A.   Forearm

B.   Upper arm

C.   Lower leg

D.   Upper thigh

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

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

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

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

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

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

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

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

A.   Diastolic blood pressure of 80 mm Hg after exercise

B.   Systolic pressure consistently above 140 mm Hg

C.   Diastolic pressure of 70 mm Hg

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

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

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

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

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

A.   Promoting cardiovascular health

B.   Increasing life span of population

C.   Reducing renal morbidity and mortality

D.   Reducing heart failure

A.   Phenylalkylamines

B.   Aliskiren

C.   Dihydropyridines

D.   Benzothiazepines

A.   Carvedilol

B.   Doxazosin

C.   Terazosin

D.   Clonidine

A.   Alcohol

B.   Soft drinks

C.   Milk

D.   Laxative

A.   Prazosin (Minipress)

B.   Tamsulosin (Flomax)

C.   Doxazosin (Cardura)

D.   Terazosin (Hytrin)

A.   Carvedilol

B.   Nebivolol

C.   Clonidine

D.   Doxazosin

A.   Bradycardia

B.   Decrease in platelet aggregation

C.   Rash

D.   Hypotension

A.   Sildenafil

B.   Ambrisentan

C.   Treprostinil

D.   Epoprostenol

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

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

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

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

A.   "CCBs block reabsorption of sodium."

B.   "CCBs increase blood return to heart."

C.   "CCBs promote excretion of water."

D.   "CCBs relax vascular smooth muscle."

A.   Increased effect of the nonsteroidal anti-inflammatory drug

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

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

D.   Decreased effect of the nonsteroidal anti-inflammatory drug

A.   Increased effect of the angiotensin II receptor blocker drug

B.   Decreased effect of the rifampin

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

D.   Increased effect of the rifampin

A.   Valsartan

B.   Furosemide

C.   Metoprolol

D.   Enalapril

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

B.   Encourage intake of foods rich in potassium.

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

D.   Monitor serum calcium and sodium levels daily.

A.   Syncope

B.   Anorexia

C.   Rash

D.   Vomiting

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.   Assessment of blood glucose levels

B.   Respiratory assessment

C.   Orthostatic blood pressure assessment

D.   Teaching about potential tachycardia

A.   Potassium-sparing

B.   Loop

C.   Thiazide

D.   Osmotic

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

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

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

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

A.   Decreased cardiac output

B.   Increased urinary output

C.   Tachycardia

D.   Tachypnea

A.   Respiratory rate of 20 breaths/min

B.   Heart rate of 40 beats/min

C.   Temperature of 38°C (100.4°F)

D.   Blood pressure of 110/70 mm Hg

A.   Eplerenone

B.   Treprostinil

C.   Losartan

D.   Sodium nitroprusside

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.   Dizziness, Headache, Vomiting and diarrhea

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

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

A.   Blood pressure of 80/60 mm Hg

B.   Potassium level of 5 mEq/dL

C.   Calcium level of 8 mEq/dL

D.   Apical pulse of 100 beats/min

A.   Diarrhea

B.   Angioedema

C.   Dry, nonproductive cough

D.   Fatigue

A.   Enalapril

B.   Furosemide

C.   Doxazosin

D.   Hydralazine

A.   Diabetes, Emphysema, Stroke

B.   Heart failure, Diabetes, Emphysema

C.   Cardiovascular disease, Diabetes, Emphysema

D.   Stroke, Heart failure, Cardiovascular disease

A.   16.5 mg/day

B.   12.5 mg/day

C.   10.5 mg/day

D.   15.0 mg/day

A.   Felodipine

B.   Hydrochlorothiazide

C.   Propranolol

D.   Candesartan

A.   Serum sodium of 147 mEq/L

B.   Persistent dry mouth

C.   Serum potassium of 4.2 mEq/L

D.   A dry, hacking cough

A.   Determine the patient’s history.

B.   Call the health care provider.

C.   Hold the medication.

D.   Weigh the patient.

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

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

A.   Captopril

B.   Enalapril

C.   Losartan

D.   Ramipril

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.   Serum cyanide level

B.   12-Lead electrocardiogram (ECG)

C.   Fasting blood glucose level

D.   Hemoglobin and hematocrit levels

A.   Antianxiety medication

B.   Intravenous fluids

C.   Calcium chloride

D.   Potassium supplements

A.   Peripheral pulses

B.   Serum potassium

C.   Breath sounds

D.   Mental status

A.   Eplerenone

B.   Sodium nitroprusside

C.   Treprostinil

D.   Bosentan

A.   Administer potassium chloride intravenously.

B.   Send the patient for hemodialysis.

C.   Administer aspirin.

D.   Insert a Foley catheter.

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

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

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

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

A.   Instruct the patient to reduce dietary sodium.

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

C.   Instruct the patient to weigh daily.

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

A.   Valsartan, Lisinopril

B.   Diazoxide, Hydralazine

C.   Lisinopril, Eplerenone

D.   Aliskiren, Valsartan

A.   Warfarin, Ibuprofen, Alprazolam

B.   Warfarin, Alprazolam, Potassium chloride

C.   Spironolactone, Warfarin, Alprazolam

D.   Spironolactone, Ibuprofen, Potassium chloride

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

B.   Ibuprofen increases the risk for hypokalemia.

C.   Ibuprofen can lead to potential renal failure.

D.   Ibuprofen can potentiate the effect of losartan.

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

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.   "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."

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.   Docusate sodium

B.   Spironolactone

C.   Aspirin

D.   Morphine sulfate

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

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

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

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

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

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

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

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

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.   Measure hourly output.

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

C.   Monitor blood pressure continuously.

D.   Administer with a full glass of water.

A.   Hypotension

B.   Angina pectoris

C.   Subarachnoid hemorrhage

D.   Tachycardia

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

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

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

D.   "Take the medication with potassium supplements."

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

B.   A patient with an elevated creatinine level

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

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 a decreased dose of the medication.

D.   Administer an increased dose of the medication.