66 the client diagnosed with essential hypertension

66. The client diagnosed with essential hypertension is taking the loop diuretic
bumetanide (Bumex). Which statement by the client would warrant notifying the
client’s health-care provider?
1. “I really wish my mouth would not be so dry.”
2. “I get a little dizzy when I get up too fast.”
3. “I usually have one or two glasses of wine a day.”
4. “I have been experiencing really bad leg cramps.”
67. The male client diagnosed with essential hypertension tells the nurse, “I am not
able to make love to my wife since I started my blood pressure medications.” Which
statement by the nurse would be most appropriate?
1. “You are concerned that you cannot make love to your wife.”
2. “I will refer you to a psychologist so that you can talk about it.”
3. “You need to discuss this with your health-care provider.”
4. “Ask your wife to come in and we can discuss it together.”
68. The health-care provider prescribed a beta blocker for the client diagnosed with arte-
rial hypertension. Which is the scientific rationale for administering this medication?
1. This medication decreases the sympathetic stimulation to the heart, thereby
decreasing the client’s heart rate and blood pressure.
2. This medication prevents the calcium from entering the cell, which helps decrease
the client’s blood pressure.
3. This medication prevents the release of aldosterone, which deceases absorption of
sodium and water, which, in turn, decreases blood pressure.
4. This medication will cause an increased excretion of water from the vascular
system, which will decrease the blood pressure.
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69. The nurse is preparing to administer a calcium channel blocker, a loop diuretic, and
a beta blocker to a client diagnosed with arterial hypertension. Which action should
the nurse implement?
1. Hold the medication and notify the HCP on rounds.
2. Check the client’s blood pressure.
3. Contact the pharmacist to discuss the medication.
4. Double-check the health-care provider’s orders.
70. The nurse is administering the combination medication Tenoretic (clorthalidone and
atenolol), a thiazide diuretic and beta blocker, to a client diagnosed with chronic
hypertension. Which interventions should the nurse implement? Select all that apply.
1. Do not administer if the client’s B/P is less than 90/60.
2. Do not administer if the client’s apical pulse is less than 60.
3. Teach the client how to prevent orthostatic hypotension.
4. Encourage the client to eat potassium-rich foods.
5. Monitor the client’s oral intake and urinary output.
A Client with Deep Vein Thrombosis
71. The nurse is preparing to administer warfarin (Coumadin), an anticoagulant. The
client’s current laboratory values are as follows:
PT38 PTT 39
Control 12.9 Control 36
INR 5.9
Which action should the nurse implement?
1. Discontinue the intravenous bag immediately.