Chapter 34: Hypertension PT4

45問 • 1年前

問題一覧

A patient inquires if his blood pressure is normal. Which is the nurse's most accurate response regarding the definition of normal blood pressure?

Less than 120/80 mm Hg

An obese African-American man reports that he smokes. Which stage is this patient's hypertension considered?

Grade B

Which statement is true regarding hypertension in older adults?

It improves with treatment.

A patient is being evaluated every week for possible hypertension and is classified as prehypertensive. Which assessment would support this conclusion?

Blood pressure reading over 120/80 mm Hg for two consecutive visits

A patient with hypertension reports the symptom of headache. Which information correctly explains how headaches related to hypertension characteristically occur?

Occipital on arising

Which intervention does treatment for essential hypertension focus on?

Reduction of modifiable risks

Which focus of treatment for secondary hypertension is correct?

Specific etiologic disease

Which value do blood pressure readings need to exceed for a patient to be diagnosed with hypertension?

140/90 mm Hg

A patient is taking hydrochlorothiazide (HydroDIURIL) for hypertension. When providing dietary teaching what should the nurse Which food item should the patient be encouraged to to increase the intake of?

Bananas

An obese 38-year-old African-American patient with diabetes is being evaluated for the use of propranolol (Inderal) in controlling hypertension. Which contraindication exists for the use of propranolol (Inderal) in this patient?

Diabetes

Are 89-year-old patient is taking an antihypertensive medication. Which information should the nurse include when providing home care teaching?

Get up out of bed slowly.

Which physical assessment should a nurse instruct a patient who has been started on verapamil (Calan) for elevated blood pressure to monitor?

Pulse

A patient is prescribed an angiotensin-converting enzyme (ACE) inhibitor, enalapril (Vasotec). Which instruction is appropriate for the nurse to provide?

Return for follow-up visits.

An 87-year-old patient is taking furosemide (Lasix) for elevated blood pressure. Which complication should the nurse know that older patients are at risk for?

Hypokalemia

A nurse is providing patient education regarding a low-sodium diet. Which food item, in addition to the use of spices, should the nurse recommend to help decrease sodium in the diet?

Garlic

Which lifestyle change has the greatest effect on reducing hypertension?

weight reduction

A nurse is educating a group of patients regarding Dietary Approaches to Stop Hypertension (DASH) diet. Which recommendation should the nurse include as a source of protein and fat?

Whole grains

Which antihypertensive medication is contraindicated in patients who have chronic obstructive pulmonary disease (COPD) and asthma?

Propranolol (Inderal): beta-adrenergic receptor blocker

A nurse is caring for a patient who is taking antihypertensive therapy. The patient reports fatigue and has a pulse of 54 beats/min. Which medication administered is most likely the cause of these symptoms?

Diltiazem (Cardizem)

Which information should a nurse include when developing a teaching plan for a patient with hypertension?

Encourage relaxation techniques

A patient reports drowsiness after initiating atenolol (Tenormin) for the treatment of hypertension. Which response by the nurse is best when educating this patient about atenolol (Tenormin)?

Take the medication at bedtime.

A patient taking methyldopa (Aldomet) for hypertension reports to the emergency department with a severe headache, blurred vision, and a blood pressure reading of 200/94 mm Hg. Which complication should the nurse suspect is happening to this patient?

Abrupt cessation of medication

Which patient is at the highest risk for malignant hypertension?

Young African American adults

A patient with hypertension comes to the emergency department and is experiencing nausea and vomiting and is restless and confused. Vital signs are assessed at blood pressure, 220/130 mm Hg; pulse, 120 beats/min; and respirations, 32 breaths/min. Which complication should the nurse conclude the patient is experiencing based on these assessments?

Hypertension crisis from the cessation of a drug

Which action should be the nursing priority when caring for a patient with a hypertensive crisis?

Monitoring for seizure activity

Which advantages apply to hydrochlorothiazide (HydroDIURIL)? (Select all that apply.)

Is effective for African Americans, Consistently controls blood pressure

A nurse is providing care to a patient diagnosed with essential hypertension. Which information should the nurse know is included in a first-line therapeutic approach to lowering this patient's blood pressure? (Select all that apply.)

Smoking cessation, Exercise programs, Weight loss, Decreased sodium intake

Which conditions are considered potential causes of secondary hypertension? (Select all that apply.)

Renal disease, Coarctation of the aorta, Increased intracranial pressure (ICP)

A nurse explains that the force against which the left ventricle must work to force the blood into the circulation is called __________.

peripheral vascular resistance

A patient is being evaluated every week for possible hypertension and is classified as prehypertensive. Which assessment would support this conclusion?

Blood pressure reading over 120/80 mm Hg for two consecutive visits

Which action will the nurse in the hypertension clinic take to obtain an accurate baseline blood pressure (BP) for a new patient?

Have the patient sit in a chair with the feet flat on the floor.

The nurse obtains the following information from a patient newly diagnosed with prehypertension. Which finding is most important to address with the patient?

No regular physical exercise

Which action should the nurse take when giving the initial dose of oral labetalol to a patient with hypertension?

Ask the patient to request assistance before getting out of bed.

After the nurse teaches the patient with stage 1 hypertension about diet modifications that should be implemented, which diet choice indicates that the teaching has been most effective?

The patient drinks low-fat milk with each meal.

A patient has just been diagnosed with hypertension and has been started on captopril . Which information is most important to include when teaching the patient about this drug?

Change position slowly to help prevent dizziness and falls.

Propranolol (Inderal) is prescribed for a patient diagnosed with hypertension. The nurse should consult with the health care provider before giving this drug when the patient reveals a history of

reactive airway disease.

A 56-yr-old patient who has no previous history of hypertension or other health problems suddenly develops a blood pressure (BP) of 198/110 mm Hg. After reconfirming the BP, it is appropriate for the nurse to tell the patient that

diagnosis, treatment, and ongoing monitoring will be needed.

Which action will be included in the plan of care when the nurse is caring for a patient who is receiving nicardipine (Cardene) to treat a hypertensive emergency?

Use an automated noninvasive blood pressure machine to obtain frequent measurements.

The nurse has just finished teaching a hypertensive patient about the newly prescribed drug, ramipril (Altace). Which patient statement indicates that more teaching is needed?

"I can expect some swelling around my lips and face."

During change-of-shift report, the nurse obtains the following information about a hypertensive patient who received the first dose of nadolol (Corgard) during the previous shift. Which information indicates that the patient needs immediate intervention?

The patient has developed wheezes throughout the lung fields.

An older patient has been diagnosed with possible white coat hypertension. Which planned action by the nurse best addresses the suspected cause of the hypertension?

Teach the patient how to self-monitor and record BPs at home.

Which blood pressure (BP) finding by the nurse indicates that no changes in therapy are needed for a 48-yr-old patient with newly diagnosed hypertension?

128/76 mm Hg

Which information is most important for the nurse to include when teaching a patient with newly diagnosed hypertension?

Hypertension is usually asymptomatic until target organ damage occurs.

The nurse on the intermediate care unit received change-of-shift report on four patients with hypertension. Which patient should the nurse assess first?

48-yr-old with a blood pressure of 160/92 mm Hg who reports chest pain

The nurse is reviewing the laboratory test results for a patient who has recently been diagnosed with hypertension. Which result is most important to communicate to the health care provider?

Serum creatinine of 2.8 mg/dL

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