Chapter 31: Assessment and Management of Patients With Hypertension: Part 1
hypertension
A blood pressure (BP) of 140/90 mm Hg is considered to be
"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?
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?
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 cuff that is too small will give a false high blood pressure.
A nurse is discussing with a nursing student how to accurately measure blood pressure. What statement by the student indicates an understanding of the education?
Stroke Myocardial infarction Coronary artery disease
A nurse is providing education about hypertension to a community group. What are possible consequences of untreated hypertension? Select all that apply.
"Rebound hypertension can occur."
A nurse is teaching a client with newly diagnosed hypertension who asks if there is any harm in stopping antihypertensive medication. What is the nurse's best response?
prehypertension
A systolic blood pressure of 135 mm Hg would be classified as
secondary
According to the classification of hypertension diagnosed in older adults, hypertension that can be attributed to an underlying cause is termed
secondary hypertension.
Hypertension that can be attributed to an underlying cause is termed
A high diastolic or low systolic reading
The nurse is assessing the blood pressure for a patient who has hypertension and the nurse does not hear an auscultatory gap. What outcome may be documented in this circumstance?
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?
Heart and blood vessels
The nurse is creating a community teaching demonstration focusing on the cause of blood pressure. When completing the visual aid, which body structures represent the mechanism of blood pressure?
Sit on the edge of the chair and rise slowly.
The nurse is instructing a client who is newly prescribed an antihypertensive medication. Which nursing instruction is emphasized to maintain client safety?
"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?
Echocardiography
Which diagnostic method is recommended to determine whether left ventricular hypertrophy has occurred?
Spironolactone
Which diuretic medication conserves potassium?
Renal dysfunction resulting from atherosclerosis
Which of the following is the nurse most correct to recognize as a direct effect of client hypertension?
Rebound hypertension
A patient is flying overseas for 1 week for business and packed antihypertensive medications in a suitcase. After arriving at the intended destination, the patient found that the luggage had been stolen. If the patient cannot take the medication, what condition becomes a concern?
Change positions (lying or sitting to standing) slowly.
An older adult client has newly diagnosed stage 2 hypertension. The health care provider has prescribed the client hydrochlorothiazide and enalapril. What will the nurse be sure to include in educating this client?
