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Chapter 28- Drug Therapy for Hypertension
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A community health nurse is facilitating a health promotion session to a group of seniors. Which of the following is most important to instruct regarding hypertension? | |
| A) | Hypertension will increase the risk of cancer. | |
| B) | An increase in sodium is recommended with hypertension. | |
| C) | Vigorous exercise will increase the risk of hypertension. | |
| D) | Hypertension will increase the risk of heart disease. | |
| Ans: | D | |
| Feedback: | ||
| Hypertension increases risks of myocardial infarction, heart failure, cerebral infarction and hemorrhage, and renal disease. Hypertension does not increase the risk of cancer. An increase in sodium in a patient’s diet is not recommended with hypertension. Exercise will decrease the risk of hypertension. | ||
| 2. | A patient is diagnosed with high blood pressure. Which of the following events occurs in a patient with hypertension? | |
| A) | The kidneys excrete more fluid in response to increased blood pressure. | |
| B) | Fluid loss increases blood volume in the patient with hypertension. | |
| C) | Decreased blood volume increases blood pressure. | |
| D) | Cardiac output increases and in turn causes an increase in blood pressure. | |
| Ans: | A | |
| Feedback: | ||
| When arterial blood pressure is elevated, the kidneys excrete more fluid. The loss of fluid will reduce, not increase, blood volume. The decreased blood volume will decrease cardiac output. The decreased cardiac output decreases blood pressure. | ||
| 3. | A patient has had multiple blood pressure readings that indicate he has hypertension. How is hypertension defined? | |
| A) | Systolic pressure above 140 mm Hg or diastolic pressure above 90 mm Hg | |
| B) | Systolic pressure above 160 mm Hg or diastolic pressure above 110 mm Hg | |
| C) | Systolic pressure above 130 mm Hg or diastolic pressure above 95 mm Hg | |
| D) | Systolic pressure above 150 mm Hg or diastolic pressure above 100 mm Hg | |
| Ans: | A | |
| Feedback: | ||
| Hypertension is defined as a systolic pressure above 140 mm Hg or a diastolic pressure above 90 mm Hg on multiple blood pressure measurements. The blood pressure of 160/110 mm Hg is considered hypertensive but does not define hypertension. The blood pressure of 130/95 mm Hg is hypertensive but does not define hypertension. The blood pressure of 150/100 mm Hg is hypertensive but does not define hypertension. | ||
| 4. | A patient has recently been diagnosed with hypertension. Which of the following outcomes is most important in this patient? | |
| A) | Verbalization of an understanding of medical regimen | |
| B) | Compliance with antihypertensive medications | |
| C) | Multiple diastolic blood pressure readings <90 mm Hg | |
| D) | Compliance with a low-sodium diet | |
| Ans: | C | |
| Feedback: | ||
| The diastolic blood pressure below 90 mm Hg is the most important outcome in this patient. Verbalization of understanding of the medical regime is a patient-related outcome that is important but not the most important outcome. Compliance with antihypertensive medications is important but does not confirm a decreased blood pressure. Compliance with a low-sodium diet will assist in decreasing blood pressure but will not confirm that the blood pressure is decreased. | ||
| 5. | A patient is diagnosed with hypertension and is being treated with captopril (Capoten). Which of the following patients should be administered captopril as the first-line treatment? | |
| A) | A patient with diabetes mellitus | |
| B) | A patient with asthma | |
| C) | A patient with glaucoma | |
| D) | A patient with angina pectoris | |
| Ans: | A | |
| Feedback: | ||
| Captopril (Capoten) is the first-line agent for treating hypertension in diabetic patients, particularly those with type 1 diabetes. Captopril can be used for hypertension in patients with asthma, glaucoma, and angina pectoris but is not the first-line agent, as noted in diabetes mellitus. | ||
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.