LS1 Week 2 Chapter 31-Assessment and Management of Pt With HTC

Which diagnostic method is recommended to determine whether left ventricular hypertrophy has occured? a. Electrocardiography b. Blood Chemistry c. Echocardiography d. Blood urea nitrogen

C.Echocardiography

Approximately what percentage of adults in the United States have hypertension? a. 30 b. 20 c. 50 d. 40

a 30

Which term is refers to hypertension in which blood pressure that is controlled with therapy becomes uncontrolled (abnormally high) when the therapy a. Rebound b. Seoncdary c. Essential d. Primary

a. Rebound

Officially, hypertension is diagnosed when the client demonstrates a systolic blood pressure greater than _________mm Hg and a diastolic blood pressure greater than _________mm Hg over a sustained period. a. 130, 80 b. 110, 60 c. 120, 70 d. 140, 90

d. 140, 90

A systolic blood pressure of 135 mm Hg wold be classified as a. normal b. stage 2 hypertension c. stage 1 hypertension d. prehypertension

d. prehypertension

Which condition contributes to secondary hypertension? a. Arterial vasoconstriction b. Acid-based imbalance c. Calcium deficit d. Hepatic function

a. Arterial vasoconstriction

The nurse teaches the client which guidline regarding lifestyle modification for hypertension? a. Maintain adequate dietary intake of potssium b. Limit aerobic physical activity to 15 minutes, three times per week c Stop alcohol intake d. Reduce smoking to no more than four cigarettes per day

a. Maintain adequate dietary intake of potssium

Which adrenergic inhibitor acts directly on the blood vessels, producing vasodilation? a. Prazosin b. Reserpine c Propranolol d. Clonidine

a. Prazosin

Which finding indicates that hypertension is progressing to target organ damage? a. REtinal blood vessel damage b. Urine output of 60 mL over 2 hours c. Chest x-ray showing pneumonia d. Blood urea nitrogen cocentration of 12 mg/d/l

a. Retinal blood vessel damage

A 55 year old client newly dx with hypertension returns to the physician's office for a routine follow up appointment after several months of tx with metoprolol. During the initial assessment, the nure records the client's blood pressure as 180/90 mm Hg. The client states that the medication is not taken as prescribed. Which is the best response by the nurse? a. The medication you were prescribed may cause sexual dysfunction; are you experiencing this side effect" b. "Your hypertension must be tx with medications; you need to take your metoprolol every day" c. "It is very important for you to take your medication as prescribed, or you could experience a stroke" d. "Be certain to discuss your noncompliance with your medication regimen with the physician"

a. The medication you were prescribed may cause sexual dysfunction; aer you experiencing this side effect"

When measuring the blood pressure in each arm of a healthy adult cilent, the nurse recognizes that which statement is true? a. pressures should not differ more than 5 mm Hg between arms. b. Pressures must be equal in both arms c. Pressures may vary, with the higher pressure found in the left arm. d. Pressure may vary 10 mm Hg or more between arms

a. pressures should not differ more than 5 mm Hg between arms

A diastolic blood pressure of 90 mg Hg is classified as a. stage 1 hyptension b. normal c. stage 2 hypertension d. prehypertension

a. stage 1 hypertension

The nurse is caring for a client prescribed bumetanide for the tx of stage 2 hypertension. Which finding indicates the client is experiencing an adverse effect of the medication? a. Blood glucose value of 160 mg/dL b. Serum potassium value of 3.0 meq/L c. Electrocardiogram tracing demonstrating peaked T waves d. Urine output of 90 mL 1 hour after medication administration

b. Serum potassium value 3.0 mEq

A 77 year old client presenets to the local community center for a blood pressue screening; BP is recorded as 180/90 mm Hg. The client has a hx of hypertension but currently is not taking the prescribed medications. Which question is most appropriate for the nurse to ask the client first? a. "Are you able to get to your pharmacy to pick up your medications" b. "Why are you not taking your medications?" c. What medications are you prescribed?" d. "Are you having trouble paying for your medications?"

b. Why are you not taking your medication?

When measuring blood pressure in each arm of a healthy adult, the nurse recognizes that the pressures a. may vary 10 mm Hg or more between arms b. differ no more than 5 mm Hg between arms c. may vary, with than 5 mm Hg between arms d. must be equal in both arms

b. differno more than 5 mm Hg between arms

A blood pressure (BP) of 140/90 mm Hg is considered to be a. prehypertension b. hypertension c. hyptertensive emergency d. normal

b. hypertension

It is important for the nurse to encourage the client to rise slowly from a sitting or lying position because gradual changes in position a. help reduce the blood pressure to resupply oxygen to the brain b. provide a time for the heart to increase the rate of contraction to resupply oxygen to the brain c. provide time for the heart to reduce the rate of contraction to resupply oxygen to the brain d. help reduce the work rerquired by the heart to resupply oxygen o the brain

b. provide a time for the heart to increase the rate of contraction to resupply oxygen to the brain

Hypertension that can be attributed to an underlying cause is termed a. isolated systolic hypertenson b. secondary hypertension c. essential hypertension d. primary hypertension

b. secondary hypertension

The nurse is caring for a client newly dx with hypertension. Which statement by the client indicates the need for further teaching? a. "I will consult a dietician to help get my weight under control" b. "When getting up from bed, I will sit for short period before standing up" c. "If I take my blood pressure and it is normal, I don't have to take my blood pressure pills." d. "I think I'm going to sign up for a yoga class twice a week to help reduce my stress"

c. "If I take my blood pressure and it is normal, I don't have to take my blood pressure pills."

