Perfusion EAQ

Which client seen at health fair will be most at risk for hypertension? 23-year-old white man 44 year old white woman 50 year old Mexican American woman 62 year old African-American man

62 year old African-American man Rationale: African Americans have the highest risk for hypertension semicolon before the age of 45, men are at higher risk than women. A 23 year old white man would be a low risk for hypertension. A 44-year-old white woman would be a someone higher risk, but still much less than an African-American man or woman. Mexican-American clients are less likely to seek treatment for hypertension, but they are not at higher risk than African-Americans

Based upon the provider data which client with the nurse suspects of having hypertension?

Client B

Which topic with the nurse include in teaching for a client with a new diagnosis of hypertension? Select all that apply

Use of a home blood pressure monitor Adverse effects of tobacco on blood pressure Benefits of moderate daily exercise

Which instruction is beneficial for an aging black client with hypertension? "Check the pulse daily" "Have an annual urinalysis" "Record blood pressure weekly" "Visit an ophthalmologist monthly"

"Have an annual urinalysis" Rationale: blacks have 20% less blood flow to the kidneys because of high sodium consumption. This causes anatomical changes in the blood vessels, they're by increasing the risk of kidney failure. Instructing the client with hypertension to have an annual urine examination would be beneficial. If the client has protein in the urine, this is a sign of high blood pressure and can signify kidney damage. Checking the pole Stily poses no harm to the individual but does not determine if the client has hypertension. For the blood pressure weekly is not in enough to if 10. The is take ed turman if the client has problems. If the client has an eye related problem, visiting an ophthalmologist should be suggested, but it's not usually monthly

A registered nurse teaches a new nurse about when a client with high blood pressure would follow up with the primary care provider. Which statement made by the new nurse indicates effective learning? "I will advise a client with a blood pressure of 130/80 MM Hg to follow up in a year" "I will advise a client with a blood pressure of 110/70 MM Hg to follow up in a year" "I will advise the client with a blood pressure of 150/90 MM Hg to follow up in a month." "I will advise the client with a blood pressure of 185/115 MM Hg to follow up in a month"

"I will advise a client with a blood pressure of 130/80 MM Hg to follow up in a year" Rationale: the client with pre-hypertension tends to have a blood pressure between 120/80 and 139/89. The clients should be rechecked in a year. Clients with BP less than 120/80 are considered normal. These clients should be rehecked into years. Clients with stage one hypertension have a BP between 140/90 and 159/99. These client should be rechecked in two months to confirm stage one hypertension. Clients with stage two hypertension have a BP greater than 160/100. The client should be rechecked in one month. If a client BP is greater than 180/110, then the client should be treated immediately or within one week

Which adverse effect will the nurse assessed for in a client who has been taking the prescribed dose of clozapine?

Agranulocytosis Agranulocytosis occurs in 1% to 2% of clients receiving clozapine and is potentially fatal; weekly blood counts are necessary.

Which is the best action for the nurse to take when a client with hypertension tells the nurse "I took the blood pressure pills for a few weeks, but I didn't feel any different, so I decided I only take them when I feel sick"?

Ask client questions to determine the current understanding of high blood pressure

Which action would the nurse perform first when prioritizing care for a hypertensive client?

Assess for a severe headache

Which laboratory result will be important for the nurse to review when a client is admitted to the hospital with a long history of uncontrolled hypertension?

Blood urea nitrogen

Which topic would be the most important to include in teaching when an obese client receives a diagnosis of high blood pressure? Causes of hypertension symptoms of hypertension effect of weight loss in hypertension effect of lowering alcohol intake in hypertension

Effect of weight loss in HTN Rationale: Weight loss is among the most powerful lifestyle modifications in lowering blood pressure

Which response with the nurse make to a 30-year-old client diagnosed with hyperlipidemia and hypertension you asked the nurse to explain why treatment is so important, stating "I feel fine, so I don't really see the need to make any changes"?

