead electrocardiogram (ECG)

B.   Serum cyanide level

C.   Fasting blood glucose level

D.   Hemoglobin and hematocrit levels

A.   Potassium supplements

B.   Antianxiety medication

C.   Intravenous fluids

D.   Calcium chloride

A.   Breath sounds

B.   Peripheral pulses

C.   Mental status

D.   Serum potassium

A.   Sodium nitroprusside

B.   Eplerenone

C.   Treprostinil

D.   Bosentan

A.   Send the patient for hemodialysis.

B.   Administer potassium chloride intravenously.

C.   Insert a Foley catheter.

D.   Administer aspirin.

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

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

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.   Aliskiren, Valsartan

B.   Valsartan, Lisinopril

C.   Diazoxide, Hydralazine

D.   Lisinopril, Eplerenone

A.   Spironolactone, Ibuprofen, Potassium chloride

B.   Warfarin, Ibuprofen, Alprazolam

C.   Spironolactone, Warfarin, Alprazolam

D.   Warfarin, Alprazolam, Potassium chloride

A.   Ibuprofen can potentiate the effect of losartan.

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

C.   Ibuprofen increases the risk for hypokalemia.

D.   Ibuprofen can lead to potential renal failure.

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

A.   Aspirin

B.   Docusate sodium

C.   Morphine sulfate

D.   Spironolactone

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

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

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

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

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

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

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

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

A.   Cool, dry, pale extremities

B.   Serum potassium of 3.8 mEq/L

C.   Blood pressure of 120/72 mm Hg

D.   Serum sodium of 140 mEq/L

A.   Monitor blood pressure continuously.

B.   Measure hourly output.

C.   Administer with a full glass of water.

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

A.   Angina pectoris

B.   Subarachnoid hemorrhage

C.   Hypotension

D.   Tachycardia

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

B.   "Take the medication with potassium supplements."

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

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

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

B.   A patient with an elevated creatinine level

C.   A patient with constipation

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

A.   Administer an increased dose of the medication.

B.   Notify the health care provider of this information.

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

D.   Administer a decreased dose of the medication.