Heart Failure/Hypertension Quizziz (#73)

A patient with a history of hypertension treated with a diuretic and an angiotensin-converting enzyme (ACE) inhibitor arrives in the emergency department complaining of a severe headache and nausea and has a blood pressure (BP) of 238/118 mm Hg. Which question should the nurse ask first? - "Did you take any acetaminophen (Tylenol) today?" - "Have you been consistently taking your medications?" - "Have there been any recent stressful events in your life?" - "Have you recently taken any antihistamine medications?"

"Have you been consistently taking your medications?"

The nurse on the intermediate care unit received change-of-shift report on four patients with hypertension. Which patient should the nurse assess first? - 43-year-old with a (blood pressure (BP) of 160/92 who is complaining of chest pain - 52-year-old with a BP of 212/90 who has intermittent claudication - 50-year-old with a BP of 190/104 who has a creatinine of 1.7 mg/dL - 48-year-old with a BP of 172/98 whose urine shows microalbuminuria

43-year-old with a (blood pressure (BP) of 160/92 who is complaining of chest pain

After the nurse teaches the patient with stage 1 hypertension about diet modifications that should be implemented, which diet choice indicates that the teaching has been effective? - The patient avoids eating nuts or nut butters. - The patient restricts intake of chicken and fish. - The patient has two cups of coffee in the morning. - The patient has a glass of low-fat milk with each meal.

Patient has a glass of low-fat milk with each meal

Which action should the nurse take when administering the initial dose of oral labetalol (Normodyne) to a patient with hypertension? - Encourage the use of hard candy to prevent dry mouth. - Instruct the patient to ask for help if heart palpitations occur. - Ask the patient to request assistance when getting out of bed. - Teach the patient that headaches may occur with this medication.

Ask patient to request assistance when getting out of bed

Which topic will the nurse plan to include in discharge teaching for a patient with systolic heart failure and an ejection fraction of 33%? - Need to begin an aerobic exercise program several times weekly - Use of salt substitutes to replace table salt when cooking and at the table - Benefits and side effects of angiotensin-converting enzyme (ACE) inhibitors - Importance of making an annual appointment with the primary care provider

Benefits and side effects of ACE inhibitors

A patient has just been diagnosed with hypertension and has been started on captopril (Capoten). Which information is important to include when teaching the patient about this medication? - Check blood pressure (BP) in both arms before taking the medication. - Increase fluid intake if dryness of the mouth is a problem. - Include high-potassium foods such as bananas in the diet. - Change position slowly to help prevent dizziness and falls.

Change position slowly to help prevent dizziness and falls.

The nurse is assessing a patient who has been admitted to the intensive care unit (ICU) with a hypertensive emergency. Which finding is most important to report to the health care provider? - Urine output over 8 hours is 250 mL less than the fluid intake. - The patient cannot move the left arm and leg when asked to do so. - Tremors are noted in the fingers when the patient extends the arms. - The patient complains of a headache with pain at level 8/10 (0 to 10 scale).

The patient cannot move the left arm and leg when asked to do so.

During change-of-shift report, the nurse obtains the following information about a hypertensive patient who received the first dose of nadolol (Corgard) during the previous shift. Which information indicates that the patient needsimmediate intervention? - The patient's most recent blood pressure (BP) reading is 158/91 mm Hg. - The patient's pulse has dropped from 68 to 57 beats/minute. - The patient has developed wheezes throughout the lung fields. - The patient complains that the fingers and toes feel quite cold.

The patient has developed wheezes throughout the lung fields.

Propranolol (Inderal) is prescribed for a patient diagnosed with hypertension. The nurse should consult with the health care provider before giving this medication when the patient reveals a history of - asthma. - daily alcohol use - peptic ulcer disease. - myocardial infarction (MI).

asthma

While caring for a 23-year-old patient with mitral valve prolapse (MVP) without valvular regurgitation, the nurse determines that discharge teaching has been effective when the patient states that it will be necessary to - take antibiotics before any dental appointments. - limit physical activity to avoid stressing the heart. - take an aspirin a day to prevent clots from forming on the valve. - avoid use of over-the-counter (OTC) medications that contain stimulant drugs.

avoid use of over-the-counter (OTC) medications that contain stimulant drugs

The nurse is reviewing the laboratory test results for a patient who has recently been diagnosed with hypertension. Which result is most important to communicate to the health care provider? - Serum creatinine of 2.8 mg/dL - Serum potassium of 4.5 mEq/L - Serum hemoglobin of 14.7 g/dL - Blood glucose level of 96 mg/dL

creatinine of 2.8

A 56-year-old patient who has no previous history of hypertension or other health problems suddenly develops a blood pressure (BP) of 198/110 mm Hg. After reconfirming the BP, it is appropriate for the nurse to tell the patient that - a BP recheck should be scheduled in a few weeks. - dietary sodium and fat content should be decreased. - there is an immediate danger of a stroke and hospitalization will be required. - diagnosis of a possible cause, treatment, and ongoing monitoring will be needed.

diagnosis of a possible cause, treatment, and ongoing monitoring will be needed.

While assessing a 68-year-old with ascites, the nurse also notes jugular venous distention (JVD) with the head of the patient's bed elevated 45 degrees. The nurse knows this finding indicates - decreased fluid volume. - jugular vein atherosclerosis. - increased right atrial pressure. - incompetent jugular vein valves.

incompetent jugular vein valves

A patient who has chronic heart failure tells the nurse, "I was fine when I went to bed, but I woke up in the middle of the night feeling like I was suffocating!" The nurse will document this assessment finding as - orthopnea. - pulsus alternans. - paroxysmal nocturnal dyspnea. - acute bilateral pleural effusion.

paroxysmal nocturnal dyspnea

The nurse working on the heart failure unit knows that teaching an older female patient with newly diagnosed heart failure is effective when the patient states that - she will take furosemide (Lasix) every day at bedtime. - the nitroglycerin patch is applied when any chest pain develops. - she will call the clinic if her weight goes from 124 to 128 pounds in a week. - an additional pillow can help her sleep if she is feeling short of breath at night.

she will call the clinic if her weight goes from 124 to 128 pounds in a week.