Evolve- HTN

A patient with chronic hypertension is admitted to the emergency department with a sudden rise in blood pressure (BP). What is the priority question for the nurse to ask the patient?

"Do you have a headache or confusion?

A patient asks the nurse, "How can I use my smartphone to help control my hypertension?" The nurse should inform the patient that a smartphone can perform what functions that will help manage the patient's blood pressure? Multiple selection question

Appointment tracking Maintaining a drug history Generating a report to the patient's healthcare provider The patient can enter variables including time of day and arm or wrist used

The nurse is teaching an older patient with hypertension about developing an exercise program. Which instructions should the nurse include? Multiple choice question

Perform muscle-strengthening activities using the major muscles of the body at least twice a week.

The nurse helps a patient move from a supine position to a standing position. The patient suddenly reports feeling dizzy. What is the probable reason for the dizziness? Multiple choice question

The sympathetic nervous system (SNS) did not respond.

A patient that has been taking clonidine for ten years tells the nurse, "I decided to quit taking the medication a few days ago." The nurse should monitor the patient for which indication of withdrawal syndrome? Multiple choice question Tremors Lethargy Dysphasia Bradycardia

Tremors

A patient receives a prescription for nadolol 50 mg by mouth (PO) daily. The nurse questions the prescription after noting which medical diagnosis in the patient's health record? Multiple choice question

Asthma

The patient with hypertension receives a prescription for atenolol 100 mg by mouth (PO) daily. The pharmacy provides 25-mg tablets. How many tablets should the nurse administer? Multiple choice question

Four tablets

When teaching a patient about dietary management of stage 1 hypertension, which instruction is important for the nurse to provide? Multiple choice question

Restrict sodium intake

An adult patient with no medical history is being seen in a clinic for a routine physical exam. The patient's blood pressure (BP) reading is 158/92. The patient asks the nurse: "Does this mean that I have hypertension?" How should the nurse respond? Multiple choice question

"You need a follow-up appointment to recheck your blood pressure to make this determination."

A patient receives a prescription for 20 mg furosemide intravenously (IV). The pharmacy issues a vial containing 100 mg/2 mL of the medication. How many mL should the nurse administer to the patient? Multiple choice question

0.4 mL

A patient with hypertension has been prescribed an antihypertensive medication. During a follow-up visit, the patient asks if the medication can be stopped because the blood pressure (BP) is now within the normal range. Which nursing response is appropriate? Multiple choice question

"Continue the medication until your health care provider advises to discontinue it."

A nurse provides education to a patient with hypertension related to lifestyle modifications to reduce overall cardiovascular risk. Which statement made by the patient indicates effective learning? . Multiple selection question

"I should exercise for at least 30 minutes daily." "I should achieve and maintain a healthy weight." "I should restrict my salt intake to less than or equal to 1500 mg/day."

The nurse provides education to a patient about the Dietary Approaches to Stop Hypertension (DASH) diet. Which statement made by the patient indicates understanding of the teaching? Multiple choice question

"I should include four to five servings of fruits and vegetables daily."

The nurse provides medication education to a patient with hypertension that receives a prescription for doxazosin. What should the nurse include in the teaching?

"Make position changes slowly, especially when moving from lying down to standing."

A patient with hypertension asks the nurse, "What can I do to decrease my blood pressure?" How should the nurse respond? Multiple choice question

"Perform moderate-intensity aerobic physical activity for at least 30 minutes daily."

A patient receives a new prescription for doxazosin. What should the nurse include in the patient's medication education? Multiple choice question

"Take this drug at bedtime because of the risk of orthostatic hypotension."

The nurse provides education to a 68-year-old patient who is experiencing orthostatic hypotension. Which statement made by the patient indicates the need for further teaching?

"This may be caused by my blood pressure medications, which I should stop taking immediately."

The nurse is providing care for a patient who continues to experience hypertension despite taking a calcium channel blocker daily. A diuretic has been prescribed. How does a diuretic help control blood pressure?

It reduces plasma volume. It promotes sodium and water excretion. It reduces the vascular response to catecholamines.

