CHAPTER 20: DIURETICS AND ANTIHYPERTENSIVES

CHAPTER 20: DIURETICS AND ANTIHYPERTENSIVES

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Diuretics are used in the treatment of all the following, except:

a.	edema.	c.	obesity.
b.	ascites.	d.	hypertension.

 

 

ANS:  C

 

	Feedback
A	Incorrect: Diuretics are used to treat edema.
B	Incorrect: Diuretics are used to treat ascites.
C	Correct: Diuretics are not approved treatment for obesity.
D	Incorrect: Diuretics are cornerstones and antihypertensive therapy.

 

 

PTS:   1                    REF:   p. 482 | p. 490                                 OBJ:   Cognitive Level: Knowledge

 

2. The health care provider prescribes furosemide for a client. The nurse understands that this drug is a(an):

a.	loop diuretic
b.	angiotensin-converting enzyme (ACE) inhibitor
c.	thiazide diuretic
d.	osmotic diuretic

 

 

ANS:  A

 

	Feedback
A	Correct: Furosemide is a loop diuretic.
B	Incorrect: Furosemide is not an ACE inhibitor.
C	Incorrect: Furosemide is not a thiazide diuretic.
D	Incorrect: Furosemide is not an osmotic diuretic.

 

 

PTS:   1                    REF:   p. 485            OBJ:   Cognitive Level: Comprehension

 

3. The client is a 35-year-old male who was diagnosed with hypertension one year ago. His current drug regime includes enalapril 40 mg by mouth daily. The client confides to the nurse that he is experiencing sexual dysfunction and plans to stop his medication. The nurse’s best response is:

a.	“Sexual dysfunction can be an adverse effect of this medication, but you shouldn’t stop this medication without discussing it with your doctor. Changes can be made that should eliminate this effect.”
b.	“Sexual dysfunction is not a result of this medication. Keep taking it as prescribed and try to determine the real cause of the sexual problem.”
c.	“Sexual dysfunction is a frequent adverse effect of this medication. Stop taking it immediately.”
d.	“Sexual dysfunction can result after taking this medication, but hypertension is a more serious problem, so you should continue taking the medication as prescribed.”

 

 

ANS:  A

 

	Feedback
A	Correct: This is the nurse’s most appropriate response.
B	Incorrect: This is a nonsupportive and false statement.
C	Incorrect: This is an inappropriate comment.
D	Incorrect: This is not a supportive response.

 

 

PTS:   1                    REF:   p. 506, Safe Nursing Practice 20-3

OBJ:   Cognitive Level: Application

 

4. When teaching a client about the risk factors for hypertension, the nurse realizes further instruction is needed when the client identifies which as a risk factor?

a.	smoking.	c.	low serum cholesterol.
b.	age over 60.	d.	family history of heart disease.

 

 

ANS:  C

 

	Feedback
A	Incorrect: Smoking is a risk factor.
B	Incorrect: Age over 60 is a risk factor.
C	Correct: High serum cholesterol is a risk factor.
D	Incorrect: Family history of heart disease is a risk factor.

 

 

PTS:   1                    REF:   p. 488, Box 20-1                             OBJ:   Cognitive Level: Evaluation

 

5. In instructing a client about methyldopa therapy, the nurse stresses that the client should pay particular attention for the development of:

a.	skin rashes and nausea.
b.	drowsiness and orthostatic hypotension.
c.	sore throat and easy bruising.
d.	weight gain and headache.

 

 

ANS:  B

 

	Feedback
A	Incorrect: These are not adverse effects of methyldopa.
B	Correct: Methyldopa can result in sedation and postural hypotension.
C	Incorrect: These are not adverse effects of methyldopa.
D	Incorrect: These are not adverse effects of methyldopa.

 

 

PTS:   1                    REF:   p. 490            OBJ:   Cognitive Level: Application