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ISPN考试模拟试题(四十七)

Questions

1.What should the nurse teach a client who is taking antihypertensives to do to minimize orthostatic hypotension?

A.Wear support hose continuously.

B.Lie down for 30 minutes after taking medication.

C.Avoid tasks that require high-energy expenditure.

D.Sit on the edge of the bed for 5 minutes before standing.


2.A client being treated for hypertension reports having a persistent hacking cough. What class of antihypertensive should the nurse identify as a possible cause of this response when reviewing a list of this client’s medications?

A.ACE inhibitors

B.Thiazide diuretics

C.Calcium channel blockers

D.Angiotensin receptor blockers


3.What client response indicates to the nurse that a vasodilator medication is effective?

A.Pulse rate decreases from 110 to 75

B.Absence of adventitious breath sounds

C.Increase in the daily amount of urine produced

D.Blood pressure changes from 154/90 to 126/72


4.What should the nurse assess to determine if a client is experiencing the therapeutic effect of valsartan (Diovan)?

A.Lipid profile

B.Apical pulse

C.Urinary output

D.Blood pressure


5.What information should the nurse include when teaching a client with heart disease about cholesterol?

A.Can be found in both plant and animal sources

B.Causes an increase in serum high-density lipoprotein

C.Should be eliminated because it causes the disease process

D.Decreases when unsaturated fats are substituted for saturated fats

Rationales

1.D 

Sitting on the edge of the bed before standing up gives the body a chance to adjust to the effects of gravity on circulation in the upright position.

A,Support hose may help prevent orthostatic hypotension by increasing venous return. However, they must be applied before getting out of bed and should not be worn continuously.

B,This will not prevent episodes of orthostatic hypotension.

C,Energetic tasks, once standing and acclimated, do not increase hypotension.

Client Need:Safety and Infection Control;

Cognitive Level:Application;

Integrated Process:Teaching/Learning;

Nursing Process:Planning/Implementation;

Reference:Ch6,Hypertension,Nursing Care


2.A 

ACE (angiotensin-converting enzyme) increases the sensitivity of the cough reflex, leading to the common adverse effect sometimes referred to as an ACE cough.

B, C, D,A cough is not a side effect of this category of medication.

Client Need:Pharmacological and Parenteral Therapies;

Cognitive Level:Application;

Nursing Process:Evaluation/Outcomes;

Reference:Ch6, Related Pharmacology, Antihypertensives


3.D 

Vasodilation will lower the blood pressure.

A,The pulse rate is not decreased and may increase.

B,Breath sounds are not directly affected by vasodilation,although vasodilator medications can decrease preload and afterload,which could indirectly affect breath sounds in heartfailure.

C,The urine output is not affected immediately, although control of blood pressure can help preserve renal function over time.

Client Need:Pharmacological and Parenteral Therapies;

Cognitive Level:Application;

Nursing Process:Evaluation/Outcomes;

Reference:Ch6,Related Pharmacology, Antihypertensives


4.D 

Angiotensin II receptor blockers (ARBs) lower the blood pressure;they block the receptor sites in smooth muscles and adrenal glands so vasoconstriction is prevented.

A, B, C,ARBs do not directly affect this.

Client Need:Pharmacological and Parenteral Therapies;

Cognitive Level:Application;

Nursing Process:Evaluation/Outcomes;

Reference:Ch6,Related Pharmacology,Antihypertensives


5.D 

Cholesterol is a sterol found in tissue; it is attributed in part to diets high in saturated fats.

A,Only animal foods furnish dietary cholesterol.

B,Exercise, not cholesterol,increases HDL levels and helps decrease the risk of heart disease.

C,Cholesterol is also produced by the body and is needed for the synthesis of bile salts, adrenocortical and steroid sex hormones, and provitamin D.

Client Need:Health Promotion and Maintenance;

Cognitive Level:Comprehension;

Integrated Process:Teaching/Learning;

Nursing Process:Planning/Implementation;

Reference:Ch6,Coronary Artery Disease,Nursing Care


小编寄语:一步一个脚印!Fighting!

时间:2019-07-12 17:40:56
 
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