Chapter 31: Assessment and Management of Patients With Hypertension: PART 3

To prevent complications/death by achieving and maintaining a blood pressure of 140/90 or less

A client in a clinic setting has just been diagnosed with hypertension. When the client asks what the end goal is for treatment, what is the nurse's best response?

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?

4 or 5

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

Beta blocker

The nurse is administering metoprolol to a client. What type of medication should the nurse educate the client about?

Prehypertension

The nurse is completing a cardiac assessment on a client. The patient has a blood pressure (BP) reading of 126/80. What would the nurse would identify this blood pressure reading as?

ACE inhibitor

The nurse is evaluating the types of medications prescribed for a client's hypertension. Which of the following medication classifications establishes an action on vasoconstrictive hormones in the blood stream?

Hyperkalemia

When administering benazepril with spironolactone, the nurse should be aware that which electrolyte imbalance may occur?

differ no more than 5 mm Hg between arms.

When measuring blood pressure in each arm of a healthy adult, the nurse recognizes that the pressures

kidneys

A client with a history of hypertension is receiving client education about structures that regulate arterial pressure. Which structure is a component of that process?

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

It is important for the nurse to encourage the cltient diagnosed with hypertension to rise slowly from a sitting or lying position because gradual changes in position

Using a BP cuff that is too small will give a higher BP measurement. The client's arm should be positioned at the level of the heart. The client should sit quietly while BP is being measured.

Which statements are true when the nurse is measuring blood pressure (BP)? Select all that apply.

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?

Hyperkalemia

A client is taking 50 mg of oral spironolactone twice a day to assist with blood pressure control. While the nurse is performing the morning assessment, the client reports nausea, general muscle cramps, and weakness. The ECG strip shows a peaked, narrow T-wave, which is a change. What electrolyte imbalance does the nurse suspect?

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?

The nurse is caring for a client newly diagnosed with secondary hypertension. Which condition contributes to the development of secondary hypertension?

The nurse is caring for a client newly diagnosed with secondary hypertension. Which condition contributes to the development of secondary hypertension?

4 or 5 servings per day

The nurse is explaining the DASH diet to a client diagnosed with hypertension. The client inquires about how many servings of fruit per day can be consumed on the diet. What is the nurse's best response?

Positions the arm at waist level

The nurse is instructing a student on the proper technique for measuring blood pressure (BP). Which student action indicates a need for further teaching?

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.)

Gradual changes in position provide time for the heart to increase rate of contraction to resupply oxygen to the brain.

The nurse is teaching a client who is experiencing dizziness to rise slowly from a sitting or lying position. What is the rationale for the teaching?

Retinal blood vessel damage

Which finding indicates that hypertension is progressing to target organ damage?