The nurse provides medication education to a patient that receives a prescription for lisinopril. What should the nurse include in the teaching? Multiple choice question

"You may develop a dry cough while taking this medication."

The nurse reviews the medical records of several patients and identifies that which ones are at high risk of developing hypertension? Multiple selection question

An elderly man who smokes A 35-year-old man with obesity A 65-year-old African American woman A 50-year-old man whose parent had hypertension

A male patient that takes nifedipine to treat hypertension continues to have blood pressure readings over 140/90 mm Hg. What action should the nurse take first? Multiple choice question

Assess the patient's adherence to therapy

A patient is being discharged from the hospital. The primary health care provider prescribes propranolol for hypertension. Which instruction should the nurse include in the patient's discharge teaching plan? Multiple choice question

Do not stop taking the medication abruptly.

A patient with hypertension receives a prescription for metoprolol 37.5 mg. The pharmacy provides 25-mg tablets. How many tablets should the nurse administer? Multiple choice question

1.5 tablets

The patient is diagnosed with stage 1 hypertension. The nurse understands that this correlates with which systolic blood pressure measurement?

142mm Hg

The nurse performs blood pressure measurements at a wellness clinic. The nurse identifies that which patient has the highest risk for developing primary hypertension?

A 65-year-old African American patient; BMI of 35

A patient is diagnosed with primary hypertension and asks the nurse what caused the condition. How should the nurse respond? Multiple choice question

A patient is diagnosed with primary hypertension and asks the nurse what caused the condition. How should the nurse respond? Multiple choice question

The nurse receives information about the assigned patients during shift report. Which patient should the nurse assess first?

A patient that reports a severe headache and that is vomiting

The nurse obtains a health history from a patient with primary hypertension and recognizes which nonmodifiable risk factors? Multiple selection question

Age 65 years African American ethnicity A family history of hypertension

The nurse observes another health care provider taking the blood pressure (BP) of an older patient. The cuff is inflated to 180 mm Hg. The care provider records the systolic blood pressure (SBP) as 180 mm Hg. The nurse recognizes that the reading is inaccurate based on what understanding of BP measurements in older adults? Multiple choice question

An auscultatory gap may be present. The older patient's SBP was underestimated.

A patient that has been taking an antihypertensive medication for four years reports blurred vision. The nurse notes that the patient's diagnostic reports indicate the blurred vision is due to retinal damage caused by hypertension. What are other manifestations of target organ disease?

Aneurysm Proteinuria Transient ischemic attack

An elderly patient is prescribed enalapril. The nurse instructs the patient to avoid taking the drug with meals. What is the reason for this instruction? Multiple choice question

Antihypertensive drugs may worsen postprandial hypotension.

The nurse provides information about prescribed diagnostic studies to a patient newly diagnosed with hypertension (HTN). What should the nurse include in the education about the reasons the studies are being performed? Multiple selection question

Blood urea nitrogen (BUN) and serum creatinine levels to provide information about renal function Lipid profile to provide information about risk factors related to atherosclerosis and cardiovascular disease

the nurse is caring for a patient admitted with a history of hypertension. The patient's medication history includes hydrochlorothiazide daily for the past 10 years. Which parameter would indicate the optimal intended effect of this drug therapy? Multiple choice question

Blood pressure 128/86

A patient is scheduled for a dose of metoprolol. The nurse should withhold the medication and consult the health care provider after noting which assessment finding? Multiple choice question

Blood sugar 217 mg/dL

The nurse provides teaching to a patient with hypertension that receives a prescription for chlorothiazide. The instructions should include limiting the intake of what?

NSAIDs

An African American patient is hospitalized for treatment of hypertension. When comparing medications used to treat high blood pressure, the nurse recalls that which type of medication provides better control for this population? Multiple choice question

Calcium-channel blockers

The registered nurse on a medical inpatient unit reviews the patient assignments. The nurse determines that it is appropriate to delegate which activities to unlicensed assistive personnel (UAP)?

Check for postural changes in blood pressure (BP). Report high or low blood pressure (BP) readings to the registered nurse.

