A.   Forearm

B.   Lower leg

C.   Upper arm

D.   Upper thigh

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

B.   Assess oxygenation and ventilation. Obtain an intravenous infusion pump. Draw baseline serum electrolyte levels. 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.   Draw baseline serum electrolyte levels. Evaluate the electrocardiogram. Perform a neurologic assessment. Assess the patient for peripheral edema.

A.   Systolic pressure consistently above 140 mm Hg

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

C.   Diastolic pressure of 70 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.   "The cause of your hypertension is unknown but treatable."

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

A.   Reducing renal morbidity and mortality

B.   Promoting cardiovascular health

C.   Reducing heart failure

D.   Increasing life span of population

A.   Aliskiren

B.   Phenylalkylamines

C.   Dihydropyridines

D.   Benzothiazepines

A.   Clonidine

B.   Terazosin

C.   Doxazosin

D.   Carvedilol

A.   Milk

B.   Laxative

C.   Alcohol

D.   Soft drinks

A.   Prazosin (Minipress)

B.   Terazosin (Hytrin)

C.   Doxazosin (Cardura)

D.   Tamsulosin (Flomax)

A.   Doxazosin

B.   Nebivolol

C.   Clonidine

D.   Carvedilol

A.   Hypotension

B.   Decrease in platelet aggregation

C.   Rash

D.   Bradycardia

A.   Treprostinil

B.   Ambrisentan

C.   Sildenafil

D.   Epoprostenol

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

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

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

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

A.   "CCBs relax vascular smooth muscle."

B.   "CCBs promote excretion of water."

C.   "CCBs block reabsorption of sodium."

D.   "CCBs increase blood return to heart."

A.   Decreased effect of the nonsteroidal anti-inflammatory drug

B.   Increased effect of the nonsteroidal anti-inflammatory drug

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

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

A.   Increased effect of the angiotensin II receptor blocker drug

B.   Increased effect of the rifampin

C.   Decreased effect of the rifampin

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

A.   Valsartan

B.   Metoprolol

C.   Furosemide

D.   Enalapril

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

B.   Encourage intake of foods rich in potassium.

C.   Monitor serum calcium and sodium levels daily.

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

A.   Anorexia

B.   Vomiting

C.   Rash

D.   Syncope

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

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

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

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

A.   Teaching about potential tachycardia

B.   Orthostatic blood pressure assessment

C.   Respiratory assessment

D.   Assessment of blood glucose levels

A.   Thiazide

B.   Potassium-sparing

C.   Loop

D.   Osmotic

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

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

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.   Increased urinary output

B.   Tachycardia

C.   Tachypnea

D.   Decreased cardiac output

A.   Heart rate of 40 beats/min

B.   Blood pressure of 110/70 mm Hg

C.   Temperature of 38°C (100.4°F)

D.   Respiratory rate of 20 breaths/min

A.   Losartan

B.   Sodium nitroprusside

C.   Eplerenone

D.   Treprostinil

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

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

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

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

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.   Calcium level of 8 mEq/dL

C.   Apical pulse of 100 beats/min

D.   Potassium level of 5 mEq/dL

A.   Fatigue

B.   Angioedema

C.   Dry, nonproductive cough

D.   Diarrhea

A.   Hydralazine

B.   Doxazosin

C.   Enalapril

D.   Furosemide

A.   Diabetes, Emphysema, Stroke

B.   Stroke, Heart failure, Cardiovascular disease

C.   Cardiovascular disease, Diabetes, Emphysema

D.   Heart failure, Diabetes, Emphysema

A.   16.5 mg/day

B.   15.0 mg/day

C.   10.5 mg/day

D.   12.5 mg/day

A.   Hydrochlorothiazide

B.   Propranolol

C.   Candesartan

D.   Felodipine

A.   Persistent dry mouth

B.   Serum potassium of 4.2 mEq/L

C.   A dry, hacking cough

D.   Serum sodium of 147 mEq/L

A.   Weigh the patient.

B.   Call the health care provider.

C.   Hold the medication.

D.   Determine the patient’s history.

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

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

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

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

A.   Losartan

B.   Captopril

C.   Enalapril

D.   Ramipril

A.   Toxic level of the ACE inhibitor

B.   Toxic level of lithium

C.   Decreased level of lithium

D.   Decreased level of the ACE inhibitor

A.   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.

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

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

D.   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.

A.   Serum cyanide level

B.   12-Lead electrocardiogram (ECG)

C.   Hemoglobin and hematocrit levels

D.   Fasting blood glucose level

A.   Calcium chloride

B.   Intravenous fluids

C.   Potassium supplements

D.   Antianxiety medication

A.   Serum potassium

B.   Mental status

C.   Peripheral pulses

D.   Breath sounds

A.   Eplerenone

B.   Bosentan

C.   Treprostinil

D.   Sodium nitroprusside

A.   Administer potassium chloride intravenously.

B.   Administer aspirin.

C.   Insert a Foley catheter.

D.   Send the patient for hemodialysis.

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.   Instruct the patient to weigh daily.

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

C.   Instruct the patient to reduce dietary sodium.

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

A.   Aliskiren, Valsartan

B.   Lisinopril, Eplerenone

C.   Valsartan, Lisinopril

D.   Diazoxide, Hydralazine

A.   Warfarin, Alprazolam, Potassium chloride

B.   Spironolactone, Warfarin, Alprazolam

C.   Warfarin, Ibuprofen, Alprazolam

D.   Spironolactone, Ibuprofen, Potassium chloride

A.   Ibuprofen can potentiate the effect of losartan.

B.   Ibuprofen increases the risk for hypokalemia.

C.   Ibuprofen can lead to potential renal failure.

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

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.   "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."

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

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.   Morphine sulfate

C.   Docusate sodium

D.   Spironolactone

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

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

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

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

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

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

A.   Serum potassium of 3.8 mEq/L

B.   Serum sodium of 140 mEq/L

C.   Blood pressure of 120/72 mm Hg

D.   Cool, dry, pale extremities

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

B.   Measure hourly output.

C.   Administer with a full glass of water.

D.   Monitor blood pressure continuously.

A.   Hypotension

B.   Tachycardia

C.   Subarachnoid hemorrhage

D.   Angina pectoris

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

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

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

D.   "Take the medication with potassium supplements."

A.   A patient with constipation

B.   A patient with an elevated creatinine level

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

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

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

B.   Administer an increased dose of the medication.

C.   Administer a decreased dose of the medication.

D.   Notify the health care provider of this information.