Nokea
A client who is prescribed losartan for hypertension has stopped taking the drug immediately after experiencing adverse reactions. The nurse would be alert for which of the following due to abrupt discontinuation?
- A. Breathing difficulty
- B. Rebound hypertension
- C. Orthostatic hypotension
- D. Anginal attacks
Correct Answer: B
Rationale: Rebound hypertension will occur in clients when antihypertensives are abruptly discontinued. In rebound hypertension, there is a sudden rise in blood pressure when the antihypertensives are withheld. Orthostatic hypotension, anginal attacks, and breathing difficulty are the adverse reactions associated with antihypertensive drug usage and may not occur on stopping the drug.
You may also like to solve these questions
A client is receiving a diuretic for the treatment of hypertension. Which of the following conditions should the nurse monitor for in clients taking diuretics?
- A. Hyperkalemia
- B. Hyponatremia
- C. Hypomagnesemia
- D. Hypocalcemia
Correct Answer: B
Rationale: The nurse should assess for hyponatremia in clients receiving diuretics. Diuretic usage causes electrolyte disturbances such as hyponatremia and hypokalemia. The nurse should inform the primary health care provider if signs and symptoms of electrolyte imbalance occur. Hyperkalemia, hypomagnesemia, and hypocalcemia do not occur in clients taking diuretics.
A client with hypertension comes to the clinic for a follow-up visit. Which of the following would be appropriate for the nurse to do when assisting the client in managing his hypertension? Select all that apply.
- A. Find local resources in the community for taking blood pressure.
- B. Teach client how to properly record weight and blood pressure.
- C. Schedule regular monitoring of weight and blood pressure.
- D. Schedule an appointment to see a cardiologist.
- E. Schedule an appointment to see a nephrologist.
Correct Answer: A,B,C
Rationale: In the ambulatory care setting, the nurse helps plan a schedule of regular monitoring of weight and blood pressure, finds local resources for taking blood pressure in the community, and teaches the client how to record weight and blood pressure readings.
When developing a presentation for a local community group on hypertension, the nurse integrates information about the importance of blood pressure control. Which of the following would the nurse include? Select all that apply.
- A. Hypertension increases the buildup of atherosclerotic plaque.
- B. Hypertension increases risk of stroke.
- C. Hypertension increases risk of colorectal carcinoma.
- D. Hypertension increases risk of liver disease.
- E. Hypertension increases the workload of the heart.
Correct Answer: A,B,E
Rationale: Hypertension is serious, because it causes the heart to work too hard and contributes to atherosclerosis. It also increases the risk of heart disease, heart failure (HF), kidney disease, blindness, and stroke. Hypertension is not associated with colorectal carcinoma or liver disease.
After teaching a group of nursing students about hypertension, the instructor determines that the teaching was successful when the students identify which of the following as a risk factor for development of hypertension? Select all that apply.
- A. Advancing age
- B. Family history
- C. Caucasian race
- D. Cigarette smoking
- E. Chronic alcohol consumption
Correct Answer: A,B,D,E
Rationale: Risk factors for hypertension include advancing age, family history, cigarette smoking, and chronic alcohol consumption. African American race is also a risk factor.
A nurse is educating a client with hypertension who is prescribed losartan about the drug's action. Which of the following would the nurse incorporate into the teaching about this drug?
- A. Blocking aldosterone receptors
- B. Preventing conversion of angiotensin I
- C. Blocking angiotensin II receptors
- D. Preventing renin secretion
Correct Answer: C
Rationale: Losartan is an angiotensin II receptor antagonist, acting to block the angiotensin II receptors. By blocking the angiotensin II receptor, the renin-angiotensin system is stopped and consequently blood pressure is reduced. Drugs such as captopril prevent the conversion of angiotensin I. Losartan does not prevent renin secretion. Losartan does not block aldosterone receptors.