23. The nurse is caring for a 70-year-old who uses hydrochlorothiazide (HydroDIURIL) and enalapril (Norvasc), but whose self-monitored blood pressure (BP) continues to be elevated. Which patient information may indicate a need for a change? a. Patient takes a daily multivitamin tablet. b. Patient checks BP daily just after getting up. c. Patient drinks wine three to four times a week. d. Patient uses ibuprofen (Motrin) daily to treat osteoarthritis. ANS: D Because use of nonsteroidal antiinflammatory drugs (NSAIDs) can prevent adequate BP control, the patient may need to avoid the use of ibuprofen. A multivitamin tablet will help supply vitamin D, which may help lower BP. BP decreases while sleeping, so self-monitoring early in the morning will result in obtaining pressures that are at their lowest. The patient’s alcohol intake is not excessive. DIF: Cognitive Level: Apply (application) REF: 725-726 TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity SHORT ANSWER 1. The nurse obtains a blood pressure of 176/83 mm Hg for a patient. What is the patient’s mean arterial pressure (MAP)? ANS: 114 mm Hg MAP = (SBP + 2 DBP)/3 DIF: Cognitive Level: Apply (application) REF: 726 TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity Review and Comment …dn97eDtvuLi2hyQ1lkCO4cRsyyLohGCDfT-2ZtlT9A_pt3lDMkvO-735/15/17, 1V34 PM Page 54 of 141
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• LOG OUT • LOG IN • Nclex Questions • Request Test Bank • Privacy Policy & Terms • REVIEWS Chapter 34: Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome Chapter 34: Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome Test Bank MULTIPLE CHOICE 1. When developing a teaching plan for a 61-year-old man with the following risk factors for coronary artery disease (CAD), the nurse should focus on the a. family history of coronary artery disease. b. increased risk associated with the patient’s gender. c. increased risk of cardiovascular disease as people age. d. elevation of the patient’s low-density lipoprotein (LDL) level. ANS: D Because family history, gender, and age are nonmodifiable risk factors, the nurse should focus on the patient’s LDL level. Decreases in LDL will help reduce the patient’s risk for developing CAD. DIF: Cognitive Level: Apply (application) REF: 736 TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and Maintenance
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