Patient Data

Select from Word Choices to complete the sentence.

The thiazide diuretic works to decrease the client's blood pressure by

, and the angiotensin converting enyzme (ACE) inhibitor works to decrease the client's blood pressure by

and
_

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D","dropdown-group-3":"A"}

Increasing heart rate: Increasing heart rate is not the mechanism of thiazide diuretics or ACE inhibitors. It would raise blood pressure by increasing cardiac workload. Effective antihypertensives aim to lower or stabilize heart rate, not increase it.
Reducing stroke volume: Thiazide diuretics reduce stroke volume by lowering blood volume through sodium and water excretion. This decreases cardiac output and helps lower blood pressure, particularly in volume-sensitive hypertension.
Suppressing the appetite: Suppressing appetite is unrelated to the action of thiazide diuretics or ACE inhibitors. These drugs target fluid balance and vascular tone, not the central nervous system mechanisms that regulate hunger.
Decreasing serum sodium levels: Both thiazide diuretics and ACE inhibitors contribute to decreased serum sodium levels, which helps lower blood volume. This reduction supports blood pressure control but must be monitored to avoid hyponatremia.
Reducing systemic vascular resistance: ACE inhibitors lower blood pressure by reducing systemic vascular resistance through vasodilation. Blocking angiotensin II prevents arterial constriction, easing the workload on the heart and lowering afterload.

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Correct Answer is B

Explanation

A. Use a stool softener as needed: Baclofen can cause constipation as a side effect due to its muscle-relaxant properties. Using a stool softener as needed is an appropriate and safe strategy to manage this potential issue without needing additional instruction.

B. Discontinue when spasms cease: Baclofen should not be abruptly discontinued because sudden withdrawal can lead to serious complications such as seizures, hallucinations, or rebound spasticity. Clients must be taught to taper the medication gradually under healthcare provider supervision.

C. Avoid the ingestion of alcohol: Alcohol can potentiate the central nervous system depressant effects of baclofen, increasing the risk of sedation, dizziness, and respiratory depression. Clients should be advised to avoid alcohol while on this medication.

D. Take medication with meals: Taking baclofen with meals helps reduce gastrointestinal upset, such as nausea, which can occur with muscle relaxants. This practice is appropriate and does not require additional instruction.

A. Antiproliferative agents B. Biologics C. Loop diuretic D. Glucocorticoids E. Long acting beta agonists F. Angiotensin-converting enzyme (ACE) inhibitor

Correct Answer is ["B","D","E"]

Explanation

A. Antiproliferative agents: These are primarily used in conditions like organ transplantation and autoimmune diseases to suppress cell growth. They are not indicated for the management of asthma and would not benefit the client’s respiratory symptoms.

B. Biologics: Biologics such as omalizumab (anti-IgE) or mepolizumab (anti-IL-5) are used in moderate to severe asthma cases that are not well controlled with inhaled therapies. They target specific pathways in the inflammatory process and can help reduce exacerbations in allergic or eosinophilic asthma.

C. Loop diuretic: Loop diuretics like furosemide are used to manage fluid overload in conditions like heart failure, not for airway inflammation or bronchospasm in asthma. They have no direct role in asthma management.

D. Glucocorticoids: Inhaled or systemic glucocorticoids are essential in controlling airway inflammation and preventing exacerbations in asthma. They are a cornerstone of asthma management, especially if frequent rescue inhaler use is noted.

E. Long-acting beta agonists (LABAs): LABAs like salmeterol or formoterol are used in combination with inhaled corticosteroids for maintenance therapy in moderate to severe asthma. They help provide sustained bronchodilation but are not used alone due to increased risk of asthma-related death if unpaired with a steroid.

F. Angiotensin-converting enzyme (ACE) inhibitor: ACE inhibitors are primarily used for hypertension and heart failure. They are not asthma treatments and can sometimes worsen coughing, which could complicate asthma symptoms.

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Patient Data Select from Word Choices to complete the sentence. The thiazide diuretic works to decrease the client's blood pressure by ______, and the angiotensin converting enyzme (ACE) inhibitor works to decrease the client's blood pressure by ________ and _______

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with muscle spasticity receives a prescription for baclofen. Which information provided by the client requires additional instruction by the nurse?

Correct Answer is B

Explanation

Patient Data Which other medications might be helpful for this client in his management of asthma? Select all that apply.

Correct Answer is ["B","D","E"]

Explanation

A male client with a newly diagnosed seizure disorder starts a prescription for clonazepam. One week later, the nurse observes that his speech is slurred and he has an ataxic gait. Which action should the nurse implement?

A male client has been receiving the antibiotic gentamicin sulfate, IV piggyback every 12 hours for several days. Which observation by the nurse indicates that the client may be experiencing an adverse effect of gentamicin? Reference Range: White Blood Cell [5,000 to 10,000/mm3 (5 to 10 10^9/L)]

A client with type 2 diabetes mellitus is managed with glimepiride. The primary healthcare provider (HCP) adds a new prescription for injectable exenatide. Which information is most important for the nurse to teach this client?

A client who experiences migraine headaches reports having fewer headaches since using the herbal remedy feverfew. Which information is most important for the nurse to include in a teaching plan for this client?

Patient Data Review H and P, nurse's notes, flow sheet, and prescriptions. Click to mark whether the assessment finding represents a therapeutic result of the bisacodyl administered, a non-therapeutic side effect, or an unrelated finding. Each row must have one option selected.

A client with eczema receives a prescription for betamethasone cream. Which client statement indicates to the nurse that further teaching is needed?

The nurse is caring for a client who is taking diclofenac for rheumatoid arthritis. During a clinic visit, the client appears pale and reports increasing fatigue. Which of the client's serum laboratory values is most important for the nurse to review?

Patient Data

Select from Word Choices to complete the sentence.

The thiazide diuretic works to decrease the client's blood pressure by

, and the angiotensin converting enyzme (ACE) inhibitor works to decrease the client's blood pressure by

and
_