Nokea
What type of medication is used to reduce high blood pressure by relaxing the blood vessels?
- A. Calcium channel blocker
- B. Beta-blocker
- C. ACE inhibitor
- D. Diuretic
Correct Answer: A
Rationale: The correct answer is A: Calcium channel blocker. These medications work by relaxing the blood vessels, leading to lower blood pressure. They inhibit the entry of calcium into the smooth muscle cells of the blood vessels, causing vasodilation. Beta-blockers (B) reduce heart rate and contractility. ACE inhibitors (C) block the conversion of angiotensin I to angiotensin II, leading to vasodilation. Diuretics (D) work by increasing urine output to lower blood volume and pressure. In this case, the mechanism of action aligns with the desired effect of relaxing blood vessels to reduce high blood pressure.
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A 2400 mg sodium diet is prescribed for the patient with chronic heart failure. The nurse recognizes that additional teaching is necessary when the patient states
- A. I should limit my milk intake to 2 cups a day
- B. I can eat fresh fruits and vegetables without worrying about sodium levels
- C. I can eat most foods as long as I do not add salt when cooking or at the table
- D. I need to read the labels on prepared foods and medicines for their sodium content
Correct Answer: C
Rationale: All foods that are high in sodium should be eliminated in a 2400 mg sodium diet, in addition to the elimination of salt during cooking.
What is the condition where the arteries in the brain become blocked or narrowed, leading to reduced blood flow and a potential stroke?
- A. Cerebral atherosclerosis
- B. Coronary artery disease
- C. Pulmonary embolism
- D. Peripheral artery disease
Correct Answer: A
Rationale: The correct answer is A: Cerebral atherosclerosis. This condition specifically refers to the buildup of plaque in the arteries supplying the brain, leading to blockages or narrowing. Reduced blood flow in the brain can result in a stroke. Coronary artery disease (B) affects the heart's blood vessels, not the brain. Pulmonary embolism (C) involves a blockage in the arteries of the lungs. Peripheral artery disease (D) affects arteries outside of the heart and brain, usually in the limbs. Therefore, the correct answer is A as it directly relates to the blockages in the brain arteries leading to a potential stroke.
Mr. Ross experiences nausea and vomiting as the result of receiving large-volume irradiation to his thoracic region. Which is the best approach in planning to meet his nutritional needs?
- A. Plan for frequent small meals of palatable foods
- B. Offer Mr. Ross three balanced meals a day
- C. Determine Mr. Ross' caloric needs
- D. Ask the physician to prescribe an oral antiemetic for p.r.n. use
Correct Answer: A
Rationale: Frequent small meals can help manage nausea and improve intake compared to large meals.
Which condition is characterized by the sudden onset of shortness of breath, often occurring at night and associated with heart failure?
- A. Paroxysmal nocturnal dyspnea
- B. Sleep apnea
- C. Orthopnea
- D. Dyspnea
Correct Answer: A
Rationale: The correct answer is A: Paroxysmal nocturnal dyspnea. This condition is characterized by sudden onset of shortness of breath at night, often associated with heart failure. It occurs when a person lies down due to fluid redistribution in the body, leading to increased pressure on the lungs and heart. Sleep apnea (B) is a separate condition characterized by pauses in breathing during sleep. Orthopnea (C) is difficulty breathing while lying flat, relieved by sitting up. Dyspnea (D) is a general term for shortness of breath but does not specifically refer to the sudden onset at night associated with heart failure.
Which of the following dietary recommendations should a nurse give a client taking diuretics?
- A. Include potassium-rich foods.
- B. Include protein-rich foods.
- C. Avoid fruit and fruit juices.
- D. Avoid dairy products.
Correct Answer: A
Rationale: Diuretics can deplete potassium levels, so including potassium-rich foods helps maintain electrolyte balance.