Exam 3 HTN-Chp31
Hypertension
A blood pressure (BP) of 140/90 mm Hg is considered to be
Essential
A client is being seen at the clinic for a routine physical when the nurse notes the client's blood pressure is 150/97. The client is considered to be a healthy, well-nourished young adult. What type of hypertension does this client have?
Reduce the blood pressure by 20% to 25% within the first hour of treatment
A client is brought to the emergency department with reports of a bad headache and an increase in blood pressure. The blood pressure reading obtained by the nurse is 260/180 mm Hg. What is the therapeutic goal for reduction of the mean blood pressure?
nonpharmacological interventions
A client who was recently diagnosed with prehypertension is to meet with a dietitian and return for a follow-up with the cardiologist in 6 months. What would this client's treatment likely include?
Stroke Myocardial infarction Coronary artery disease
A nurse is providing education about hypertension to a community group. What are possible consequences of untreated hypertension? Select all that apply.
130/80 or lower
A nurse is teaching a client who is newly diagnosed with hypertension and diabetes mellitus. What will the nurse specify about this client's target blood pressure?
Secondary
According to the classification of hypertension diagnosed in older adults, hypertension that can be attributed to an underlying cause is termed
Sustained increase of either one or both systolic or diastolic measurements.
During the physical assessment of a client with hypertension, what would the nurse expect to be the most obvious finding
increases the heart rate, constricts arterioles, and reduces the heart's ability to eject blood.
It is appropriate for the nurse to recommend smoking cessation for clients with hypertension because nicotine
continuous IV infusion
The nurse is caring for a client with a blood pressure of 210/100 mm Hg in the emergency room. What is the most appropriate route of administration for antihypertensive agents?
prehypertension.
The nurse is caring for a patient with systolic blood pressure of 135 mm Hg. This finding would be classified as
Heart failure Retinal damage Stroke
Which condition(s) indicates target organ damage from untreated/undertreated hypertension? Select all that apply.
Hypertensive emergency
Which describes a situation in which blood pressure is severely elevated and there is evidence of actual or probable target organ damage?
Retinal blood vessel damage
Which finding indicates that hypertension is progressing to target organ damage?
Diabetes mellitus Smoking Physical inactivity
A nurse providing education about hypertension to a community group is discussing the high risk for cardiovascular complications. What are risk factors for cardiovascular problems in clients with hypertension? Select all that apply.
Rebound hypertension
A patient is flying overseas for 1 week for business and packed antihypertensive medications in a suitcase. After arriving at the intended destination, the patient found that the luggage had been stolen. If the patient cannot take the medication, what condition becomes a concern?
Postural hypotension and resulting injury
An older adult client has newly diagnosed stage 2 hypertension. The health care provider has prescribed Chlorothiazide and Benazepril. What will the nurse monitor this client for?
Changing positions slowly related to possible hypotension
The nurse is caring for an elderly client with a diagnosis of hypertension, who is taking several antihypertensive medications. Which safety precaution is the nurse most likely to reinforce?
Loss of arterial elasticity
The nurse is caring for an older adult client who has come to the clinic for a yearly physical. When assessing the client, the nurse notes the blood pressure (BP) is 140/93. The nurse knows that in older clients what happens that may elevate the systolic BP?
Stress reduction to lower prehypertensive state
The nurse is employed in a physician's office and is caring for a client present for an annual exam. A blood pressure of 124/84 mm Hg is documented. Following revised guidelines for identifying hypertension, which educational pamphlet is help?
Heart rhythm Character of apical and peripheral pulses Heart rate
The nurse is performing an assessment on a patient to determine the effects of hypertension on the heart and blood vessels. What specific assessment data will assist in determining this complication? (Select all that apply.)
systolic BP is between 120 and 139 mm Hg.
The nurse is seeing a client for the first time and has just checked the client's blood pressure. The nurse would consider the client prehypertensive if:
A client diagnosed with kidney disease
Which of the following client scenarios would be correct for the nurse to identify as a client with secondary hypertension?
Renal dysfunction resulting from atherosclerosis
Which of the following is the nurse most correct to recognize as a direct effect of client hypertension?
Change positions (lying or sitting to standing) slowly.
An older adult client has newly diagnosed stage 2 hypertension. The health care provider has prescribed the client hydrochlorothiazide and enalapril. What will the nurse be sure to include in educating this client?
Limiting sodium intake in the diet
The nurse is developing a teaching plan for a client diagnosed with hypertension. What would be important for the nurse to emphasize as part of the plan of care?
