When taking blood pressure medications, it is important to reinforce education with the patient on which topics? Select all that apply.

Monitor pulse before taking medicine.

Continue taking medications even if feeling better.

Do not skip doses.

Eat a diet high in fats and processed food.

Exercise regularly.

Answer and Explanation

Correct Answer : A,B,C,E

A. Monitor pulse before taking medicine: For certain blood pressure medications, such as beta blockers or some calcium channel blockers, monitoring the pulse is important because these medications can lower the heart rate. Patients should be advised to check their pulse and report if it is too low.
B. Continue taking medications even if feeling better: It is crucial for patients to understand that antihypertensive medications manage symptoms but do not cure hypertension. Stopping the medication can lead to a rebound effect, potentially causing dangerously high blood pressure.
C. Do not skip doses: Regular intake of medication is essential for maintaining stable blood pressure levels. Missing doses can lead to ineffective control of hypertension and increase the risk of complications.
D. Eat a diet high in fats and processed food: This is incorrect. Patients should be advised to eat a healthy, balanced diet low in fats and processed foods to help manage their blood pressure and overall cardiovascular health.
E. Exercise regularly: Regular physical activity helps in controlling blood pressure and improving overall cardiovascular health. It is important to include exercise as part of lifestyle modifications for managing hypertension.

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Correct Answer is B

Explanation

A. Heparin: Heparin is an anticoagulant, but it is not typically used in the acute management of ischemic stroke because it does not dissolve clots already formed. It may be used later for prophylaxis against new clots.
B. Tissue-type plasminogen activator (tPA): This is correct. tPA is a thrombolytic agent that can dissolve the clot causing the stroke. It is most effective when given within a few hours of symptom onset, making it the appropriate medication in this scenario.
C. Warfarin: Warfarin is an oral anticoagulant used for long-term prevention of clot formation but is not suitable for immediate thrombolytic therapy in acute ischemic stroke.
D. Clopidogrel: Clopidogrel is an antiplatelet medication used for secondary prevention of strokes but is not used for acute thrombolysis.

A. Instruct the patient to wear constrictive clothing. B. Encourage frequent ambulation. C. Encourage the patient to keep legs in a dependent position. D. Apply compression stockings.

Correct Answer is D

Explanation

A. Instruct the patient to wear constrictive clothing: This is incorrect. Constrictive clothing can impede blood flow and worsen venous stasis.
B. Encourage frequent ambulation: This is correct. Ambulation promotes circulation, helps prevent blood stasis, and encourages the healing of ulcers.
C. Encourage the patient to keep legs in a dependent position: This is incorrect. Keeping the legs in a dependent position can increase venous pressure and exacerbate edema, which is counterproductive for managing venous stasis ulcers.
D. Apply compression stockings: This is correct. Compression stockings help to improve venous return, reduce edema, and promote ulcer healing by preventing blood from pooling in the legs.

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When taking blood pressure medications, it is important to reinforce education with the patient on which topics? Select all that apply.

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Naxlex Comprehensive Predictor Exams

A patient comes into the emergency department with symptoms of a stroke that began 2 hours ago. Diagnostic testing confirms an ischemic stroke is present. What medications should the nurse anticipate will be delivered?

Correct Answer is B

Explanation

The nurse is caring for a patient with venous stasis ulcers. What action should the nurse take?

Correct Answer is D

Explanation

Which factor would be the first step in the management of hypertension?

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