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Chapter 34: Hypertension PT3
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  • 問題数 38 • 1/20/2025

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    問題一覧

  • 1

    The nurse advises a person at the clinic to seek medical attention immediately following blood pressure readings of 206/110 mm Hg and 198/104 mm Hg. When a person with hypertension is assessed, what finding is the best indication that the client's heart has been affected by sustained high blood pressure?

    The client's heart is moderately enlarged.

  • 2

    A low-sodium diet is recommended for a client with hypertension. The best evidence that the client understands the nurse's instructions regarding dietary restrictions is if the client says he or she should avoid which item?

    Soy sauce

  • 3

    If the client with hypertension is willing to implement lifestyle changes to reduce blood pressure, what changes are most important for the nurse to encourage? Select all that apply.

    Pursuing measures for losing weight, Giving up smoking cigarettes

  • 4

    A nurse responds to a client's concern that his stress level at work causes his blood pressure to remain in hypertensive ranges. What nursing suggestion is best?

    Delegate more tasks to colleagues

  • 5

    A client with hypertension will begin taking furosemide 40 mg orally every day. What nursing assessment is the best indication that the furosemide has had a desired effect?

    The client's urine output increases.

  • 6

    What time of day should the nurse advise the client to take the prescribed furosemide?

    during the morning

  • 7

    What should the nurse recommend the client include regularly in his or her diet to replace potassium? Select all that apply.

    Greens like Swiss chard, Orange juice

  • 8

    Enalapril, an angiotensin-converting enzyme (ACE) inhibitor, is prescribed to another client's medication regimen. What client statement indicates to the nurse that the client is experiencing a side effect of enalapril?

    I have a dry, hacky cough throughout the day."

  • 9

    What nursing measure should the nurse include initially when a client begins treatment with an antihypertensive medication?

    Assist the client to a standing position.

  • 10

    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

  • 11

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

    Grade B

  • 12

    Which statement is true regarding hypertension in older adults?

    It improves with treatment.

  • 13

    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

  • 14

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

    Occipital on arising

  • 15

    Which intervention does treatment for essential hypertension focus on?

    Reduction of modifiable risks

  • 16

    Which focus of treatment for secondary hypertension is correct?

    Specific etiologic disease

  • 17

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

    140/90 mm Hg

  • 18

    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

  • 19

    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

  • 20

    An 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.

  • 21

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

    Pulse

  • 22

    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.

  • 23

    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

  • 24

    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

  • 25

    Which lifestyle change has the greatest effect on reducing hypertension?

    Weight reduction

  • 26

    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

  • 27

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

    Propranolol (Inderal): beta-adrenergic receptor blocker

  • 28

    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? a. b. c. d.

    Diltiazem (Cardizem)

  • 29

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

    Encourage relaxation techniques.

  • 30

    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.

  • 31

     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

  • 32

    Which patient is at the highest risk for malignant hypertension?

    Young African-American adults

  • 33

    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

  • 34

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

    Monitoring for seizure activity

  • 35

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

    Is effective for African Americans, Consistently controls blood pressure

  • 36

    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

  • 37

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

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

  • 38

    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