QUESTIONS AND ANSWERS ON BLOOD PRESSURE CONTINUES.

(14) Prior to the administration of hydralazine.(Apressoline)The nurse will evaluate the following.

(A )The heart rate

(B )Body temperature.

(C )Skin color.

(D) Blood pressure.

Correct answer D.

Rationale: Prior to the administration of antihypertensive medication,it is important to assess the client blood pressure for a decrease in blood pressure.

(15 )Which of the following could be included in a teaching plan for the patient receiving peripheral vasodilator.

(A)Vasodilator can cause postural hypertension, which can lead to dizziness when changing position. Change body position slowly to reduce dizziness.

That’s is the side effect.

(C )A&B.

(D )None of the above.

Correct answer A.

Rationale: It is important to teach the patient the side effects and to change position slowly.

(16) A 62years old woman is brought to the Emergency room complaining of pressure in her chest. Her blood pressure 150/90,pulse 88,respiration 19.The nurse administered nitroglycerin 0.4mg sublingual as ordered.To evaluate the effect of this medication, the nurse should expect which of the following changes in patient vital sign?.

(A )No changes in blood pressure.

(B) Respiration increases.

(C )Bp 100/60,pulse 96,respiration 20.

(D )All of the above.

Correct answer C.

Rationale: It reduces peripheral resistance, decreases blood pressure, so pulse increases and respiration does not change.

(17) A 48years old man is brought to the Emergency room complaining of chest pain. Which of the following symptoms if present would be most characteristic of an acute myocardial infarction?.

(A) Severe substernal pain radiating down the left arm.Crushing,prolonged unrelated to emotion or exercise.

( B)Pain that is just sitting down on my chest.

(C) Pain wakes me up at night.

(D)This must be indigestion.

Correct answer A.

(18)The nurse plans care of a patient diagnosed with an acute myocardial infarction. An appropriate nursing diagnosis would be a potential for alteration in comfort secondary to which of the following?

(A)Ventricular dysrhythmia, reduce the efficiency of the heart which is common after myocardial infarction.

(B) Tachycardia.

(C) Tachypnea.

(D) Bradycardia.

Correct answer A.

(19)The nurse is preparing to begin a dopamine infusion on a client. Before beginning the infusion the nurse should?.

( A) Should assess for the latency of IV.

(B) Assess if patient can swallow.

(C) Check the doctor order again.

(D) Check patient room number.

Correct answer A.

Rationale:It is used in the treatment of low blood pressure and low heart rate. It is very important to assess for IV patency since it is given intravenously.Dopamine is a hormone and neurotransmitter. It is a very important medication that is used in ICU as a first line vasopressor agent in hypotension patients. It belongs to a class of drugs called Inotropic agents,vasopressor.

(20) A patient is admitted to the hospital because of Uncontrolled hypertension and severe headaches. He was treated by his doctor and blood pressure under control. Upon discharge the doctor placed patient on a low sodium diet.Which of the following foods should the nurse recommend as low in sodium.

(A) Beans ,rice with 2mg sodium.

(B) Salad with marinated pork.

(C )Turkey 25mg/oz.

(D) None of the above is correct.

Correct answer C.

Rationale: C has low sodium content than marinated pork or rice, beans with 2mg sodium.