Hypertension

"Can you tell me the reasons you aren't taking your medications?

A 77-year-old client presents to the local community center for a blood pressure (BP) screening; BP is recorded as 180/90 mm Hg. The client has a history of hypertension but currently is not taking the prescribed medications. Which question is most appropriate for the nurse to ask the client first?

"Can you tell me the reasons you aren't taking your medications?"

A 77-year-old client presents to the local community center for a blood pressure (BP) screening; BP is recorded as 180/90 mm Hg. The client has a history of hypertension but currently is not taking the prescribed medications. Which question is most appropriate for the nurse to ask the client first?

Numbness and weakness in the left arm

A client is admitted to the intensive care unit (ICU) with a diagnosis of hypertension emergency/crisis. The client's blood pressure (BP) is 200/130 mm Hg. The nurse is preparing to administer IV nitroprusside. Upon assessment, which finding requires immediate intervention by the nurse?

Essential (primary)

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?

dizziness

A client who is newly diagnosed with hypertension is going to be starting antihypertensive medicine. What is one of the main things the client and the client's spouse should watch for?

"Flex your calf muscles, avoid alcohol, and change positions slowly."

A client with high blood pressure is receiving an antihypertensive drug. When developing a client teaching plan to minimize orthostatic hypotension, which instruction should the nurse include?

A middle-aged African-American man

A community health nurse is screening for hypertension. Which client would the nurse focus on most intensively?

"Clients with diabetes should have a lower blood pressure goal. You should strive for 120/80 mm Hg.

A nurse is caring for a client who has hypertension and diabetes mellitus. The client's blood pressure this morning was 150/92 mm Hg. When the client asks the nurse what his or her blood pressure should be, what is the nurse's most appropriate response?

"Sit quietly for 5 minutes prior to taking blood pressure."

A nurse is educating a client about monitoring blood pressure readings at home. What will the nurse be sure to emphasize?

4 or 5

According to the DASH diet, how many servings of vegetables should a person consume each day?

decreases the production of neurotransmitters that constrict peripheral arterioles.

Nurses should implement measures to relieve emotional stress for clients with hypertension because the reduction of stress

Spironolactone

The nurse is caring for a client who is prescribed medication for the treatment of hypertension. The nurse recognizes that which medication conserves potassium?

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?

there is no indication of target organ damage.

The nurse understands that an overall goal of hypertension management is that

Pressures should not differ more than 5 mm Hg between arms.

When measuring the blood pressure in each arm of a healthy adult client, the nurse recognizes that which statement is true?

Fresh fruits and vegetables

When teaching a client about hypertension and lifestyle changes what does the nurse emphasizes should be included in the diet?

"Limiting my salt intake to 2 grams per day will improve my blood pressure."

Which client statement indicates a good understanding of the nutritional modifications needed to manage hypertension?

Renal dysfunction resulting from atherosclerosis

Which of the following is the nurse most correct to recognize as a direct effect of client hypertension?

Age

A client with newly diagnosed hypertension asks what to do to decrease the risk for related cardiovascular problems. Which risk factor is not modifiable by the client?

A client with anorexia and history of no health care insurance

The nurse is working on a busy cardiac unit caring for four hypertensive clients. Which client description would the nurse assess first because the client is at an increased risk for malignant hypertension?

"I chose broiled chicken with a baked potato for dinner."

A client is placed on a low-sodium (500 mg/day) diet. Which client statement indicates that the nurse's nutrition teaching plan has been effective?

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:

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?

Heart rate Heart rhythm Character of apical and peripheral pulses

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.)