Test Bank for Karch’s Focus on Nursing
Pharmacology 9th Edition Complete
Questions and Answers
What does the clinic nurse anticipate as initial drug therapy for a 39-year-old African American man who is 25 pounds overweight and newly diagnosed with hypertension?
A)
An angiotensin-converting enzyme (ACE) inhibitor
B)
A beta-blocker
C)
A calcium channel blocker
D)
A diuretic - D
Feedback:
African Americans are at highest risk for developing hypertension with men more likely than women to develop the disease. African Americans have documented differences in response to antihypertensive therapy. They are most responsive to single-drug therapy and diuretics. The first line use of a diuretic is in combination with diet and other lifestyle changes. The use of a calcium channel blocker and/or alphaadrenergic blocker should follow. African Americans are less responsive to ACE inhibitors and beta-blocker
The clinic nurse assesses a patient taking benazepril (Lotensin) to control hypertension. What is the priority nursing assessment related to this drug?
A)
Mental illness
B)
Hepatic disease
C)
Renal disease
D)
Peptic ulcer disease - C
Feedback:
Benazepril is an angiotensin-converting enzyme inhibitor; drugs in this class are contraindicated in the presence of impaired renal function. Mental illness, hepatic disease, or peptic ulcer disease is not a contraindication with this drug.
A patient has been prescribed losartan (Cozaar) for hypertension. What patient teaching points will the nurse include about this drug include?
A)
Report onset of a cough or fever to health care provider.
B)
Limit fluid intake to decrease urinary output.
C)
Monitor blood pressure once a week.
D)
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