Why are vasodilators like hydralazine and minoxidil commonly used in combination with a beta blocker or a diuretic?

Correct answer: To counteract vasodilator-induced tachycardia and fluid retention.

Explanation

Potent vasodilators can trigger compensatory mechanisms in the body, such as an increase in heart rate (reflex tachycardia) and retention of sodium and water. Combining them with beta blockers (to control heart rate) and diuretics (to manage fluid retention) counteracts these side effects.

Other questions

Question 1

According to the text, what is the primary goal of antihypertensive therapy?

Question 2

What is the recommended blood pressure target level for patients undergoing antihypertensive therapy, as described in the General Action and Information section?

Question 3

Which of the following drug classes should be avoided during pregnancy according to the 'Precautions' section?

Question 4

What potential adverse event is associated with the abrupt discontinuation of centrally acting alpha-adrenergic agonists and beta blockers?

Question 5

Which class of drugs, when taken with diuretics, can increase the risk of digoxin toxicity?

Question 6

What is the recommended patient action if they are taking antihypertensives and the weather is hot?

Question 7

Which of the following are listed in the 'Interactions' section as drugs that can negate the therapeutic effectiveness of antihypertensives?

Question 8

What specific patient instruction is given regarding over-the-counter (OTC) medications?

Question 9

What potential electrolyte imbalance may be caused by combining ACE inhibitors with potassium-sparing diuretics?

Question 10

Which parenteral agents are mentioned as examples for managing hypertensive emergencies?

Question 11

What patient teaching point is crucial regarding the duration of antihypertensive therapy?

Question 12

What is a potential side effect of thiazide and loop diuretics mentioned in the 'Precautions' section?

Question 14

What is a key nursing assessment for a patient taking diuretics as part of their antihypertensive regimen?

Question 15

What is the only listed contraindication for the general class of antihypertensives?

Question 16

What should the nurse advise the patient to do to minimize orthostatic hypotension?

Question 17

What is a method suggested in the 'Assessment' section to help determine patient compliance with their medication regimen?

Question 18

A patient taking an ACE inhibitor, an angiotensin II antagonist, or aliskiren should be instructed to notify their health care professional if what situation occurs?

Question 19

What is the general effect of NSAIDs on antihypertensive therapy?

Question 20

What is the expected outcome of antihypertensive therapy?

Question 21

Which of the following is NOT listed as a class of antihypertensive drugs in the 'General Action and Information' section?

Question 22

Why must a patient be compliant with taking their centrally acting alpha-adrenergic agonists?

Question 23

What should a patient on antihypertensives be advised to report to their healthcare provider regarding their home blood pressure monitoring?

Question 24

What is the reason given for why many antihypertensives are available as combination products?

Question 25

Which nursing diagnosis is listed as a potential diagnosis for a patient on antihypertensives?

Question 26

Besides medication, what additional intervention for hypertension is mentioned in the Patient/Family Teaching section?

Question 27

What action should a patient be advised to take before undergoing treatment or surgery?

Question 28

Which food or supplement, when taken with potassium-sparing diuretics, may lead to hyperkalemia?

Question 29

What is the classification of antihypertensives based on, according to the text?

Question 30

What is the general use of parenteral antihypertensive products as specified in the document?

Question 31

The text states that the target diastolic blood pressure for antihypertensive therapy is less than what range?

Question 32

Which of these is listed as a centrally-acting antihypertensive class?

Question 33

What does the 'rebound phenomenon' associated with abrupt withdrawal of certain antihypertensives cause?

Question 34

Vasodilators like hydralazine and minoxidil are known to cause which side effect?

Question 35

Which drug class is NOT listed in the text as potentially negating the therapeutic effectiveness of antihypertensives?

Question 36

What is the consequence of hypokalemia from diuretics, according to the 'Interactions' section?

Question 37

What nursing assessment should be performed frequently during dosage adjustment of antihypertensives?

Question 38

Which of the following is listed as a potential nursing diagnosis related to medication adherence?

Question 39

The text states that medication controls, but does not do what?

Question 40

What factor can enhance the hypotensive effects of antihypertensive medications?

Question 41

Which class of antihypertensives is specifically associated with causing sodium and water retention?

Question 42

What is the consequence of combining potassium supplements with ACE inhibitors?

Question 43

What is a key lifestyle intervention that patients with hypertension should be encouraged to comply with?

Question 44

What potential adverse outcome is associated with the abrupt withdrawal of antihypertensives?

Question 45

A patient on diuretic therapy should have which of the following monitored?

Question 46

Which group of antihypertensives is specifically noted to be useful for hypertensive emergencies when given parenterally?

Question 47

What advice should be given to a patient about taking OTC cold remedies while on antihypertensive therapy?

Question 48

According to the 'Precautions' section, which antihypertensive class may cause tachycardia if used alone?

Question 49

How often should a patient be advised to check their BP at home?

Question 50

What is the primary evaluation for the desired outcome of antihypertensive therapy?