The client is prescribed doxazosin (Cardura) for hypertension and ...

[ashley]

The client is prescribed doxazosin (Cardura) for hypertension and asks the nurse how the medication works. Which response by the nurse is the most appropriate?
 
  1. It works by making your blood vessels expand.
  2. It works by causing your kidneys to excrete more urine.
  3. It works by decreasing the release of stress hormones.
  4. It works by making your heart work more efficiently.

Question 2

A client comes to the emergency department with a blood pressure of 200/120 mmHg. The health care provider orders hydralazine (Apresoline) IV. What will the nurse's priority assessment include?
 
  1. Hypotension and bradycardia
  2. Hypotension and tachypnea
  3. Hypotension and hyperthermia
  4. Hypotension and tachycardia

[heyhey123]

Answer to Question 1

Correct Answer: 1
Rationale 1: Doxazosin (Cardura) is selective for blocking alpha-1 receptors in vascular smooth muscle, which results in dilation of arteries and veins.
Rationale 2: Excreting more urine is an effect of diuretic medications.
Rationale 3: Decreasing the release of stress hormones is not an effect of doxazosin (Cardura).
Rationale 4: Increasing the efficiency of the heart is not an effect of doxazosin (Cardura).
Global Rationale: Doxazosin (Cardura) is selective for blocking alpha-1 receptors in vascular smooth muscle, which results in dilation of arteries and veins. Excreting more urine is an effect of diuretic medications. Decreasing the release of stress hormones is not an effect of doxazosin (Cardura). Increasing the efficiency of the heart is not an effect of doxazosin (Cardura).

Answer to Question 2

Correct Answer: 4
Rationale 1: Direct vasodilators produce hypotension and tachycardia, not bradycardia.
Rationale 2: Direct vasodilators do not affect respiratory rate.
Rationale 3: Direct vasodilators do not affect body temperature.
Rationale 4: Direct vasodilators produce reflex tachycardia, a compensatory response to the sudden decrease in blood pressure caused by the drug.
Global Rationale: Direct vasodilators produce reflex tachycardia, a compensatory response to the sudden decrease in blood pressure caused by the drug. Direct vasodilators produce hypotension and tachycardia, not bradycardia. Direct vasodilators do not affect respiratory rate or body temperature.

[ashley]

Both answers were spot on, thank you once again

[heyhey123]

Great! Please up vote