This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A nursing student asks a nurse why a patient in hypertensive crisis is receiving both intravenous ... (Read 100 times)

bobthebuilder

  • Hero Member
  • *****
  • Posts: 567
on: Jul 23, 2018
A nursing student asks a nurse why a patient in hypertensive crisis is receiving both intravenous sodium nitroprusside (Nitropress) and oral hydralazine (Apresoline). The nurse will explain that this is done to prevent:
 
  a. cyanide poisoning.
  b. fluid retention.
  c. rebound hypertension.
  d. reflex tachycardia.

Question 2

A female patient with essential hypertension is being treated with hydralazine (Apresoline) 25 mg twice daily.
 
  The nurse assesses the patient and notes a heart rate of 96 beats per minute and a blood pressure of 110/72 mm Hg. The nurse will request an order to:
  a. administer a beta blocker.
  b. administer a drug that dilates veins.
  c. reduce the dose of hydralazine.
  d. give the patient a diuretic.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

emily12345

  • Sr. Member
  • ****
  • Posts: 321
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: C
Sodium nitroprusside acts rapidly and is given only intravenously. Rebound hypertension occurs immediately when the IV is stopped, so an oral antihypertensive should be given simultaneously. Cyanide poisoning can occur with sodium nitroprusside, but giving hydralazine does not counter this adverse effect. Hydralazine does not prevent fluid retention or reflex tachycardia.

Answer to Question 2

ANS: A
This patient is showing signs of reflex tachycardia, so a beta blocker is indicated to slow the heart rate. Patients with heart failure who take hydralazine often require the addition of isosorbide dinitrate, which also dilates veins. There is no indication for reducing the dose of hydralazine. A diuretic can be given with hydralazine if sodium and water retention is present.


bobthebuilder

  • Member
  • Posts: 567
Reply 2 on: Jul 23, 2018
Wow, this really help

amynguyen1221

  • Member
  • Posts: 355
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

Eating carrots will improve your eyesight. Carrots are high in vitamin A (retinol), which is essential for good vision. It can also be found in milk, cheese, egg yolks, and liver.

Did you know?

Intradermal injections are somewhat difficult to correctly administer because the skin layers are so thin that it is easy to accidentally punch through to the deeper subcutaneous layer.

Did you know?

Signs of depression include feeling sad most of the time for 2 weeks or longer; loss of interest in things normally enjoyed; lack of energy; sleep and appetite disturbances; weight changes; feelings of hopelessness, helplessness, or worthlessness; an inability to make decisions; and thoughts of death and suicide.

Did you know?

Illicit drug use costs the United States approximately $181 billion every year.

Did you know?

After 5 years of being diagnosed with rheumatoid arthritis, one every three patients will no longer be able to work.

The surgical nurse assists the client into the correct position The surgical nurse assists the client into the correct position
nurse nurse
To check pupillary reflexes the nurse first holds the penlight To check pupillary reflexes the nurse first holds the penlight
Patient teaching: health promotion to prevent osteroporosis in women Patient teaching: health promotion to prevent osteroporosis in women
Nursing Student life Nursing Student life
Lobes of the brain, with primary receiving and integrating centers of the human cerebral cortex. Lobes of the brain, with primary receiving and integrating centers of the human cerebral cortex.
Video: Stretch reflex & Tendon reflex

For a complete list of videos, visit our video library