As a knowledgeable nurse, you know that the action of nitrates is: A. Smooth muscle contraction B. Vasoconstriction C. Smooth muscle relaxation D. Increase preload Correct Answer: C. Smooth muscle relaxation Nitrates cause smooth muscle relaxation, vasodilation, reduction of preload, and improved blood flow to the myocardium.… Read More »
A 50-year-old client is prescribed to take nitrate each day for his condition. As a competent nurse, you know the result of nitrate administration is: A. Decreased myocardial oxygen demand. B. Increased myocardial oxygen demand. C. Increased left ventricular end-diastolic volume. D. Increased atrial pressure. Correct Answer:… Read More »
A student nurse is asked to give an example of a long-acting nitrate. He is correct by saying: A. Nitroglycerin sublingual B. Nitroglycerin IV C. Isosorbide PO D. Nitroglycerin transmucosal Correct Answer: C. Isosorbide PO Isosorbide is one of the most frequently administered long-acting nitrates. PO nitrates… Read More »
When nitrates are administered early to the acute MI client, the effect is: A. Hypotension B. Bradycardia C. Reduced mortality D. Reduced morbidity Correct Answer: C. Reduced mortality Research has shown that when nitrates are administered early to the acute MI client, the effect is reduced mortality,… Read More »
When teaching about nitrate administration, the nurse should instruct the client to: A. Change position slowly. B. Take a pulse daily. C. Reduce salt intake. D. Chew the sustained-release tablets. Correct Answer: A. Change position slowly. Clients taking nitrates should change position slowly to avoid orthostatic hypotension.… Read More »
ACEs participate in the renin-angiotensin-aldosterone system to have which of the following physiologic effects? A. Inhibit conversion of angiotensin II to angiotensin I. B. Vasoconstriction and sodium depletion. C. Promote sodium and water retention. D. Stimulate vasodilation and inhibit sodium depletion. Correct Answer: C. Promote sodium and… Read More »
Nurse Margie just administered an ACE inhibitor to her client. Before ambulating the client for the first time after administration, the nurse should monitor for: A. Hypokalemia B. Irregular heartbeat C. Edema D. Hypotension Correct Answer: D. Hypotension ACE inhibitors prevent vasoconstriction and lower blood pressure, placing… Read More »
Mira is managing her hypertension with an ACE inhibitor. Which of the following statements stated by her indicates a need for further instruction? A. “I should not take my pills with food.” B. “I need to increase my intake of orange juice, bananas, and green vegetables.” C. “I will avoid coffee, tea,… Read More »
Pepito is a hypertensive client who has been placed on captopril (Capoten). He states, “Dr. del Mundo keeps changing my pills and none are working. I feel like a guinea pig.” Which of the following responses by the nurse would be most appropriate? A. “It often takes a while before the right medication is found.” … Read More »
Which is the most appropriate action for the nurse to take before administering digoxin? A. Monitor potassium level. B. Assess blood pressure. C. Evaluate urinary output. D. Avoid giving with thiazide diuretic. Correct Answer: A. Monitor potassium level. Monitoring potassium is especially important because hypokalemia potentiates digoxin toxicity. Digoxin… Read More »