The nurse is caring for a client who has had 25mg of oral hydrochlorothiazide added to the medication regimen for the tx of hypertension. Which instruction should the nurse give the client? a."You may drink alcohol while taking this medication." b. "Take this medication before going to bed." c. Increase the amount of fruits and vegetables you eat." d. "You may develop dry mouth or nasal congestion while taking this medication."

c. Increase the amount of fruits and vegetables you eat."

The nurse is caring for a client newly dx with secondary hypertension. Which condition contributes to the development of secondary hypertension? a. Calcium deficit b. Acid=based imbalance c. Renal disease d. Heatic function

c. Renal disease

A 66 year old presents to the ED reporting severe ha and mild nausea for the past 6 hours. Upon assessment, the client's BP is 210/120 mm Hg. The client has a hx of hypertension and takes 1.0 mg clonidine twice daily. Which question is most important for the nurse to ask the client next? a."Did you take any medication for your ha?" b. "Do you have a dry mouth or nasal congestion? c. "Are you having chest pain or SOB?" d. "Have you taken your prescribed clonidine today?"

d. "Have you taken your prescribed clonidine today?

According to the DASH diet, how many servings of vegetable should a person consume each day? a. 2 or fewer b. 2 or 3 c 7 or 8 d. 4 or 5

d. 4 or 5

Which term describes a situation in which blood pressure is very elevated but there is no evidence of impending or progressive target organ damage? a. Hypertensive emergency b. Secondary hypertension c. Primary hypertension d. Hypertensive urgency

d. Hypertensive urgency

As recommended follow up for a client initially dx with prehypertension, the client should get his or her blood pressure rechecked within which time frame? a. confirm within 2 months b Recheck in 2 years c. Evaluate within 1 month d. Recheck in 1 year

d. Recheck in 1 year

The nurse is administering medications on a medical-surgical unit. A client is ordered to receive 40 mg oral nadolo for the tx of hypertension. Before administering the medication, the nurse should a. check the client's urine output b. weigh the client c. check the client's serum K+ level d. check the client's heart rate

d. check the client's heart rate

Which describes a situation in which blood pressure is severely elevated and there is evidence of actual or probable target organ damage> a. Hypertensive urgency b. Primary hypertension c. Secondary hypertension d. Hypertensive emergency

d. hypertensive emergency

Whiich adrenergi inhibitor acts directly on the blood vessels, producing vasodilation? a. Prazosin b. Reserpine c. Propranolol d. Clonidine

a. Prazosin

A client is admitted to the ICU with a dx of hypertension emergency/crisis. The client's BP is 200/130 mm Hg. The nurse preparing to administer IV nitroprusside. Upon assessment, which finding requires immediate intervention by the nurse? a. Chest pain score of 3 b. Nausea and severe headache c. Numbness and weakness in the left arm d. Urine output of 40mL over the past hour

c. Numbness and weakness in the left arm

A 35 year old client has been dx with HTN. The client is a stock broker smokes daily, and has DM. During a follow up appointment, the client states that regular visits to the doctor just to check blood pressure are cumbersome and time consuming. As the nurse, which aspect of client teaching would recommend? a. Administering glycemic control b. Discussing methods for stress reduction c. Purchasing a self monitoring BP cuff d. Advising smoking cessation

c. Purchasing a self-monitoring BP cuff

Which diurectic medication conserves potassium? a. Furosemide b Chlorothiazide c. Spironolactone d. Chlorthalidone

c. Spironolactone

Nurses should implement measures to relieve emotional stress for clients with hypertension because the reduction of stress a. inceases the production of neurotransmitters that contrict peripheral arterioles b. increases blood volume and improves the potential for greater cardiac output c. decreases the production of neurotransmitters that constrict peripheral arterioles d. increases the resisitance that the heart must overcome to eject blood

c. decreases the production of neurotransmitters that constrict peripheral arterioles

It is appropriate for the nurse to recommend smoking cessation for clients with hypertension because nicotine a. decreases the heart rate, constricts arterioles, and reduces the heart's ability to eject blood b. incerases the heart rate constricts arterioles and incerases the heart's ability to eject blood c. increaes the heart rate, constricts arterioles, and reduces the heart's ability to eject blood d. decreases circulating blood volume

c. increaes the heart rate, constricts arterioles, and reduces the heart's ability to eject blood

The nurse understands that client education r/t antihypertensive medication should include all instructions except a. to avoid overt the counter cold, weight reduction, and sinus medications b. to avoid hot baths, exercise, and alcohol within 3 hours of taking vasodilators c. do not stop antihypertensive medication abruptly d. if a dosage of medication is missed, double up on the next one to catch up.

d. if a dosage of medication is missed, double up on the next one to catch up.

It is important for the nurse to encourage the client dx with hypertension to rise slowly from a sitting or lying position because gradual changes in position a. help reduce the work required by the heart to resupply oxygen to the brain b. provide time for the heart to reduce the rate of contraction to resupply oxygen to the brain c. help reduce the blood pressure to resupply oxygen to the brain d. provide time for the heart to increase the rate of contraction to resupply oxygen to the brain

d. provide time for the heart to increase the rate of contraction to resupply oxygen to the brain

According to the classification of hypertension diagnosed in older adults, hypertension that can be attributed to an underlying cause is termed a. essential b. isolated systolic c. primary d. secondary

d. secondary

Which term describes high blood pressue from anidentified cause, such as renal disease? a. Rebound hypertension b. Primary hypertension c. hypertensive emergency d. secondary hypertension

d. secondary hypertension

The nurse understands that an overall goal of hypertension management is that a. there are no reports of sexual dysfunction b. there is no report of postural hypotension c. the client maintains a normal blood pressure reading. d. there is no indication of target organ damage

d. there is no indication of target organ damage