High blood pressure and high cholesterol contribute to the development of heart disease

Which intervention should the nurse take to ensure the well-being of a community dwelling older adults with hypertension? Select all that apply

Premier dietary modifications by using varied techniques access the clients current lifestyle and promote lifestyle changes monitor the client blood pressure and weight, and establish blood pressure screening programs

x after consistently obtaining a blood pressure of 140/73 MM Hg for a client, which stage of hypertension will the nurse document? Normal Elevated Stage 1 Stage 2

Stage 2 Rationale: according to the current American College of cardiology guidelines, systolic blood pressure greater than or equal to 140 MM Hg is classified as stage two hypertension. Although the diastolic pressure of 76 MM Hg is normal, elevation of either the systolic or diastolic pressure results in a hypertension diagnosis. Normal blood pressure would be less than 120/80 MMHG. Systolic pressures between 120 to 129 MMHG and a diastolic pressure less than 80 MMHG would be classified as elevated blood pressure. Stage one hypertension would be documented for systolic pressures between 130 to 139 MM Hg OR diastolic between 80 to 89 mm Hg. Hypertensive crisis would be diagnosed for systolic pressure over 180 MM Hg and/or diastolic pressure's over 120 MM Hg

Which manifestation with the nurse assess for in a client with a blood pressure of 190/94 who reports minimal urinary output despite adequate fluid intake? Thirst weight gain urinary retention urinary hesitance

Weight gain Rationale: if urine is not being produced in the presence of an average daily intake, fluid will be retained and reflected in weight gain. 1 L of fluid weighs 2.2 pounds. Excess fluid contributes to an increase in circulating blood volume, causing hypertension. Thirst is associated with dehydration, not hypertension and oliguria. Urinary retention is unrelated to hypertension. Urinary retention is the inability to empty the bladder. Urinary hesitancy is an involuntary delay in initiating urination and is unrelated to hypertension and oliguria

Which action would the nurse take after obtaining client blood pressures of 172/104 MMHG and 164/98 MM Hg during a blood pressure screening? Provide health teaching about a low sodium diet call the paramedics for transport to the hospital suggest ways to decrease the clients stress level refer the client to a primary healthcare provider

refer the client to a primary healthcare provider Rationale: according to the current hypertension guidelines, both of these readings indicate hypertension and thus require further evaluation by healthcare provider. Teaching about a low sodium diet is an adequate intervention for this clients hypertension. Because the client is asymptomatic, there is no need for transport to a hospital. Although reduction of stress may affect blood pressure, the clients hypertension will require further evaluation by a healthcare provider

Which clinical finding would the nurse expect for a client with hypertensive emergency? Increased urine output severe pounding headache heart rate 110 beats/minute weak and thready radial pulses

Severe pounding headache Rationale: hypertensive emergency often causes hypertensive encephalopathy because of increased cerebral capillary permeability, leading to severe headache, nausea, vomiting, and confusion or coma. Increase your an output would not be expected because acute kidney injury can occur with hypertensive emergency. Tachycardia is not typically seen with a hypertensive emergency; high blood pressure can lead to bradycardia because of increased pressure on the carotid sinus and bodies. Radial pulses would be bounding with hypertensive emergency

Which information obtained by the nurse about a client would represent risk factors for the client's admission diagnosis of hypertension? SATA Daily use of one aspirin occasional cocaine use reduced hemoglobin level African-American/black heritage increased high density lipoprotein (HDL)

occasional cocaine use African-American/black heritage Rationale: cocaine is a stimulant that causes tachycardia and hypertension. Hypertension is more prevalent in African-Americans in the United States. Aspirin decreases platelet aggregation, that's reducing the risk for cardiovascular disease, but does not affect blood pressure. Lowered hemoglobin may increase the heart rate, not the blood pressure. Increased HDL reduces the risk for cardiovascular disease, and it does not affect hypertension