1.Propranolol (Inderal) is prescribed for a patient diagnosed with hypertension. The nurse should consult with the health care provider before giving this
... [Show More] drug when the patient reveals a history of
a.daily alcohol use. c. reactive airway disease.
b.peptic ulcer disease. d. myocardial infarction (MI). ANS: C
Nonselective b-blockers block b1- and b2-adrenergic receptors and can cause bronchospasm, especially in patients with a history of asthma. b-Blockers will have no effect on the patient’s peptic ulcer disease or alcohol use. b-Blocker therapy is recommended after MI.
2.A 56-yr-old patient who has no previous history of hypertension or other health problems suddenly develops a blood pressure (BP) of 198/110 mm Hg. After reconfirming the BP, it is appropriate for the nurse to tell the patient that
a.a BP recheck should be scheduled in a few weeks.
b.dietary sodium and fat content should be decreased.
c.diagnosis, treatment, and ongoing monitoring will be needed.
d.there is an immediate danger of a stroke, requiring hospitalization. ANS: C
A sudden increase in BP in a patient older than age 50 years with no previous hypertension history or risk factors indicates that the hypertension may be secondary to some other problem. The BP will need treatment and ongoing monitoring. If the patient has no other risk factors, a stroke in the immediate future is unlikely. There is no indication that dietary salt or fat intake have contributed to this sudden increase in BP, and reducing intake of salt and fat alone will not be adequate to reduce this BP to an acceptable level.
3.Which action will be included in the plan of care when the nurse is caring for a patient who is receiving nicardipine (Cardene) to treat a hypertensive emergency?
a.Organize nursing activities so that the patient has undisturbed sleep for 8 hours at night.
b.Keep the patient NPO to prevent aspiration caused by nausea and possible vomiting.
c.Assist the patient up in the chair for meals to avoid complications associated with immobility.
d.Use an automated noninvasive blood pressure machine to obtain frequent measurements.
ANS: D
Frequent monitoring of BP is needed when the patient is receiving rapid-acting IV antihypertensive medications. This can be most easily accomplished with an automated BP machine or arterial line. The patient will require frequent assessments, so allowing 8 hours of undisturbed sleep is not reasonable.
When patients are receiving IV vasodilators, bed rest is maintained to prevent decreased cerebral
perfusion and fainting. 1
There is no indication that this patient is nauseated or at risk for aspiration, so an NPO status is
unnecessary. [Show Less]