The nurse suspects that a patient is experiencing postural hypotension. The nurse recalls that the hypotension occurs when there are what changes in the blood pressure (BP) and heart rate (HR)? Multiple choice question

Decreased systolic BP, decreased diastolic BP, and/or increased HR

A patient has been prescribed atenolol. Before administering the drug, the nurse should assess for which condition?

Diabetes mellitus

A patient whose blood pressure is 200/120 mm Hg receives a prescription for clonidine. The nurse instructs the patient to avoid hazardous activities due to what medication side effect?

Drowsiness`

A nurse provides discharge education to a patient about care and management of hypertension. What should the teaching plan include? Multiple selection question

Explain the meaning of the blood pressure (BP) values. Explain the potential dangers of uncontrolled hypertension Do not alter medication dosage without first consulting the health care provider.

The nurse provides education to a patient with hypertension about symptoms of uncontrolled hypertension. What should the nurse include in the education? Multiple selection question

Fatigue Dizziness Palpitations

A patient with a high triglyceride level takes an over-the-counter fish oil tablet every day. What risk factor should the nurse inform the patient about with the use of fish oil? Multiple choice question

Fish oil may increase the risk of bleeding.

The nurse teaches a patient with hypertension that uncontrolled hypertension may damage organs in the body primarily by which mechanism? Multiple choice question

Hypertension promotes atherosclerosis and damage to the walls of the arteries.

A patient's blood pressure (BP) reading is 142/91 mm Hg. How should the nurse classify the BP

Hypertension, stage 1 The patient's BP can be classified as hypertension stage I, in which systolic blood pressure (SBP) ranges between 140 and 159 mm Hg and diastolic blood pressure (DBP) is between 90 and 99 mm Hg. In normal BP, SBP is less than 120 mm Hg and DBP is less than 80 mm Hg. In the case of prehypertension, SBP ranges between 120 and 139 mm Hg and DBP is between 80 and 89 mm Hg. In hypertension stage II, SBP is 160 mm Hg or more and DBP is 100 mm Hg or more.

The nurse reviews the history of a patient that has failed to reach goal BP despite taking full doses of an appropriate three-drug therapy regimen, including a diuretic. The nurse identifies that what history finding is the likely cause of the resistant hypertension? Multiple choice question

Increasing obesity

A patient with hypertension receives a prescription for lisinopril. The nurse recognizes that it is appropriate for the patient because the medication has what mechanism of action? Multiple choice question

Inhibits conversion of angiotensin I to angiotensin II

A patient presents to the emergency department with a sudden rise in blood pressure (BP) and a severe headache. The patient receives a prescription for IV labetalol. The nurse recognizes that what precaution should be taken while administering the medication? Multiple choice question

Keeping the patient supine during the administratio

The nurse is preparing discharge teaching for a patient with orthostatic hypotension and should include which instructions? Multiple selection question

Lie down or sit if dizziness occurs. Do not stand still for prolonged periods. Rise slowly from a supine to sitting position. Perform leg exercises to increase venous return.

The nurse provides education to a group of women in the community about prevention of hypertension. What information should be included in the teaching? Multiple selection question

Limit sodium and fat intake Drink fat-free or low-fat milk Perform moderate-intensity aerobic physical activity for at least 30 minutes most days

A patient is diagnosed with acute ischemic stroke. The patient is receiving IV antihypertensive drugs. Which interventions should the nurse perform for this patient? Multiple selection question

Measure hourly urine output. Perform frequent neurologic checks. Titrate drug according to mean arterial pressure (MAP) or BP as prescribed.

The nurse is preparing to measure the blood pressure of a patient who is lying down on a bed. What technique should the nurse use? Multiple choice question

Measure the BP twice, waiting one minute between measurements.

The nurse recalls that which medication should be used with caution in patients with diabetes because the drug may depress the tachycardia associated with hypoglycemia and may adversely affect glucose metabolism? Multiple choice question

Metoprolol

The nurse presents information to a group of nursing students about cultural and ethnic health disparities related to hypertension. What should the nurse include in the education about Mexican Americans, when comparing them to the white and African American populations? Multiple choice question

Mexican Americans have lower levels of awareness of hypertension and its treatment.

The nurse is caring for a patient admitted to the hospital with a diagnosis of hypertension. The primary health care provider prescribes prazosin. What should be included in the patient's plan of care?

