BAH - Ch 31 - Assessment & Mgt of Pts w/ HTN

A patient has been diagnosed with preHTN and has been encouraged to exercise regularly and begin a weight loss program. After what period of time does the nurse tell the patient to return for a follow-up visit?

1 year

The desired goal for the systolic blood pressure for a person with diabetes or chronic kidney disease is ____________

130 mm Hg

Approximately ______% of adults have HTN

30%

hypertensive emergency or urgency triggers

HTN that has been poorly controlled, undiagnosed HTN, patients who have abruptly discontinued their medications

Inderal

blocks beta-adrenergic receptors

BP is the product of _________ multiplied by __________

cardiac output; peripheral resistance

__________ and _______ are the two classes of hypertensive crisis that require immediate intervention

hypertensive emergency; hypertensive urgency

A patient is brought to the emergency dept w/ c/o a bad headache and an increase in BP. The BP reading obtained by the nurse is 260/180 mm Hg. What is the therapeutic goal for reduction of the mean BP?

reduce the blood pressure by 20% i 25% within the first hour of treatment

DASH diet

rich in fruits, veggies, and low-fat dairy products with a reduced content of saturated fats and total fat

Tenex

stimulates alpha2-adreneric receptors

Corlopam

stimulates dopamine and alpha2-adrenergic receptors

An estimated _____% of patients discontinue their medications within 1 year of beginning to take them.

50%

Lasix

blocks reabsorption of sodium and water in kidneys

A risk factor assessment, as advocated by the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure (JNC 7), is needed to classify and guide the treatment of hypertensive people at risk for ___________

cardiovascular damage

A patient has severe coronary artery disease (CAD) and HTN. Which medication order should the nurse consult with the physician about that is contraindicated for a patient with severe CAD?

clonidine (Catapres)

Aldomet

displaces norepinephrine from storage sites

A patient w/ long-standing HTN is admitted to the hospital w/ hypertensive urgency. The physician orders a chest x-ray, which reveals an enlarged heart. What diagnostic test dos the nurse anticipate preparing the patient for to determine left ventricular enlargement?

echocardiography

A patient with HTN has been able to maintain a blood pressure of 130/70 mm HG for 1 year while reducing dietary sodium and taking hydrochlorothiazide (HCTZ) and atenolol (Tenormin). What treatment plan will the nurse educate the patient about?

gradual reducing the HCTZ and the atenolol and continuing to reduce sodium intake

The nurse is performing an assessment on a patient to determine the effects of HTN on the heart and blood vessels. What specific assessment data will assist in determining this complication? (Select all that apply.)

heart rate heart rhythm character of apical and peripheral pulses

Alactone

inhibits aldosterone

A patient is being seen at the clinic on a monthly basis for assessment of blood pressure.The patient has been checking her blood pressure at home as well and has reported a systolic pressure of 158 and a diastolic pressure of 64. What does the nurse suspect this patient is experiencing?

isolated systolic HTN

A patient informs the nurse, "I can't adhere to the dietary sodium decrease that is required for the treatment of my HTN." What can the nurse educate the client about regarding this statement?

it takes 2 to 3 months for the taste buds to adapt to changes in salt intake

The nurse is planning the care of a patient admitted to the hospital w/ HTN. What objective will help to meet the needs of this patient?

lowering and controlling the blood pressure w/o adverse effects and without undue cost

major concern for medical and nursing management of HTN

noncompliance with recommended therapeutic regimen

The nurse is assessing a patient with severe HTN. When performing a focused assessment of the eyes, what does the nurse understand may be observed R/T the HTN?

pailledema

A patient is taking amiodarone (Midamo) and lisinopril (Zestril) for the treatment of HTN. What lab studies should the nurse monitor while the patient is taking these two medications together?

potassium level

The nurse is assessing the blood pressure for a patient who has HTN and the nurse does not hear an auscultatory gap. What outcome may be documented in this circumstance?

A high diastolic or low systolic reading

A patient with HTN is waking up several times a night to urinate. The nurse knows that what lab studies may indicate pathologic changes in the kidneys D/T the HTN? (Select all that apply)

Creatinine BUN

A patient arrives at the clinic for a follow-up visit for treatment of HTN. he nurse obtains a BP reading of 180/110 but finds no evidence of impending or progressive organ damage when performing the assessment on the patient. What situation does the nurse understand this patient is experiencing?

Hypertensive urgency

Cardiac output is the product of ________ multiplied by ________

heart rate; stroke volume

A patient is flying overseas for 1 week for business and packed antihypertensive medications in a suitcase. After arriving at the intended destination, the patent found that the luggage had been stolen. If the patient cannot take the medication, what condition becomes a concern?

rebound HTN

Patients may experience ___________ if antihypertensive medications are suddenly stopped.

rebound hypertension