A.   Lower leg

B.   Forearm

C.   Upper thigh

D.   Upper arm

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

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

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

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

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

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

A.   Diastolic pressure of 70 mm Hg

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

C.   Diastolic blood pressure of 80 mm Hg after exercise

D.   Systolic pressure consistently above 140 mm Hg

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

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

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

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

A.   Reducing heart failure

B.   Reducing renal morbidity and mortality

C.   Promoting cardiovascular health

D.   Increasing life span of population

A.   Aliskiren

B.   Dihydropyridines

C.   Phenylalkylamines

D.   Benzothiazepines

A.   Terazosin

B.   Doxazosin

C.   Clonidine

D.   Carvedilol

A.   Soft drinks

B.   Alcohol

C.   Laxative

D.   Milk

A.   Tamsulosin (Flomax)

B.   Doxazosin (Cardura)

C.   Terazosin (Hytrin)

D.   Prazosin (Minipress)

A.   Nebivolol

B.   Clonidine

C.   Doxazosin

D.   Carvedilol

A.   Rash

B.   Decrease in platelet aggregation

C.   Hypotension

D.   Bradycardia

A.   Ambrisentan

B.   Sildenafil

C.   Epoprostenol

D.   Treprostinil

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

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

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

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

A.   "CCBs promote excretion of water."

B.   "CCBs relax vascular smooth muscle."

C.   "CCBs increase blood return to heart."

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.   Decreased effect of the angiotensin II receptor–blocker drug

D.   Increased effect of the nonsteroidal anti-inflammatory drug

A.   Increased effect of the rifampin

B.   Decreased effect of the rifampin

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

D.   Increased effect of the angiotensin II receptor blocker drug

A.   Furosemide

B.   Metoprolol

C.   Enalapril

D.   Valsartan

A.   Monitor serum calcium and sodium levels daily.

B.   Encourage intake of foods rich in potassium.

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

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

A.   Rash

B.   Anorexia

C.   Vomiting

D.   Syncope

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

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

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

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

A.   Respiratory assessment

B.   Assessment of blood glucose levels

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 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.   Tachypnea

B.   Decreased cardiac output

C.   Increased urinary output

D.   Tachycardia

A.   Respiratory rate of 20 breaths/min

B.   Blood pressure of 110/70 mm Hg

C.   Heart rate of 40 beats/min

D.   Temperature of 38°C (100.4°F)

A.   Sodium nitroprusside

B.   Losartan

C.   Eplerenone

D.   Treprostinil

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

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

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

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

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

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

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

D.   Dizziness, Headache, Vomiting and diarrhea

A.   Blood pressure of 80/60 mm Hg

B.   Apical pulse of 100 beats/min

C.   Calcium level of 8 mEq/dL

D.   Potassium level of 5 mEq/dL

A.   Fatigue

B.   Angioedema

C.   Diarrhea

D.   Dry, nonproductive cough

A.   Enalapril

B.   Furosemide

C.   Hydralazine

D.   Doxazosin

A.   Cardiovascular disease, Diabetes, Emphysema

B.   Diabetes, Emphysema, Stroke

C.   Heart failure, Diabetes, Emphysema

D.   Stroke, Heart failure, Cardiovascular disease

A.   12.5 mg/day

B.   16.5 mg/day

C.   10.5 mg/day

D.   15.0 mg/day

A.   Hydrochlorothiazide

B.   Candesartan

C.   Propranolol

D.   Felodipine

A.   Persistent dry mouth

B.   Serum sodium of 147 mEq/L

C.   Serum potassium of 4.2 mEq/L

D.   A dry, hacking cough

A.   Hold the medication.

B.   Determine the patient’s history.

C.   Call the health care provider.

D.   Weigh the patient.

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

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

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

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

A.   Ramipril

B.   Enalapril

C.   Losartan

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.   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.   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.

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

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

A.   Serum cyanide level

B.   12-Lead electrocardiogram (ECG)

C.   Hemoglobin and hematocrit levels

D.   Fasting blood glucose level

A.   Antianxiety medication

B.   Intravenous fluids

C.   Potassium supplements

D.   Calcium chloride

A.   Breath sounds

B.   Mental status

C.   Peripheral pulses

D.   Serum potassium

A.   Bosentan

B.   Eplerenone

C.   Sodium nitroprusside

D.   Treprostinil

A.   Administer aspirin.

B.   Insert a Foley catheter.

C.   Administer potassium chloride intravenously.

D.   Send the patient for hemodialysis.

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

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

A.   Instruct the patient to weigh daily.

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

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

D.   Instruct the patient to reduce dietary sodium.

A.   Valsartan, Lisinopril

B.   Lisinopril, Eplerenone

C.   Aliskiren, Valsartan

D.   Diazoxide, Hydralazine

A.   Warfarin, Ibuprofen, Alprazolam

B.   Spironolactone, Ibuprofen, Potassium chloride

C.   Warfarin, Alprazolam, Potassium chloride

D.   Spironolactone, Warfarin, Alprazolam

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

B.   Ibuprofen increases the risk for hypokalemia.

C.   Ibuprofen can potentiate the effect of losartan.

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

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

A.   Docusate sodium

B.   Aspirin

C.   Spironolactone

D.   Morphine sulfate

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

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

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

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

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

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

A.   Cool, dry, pale extremities

B.   Blood pressure of 120/72 mm Hg

C.   Serum sodium of 140 mEq/L

D.   Serum potassium of 3.8 mEq/L

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

B.   Monitor blood pressure continuously.

C.   Administer with a full glass of water.

D.   Measure hourly output.

A.   Tachycardia

B.   Subarachnoid hemorrhage

C.   Hypotension

D.   Angina pectoris

A.   "Take the medication with potassium supplements."

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

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

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

A.   A patient with constipation

B.   A patient with an elevated creatinine level

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

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

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

B.   Administer a decreased dose of the medication.

C.   Notify the health care provider of this information.

D.   Administer an increased dose of the medication.