LEHNE'S PHARMACOLOGY CH 46 QUESTIONS AND ANSWERS
2022
To protect against reflex tachycardia - The nurse is caring for a patient receiving
hydralazine
... [Show More] [Apresoline]. The healthcare provider prescribes propranolol [Inderal].
The nurse knows that a drug such as propranolol often is combined with hydralazine
for what purpose?
Blood pressure - Which assessment finding is most important for the nurse to obtain
before administering hydralazine [Apresoline]?
Fatigue
Dizziness
Headache - A patient is prescribed hydralazine [Apresoline] for the treatment of
essential hypertension. Which expected adverse effects should the nurse discuss
with the patient?
Many vasodilators cause retention of sodium and water. - The nurse is caring for a
patient receiving a nitroprusside [Nipride] intravenous infusion. The patient's wife
asks why furosemide [Lasix] is being prescribed along with this drug. The nurse's
response is based on which concept?
"I will rise slowly when changing from a sitting to a standing position." - The nurse is
teaching a patient who has just been prescribed a vasodilator. Which statement by
the patient indicates that the teaching was effective?
Obtain a baseline weight and weigh daily.
Prepare for arterial line insertion.
Cover the solution with an opaque bag. - A patient in a hypertensive crisis is being
started on a continuous sodium nitroprusside [Nipride] infusion. What interventions
are essential before the nurse administers nitroprusside [Nipride]?
Sudden confusion - The nurse is caring for a patient who has been receiving
intravenous sodium nitroprusside [Nitropress] for 3 days. Which assessement data
indicate the patient may be experiencing thiocyanate toxicity?
Adjust the intravenous infusion rate to the blood pressure response. - The patient is
admitted for the management of a hypertensive emergency. The healthcare provider
prescribes sodium nitroprusside [Nipride] drug therapy. What is the priority nursing
action during this treatment?
Severe hypertension - The nurse is preparing to administer minoxidil [Loniten] 5 mg
orally. What is the only cardiovascular indication for this mediacation?
Sodium nitroprusside [Nipride] - A patient with hypertensive emergency is admitted
to the hospital. Which medication should the nurse be prepared to administer to this
patient?
True - (T/F)
Hydralazine (Apresoline) reduces the work of the heart by reducing afterload
False - (T/F)
Hydralazine (Apresoline) lowers blood pressure by causing vasodilation and diuresis
False - (T/F)
An adverse effect of minoxidil is impairment in tissue perfusion
True - (T/F)
The effects of an IV infusion of nitroprusside end within minutes of stopping the
infusion
False - (T/F)
Nitroglycerin is used to treat angina because it dilates arterioles in the heart, allowing
more oxygen to get to heart muscle cells
True - (T/F)
Orthostatic hypotension is more likely to occur when a patient is receiving a drug that
dilates veins than one that dilates arterioles
False - (T/F)
Reflex tachycardia only occurs with drugs that dilate both arterioles and veins
True - (T/F)
Drugs with the suffix -lol are used to slwo the heart when reflex tachycardia occurs
True - (T/F)
When a patient is receiving nitroprusside, the nurse would report a thiocyanate level
greater than 0.1 mg/mL
Pulse 120 beats/min - Which would be a priority to report to the prescriber of
hydralazine (Apresoline)?
Furosemide - Which drug is commonly prescribed for patients with heart failure when
prescribed hydralazine because of the adverse effect of sodium retention?
Shortness of breath - When caring for a patient who is prescribed minoxidil, it is most
important for the nurse to assess for what?
Distended neck veins, muffled heart sounds, and narrow pulse pressure - A patient
with severe hypertension is prescribed minoxidil. The nurse should contact the
prescriber STAT if assessment findings include what? CONTINUES... [Show Less]