MSN 277: Ch 31 Workbook Questions
D
A pt arrives at the clinic for a follow-up visit for treatment of HTN. The 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? A. hypertensive emergency B. primary hypertension C. secondary hypertension D. hypertensive urgency
B
A patient is taking amiloride (Midamor) and lisinopril (Zestril) for the treatment of HTN. What laboratory studies should the nurse monitor while the patient is taking these two medications together? A. magnesium level B. potassium level C. calcium level D. sodium level
D
The nurse is assessing BP for a pt who has HTn and the nurse does not hear an auscultatory gap. What outcome may be documented in this circumstance? A. a low diastolic reading B. a high systolic pressure reading C. a normal reading D. a high diastolic or low systolic reading
D
The nurse is assessing a patient with severe hypertension. When performing a focused assessment of the eyes, what does the nurse understand may be observed related to the hypertension? A. cataracts B. glaucoma C. retinal detachment D. papilledema
A, C, D
The nurse is performing an assessment on a pt 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) A. heart rate B. respiratory rate C. heart rhythm D. character of apical and peripheral pulses E. lung sounds
A
The nurse planning care of a patient admitted to the hospital with HTN. What objective will help to meet the needs of this pt? A. Lowering and controlling the BP without adverse effects and without undue cost B. making sure that the patient adheres to the therapeutic medication regimen C. instructing the patient to enter a weight loss program and begin an exercise regimen D. scheduling the patient for all follow-up visits and making phone calls to the home to ensure adherence
B
A patient with long-standing hypertension is admitted to the hospital with hypertensive urgency. The physician orders a chest x-ray, which reveals an enlarged heart. What diagnostic test does the nurse anticipate preparing the patient for to determine left ventricular enlargement? A. cardiac catheterization B. echocardiography C. stress test D. tilt-table test
A
A pt is brought to the ER with complaints of bad headache and increase in BP. The BP reading is 260/180 mm Hg. What is the therapeutic goal for reduction of the mean blood pressure? A. reduce the BP by 20% to 25% within the first hour of treatment B. reduce the BP to about 140/80 mm Hg C. rapidly reduce the BP so the pt will not suffer a stroke D. reduce the BP by 50% within the first hour of treatment
A
A patient being seen at the clinic on a monthly basis for assessment of BP. The patient has been checking her Bp 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? A. isolated systolic hypertension B. secondary hypertension C. primary hypertension D. hypertensive urgency
C
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? A. 2 months B. 6 months C. 1 year D. 2 years
A
A patient has severe CAD and HTN. Which medication order should the nurse consult with the physician about that is contraindicated for a patient with severe CAD? A. clonidine (catapres) B. amiloride (midamor) C. bumetanide (bumex) D. methyldopa (aldomet)
C
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? A. If dietary sodium isn't restricted, the patient will be unable to control the blood pressure and will be at risk for stroke. B. The patient can speak to the physician about increasing the dosage of medication instead of reducing the added salt. C. It takes 2-3 months for the taste buds to adapt to changes in salt intake. D. The patient should use other methods of flavoring foods.
B
A patient is flying overseas for 1 week for business and packed antiHTN medications in a suitcase. After arriving, the pt found that the luggage had been stolen. If the patient cannot take the medication, what condition becomes a concern? A. isolated systolic hypertension B. rebound hypertension C. angina D. left ventricular hypertrophy
C
A patient with HTN has been able to maintain a BP of 130/70 mm Hg for 1 year while reducing dietary sodium and taking HCTZ and atenolol. What treatment plan will the nurse educate the patient about? A. continuing the medication and reducing dietary sodium B. discontinuing the HCTZ and atenolol and continuing to reduce sodium intake C. gradual reducing the HCTZ and the atenolol and continuing to reduce sodium intake D. gradually reducing the atenolol and continuing the HCTZ
A, B
A patient with hypertension is waking up several times a night to urinate. The nurse knows that what laboratory studies may indicate pathologic changes in the kidneys due to the hypertension? (Select all that apply) A. creatinine B. blood urea nitrogen (BUN) C. complete blood count (CBC) D. urine for culture and sensitivity E. AST and ALT