Monitor for orthostatic hypotension.

A nurse is counseling a patient about dietary supplements normally used for the prevention and treatment of cardiovascular disease. Which supplement has strong scientific evidence for its use? Multiple choice question

Omega-3 fatty acids

A patient is hospitalized with uncontrolled hypertension. The nurse anticipates that which diagnostic study will be prescribed? Multiple choice question

Ophthalmic examination

A patient with a history of pheochromocytoma presents to the emergency department with a blood pressure of 246/144 mm Hg. The health care provider prescribes sodium nitroprusside. What are appropriate nursing interventions when administering this medication? Multiple selection question

Place the patient on bed rest. Monitor the urine output hourly. Monitor the ECG for dysrhythmias. Titrate the infusion according to mean arterial pressure (MAP) or blood pressure (BP) as prescribed.

The nurse is caring for a patient with hypertension who is scheduled to receive a dose of esmolol. The nurse should withhold the dose and consult the prescribing health care provider for which vital sign taken just before administration? Multiple choice question

Pulse 48

The nurse is teaching a patient about common side effects of antihypertensive medications. Which information should the nurse include?

Sexual problems Orthostatic hypotension Frequent voiding and dry mouth if the antihypertensive is a diuretic

The nurse providing dietary instruction to a patient with hypertension should advise the patient to reduce the intake of which foods? . Multiple selection question

Red meat Canned soup Frozen dinners

The nurse provides medication education to a patient with a new diagnosis of hypertension. The nurse should include what common effects of several of the antihypertensive medications? Multiple selection question

Sexual problems Orthostatic hypotension

A 22-year-old healthy patient with a family history of hypertension asks the nurse about how to reduce the risk of developing high blood pressure. What recommendations should the nurse give to the patient? Multiple selection question

Restrict sodium intake to less than or equal to 2300 mg/day. Eat fish, such as salmon and catfish, at least two times per week.

The nurse teaches a healthy adult with no history of heart disease that it is recommended to eat fish at least two times per week. The adult asks the nurse to be provided with a list of recommended types of fish. What should the nurse include on the list? Multiple selection question

Salmon Catfish Whitefish Albacore tuna

When caring for a patient admitted with poorly controlled hypertension, the nurse identifies that which laboratory test result indicates the presence of target organ damage? Multiple choice question

Serum creatinine of 2.6 mg/dL

The nurse is preparing a presentation related to complications of hypertension. Which information should the nurse include?

Stroke as a result of atherosclerosis Blurring of vision or loss of vision secondary to retinal damage

A patient receives instructions about monitoring the blood pressure (BP) levels at home. What should the nurse teach the patient about measuring the BP in a supine position? Multiple choice question

Support the arm with a pillow during measurement.

A patient undergoes routine blood pressure (BP) monitoring. What actions should the nurse take when obtaining the BP measurement? Multiple selection question

Support the patient's arm at heart level. Average two or more readings, taken at intervals of at least 1 minute. Ensure the patient has not exercised within 30 minutes before measurement.

A patient arrives at a medical clinic for a routine physical exam. The patient's blood pressure (BP) is 150/94 mm Hg. All other assessment findings are within normal limits, and there is no previous history of elevated blood pressure. The nurse suspects that the falsely high blood pressure was caused by what? Multiple choice question

The blood pressure cuff was too small.

As treatment for hypertensive crisis, a patient has received sodium nitroprusside for three days. The nurse recognizes that it is important to assess the patient's thiocyanate levels for what reason? Multiple choice question

The medication is metabolized to cyanide, then thiocyanate.

The nurse notes that there is a difference in a patient's blood pressure (BP) and heart rate (HR) when the patient changes position from supine to standing. The differences are a decrease of 20 mm Hg in systolic BP, a decrease of 10 mm Hg in diastolic BP, and an increase in the HR of 20 beats/minute. How should the nurse interpret these findings? Multiple choice question

The patient is experiencing orthostatic hypotension.

A patient is prescribed lisinopril for the treatment of hypertension. The patient asks about side effects of this medication. Which side effects should the nurse include? Multiple selection question

cough hypotension