Prep U - Hypertension

B - lose weight C - manage stress effectively

A client has just received a diagnosis of hypertension after the completion of diagnostics. What can the client do to decrease the consequences of hypertension? Select all that apply. a) Use smokeless tobacco. b) Lose weight. c) Manage stress effectively. d) Get plenty of rest.

C - stage 1 hypertension

A diastolic blood pressure of 90 mm Hg is classified as a) normal. b) prehypertension. c) stage 1 hypertension. d) stage 2 hypertension.

C - 4 or 5

According to the DASH diet, how many servings of vegetables should a person consume each day? a) 2 or fewer b) 2 or 3 c) 4 or 5 d) 7 or 8

B - purchasing a self monitoring BP cuff

A 35-year-old client has been diagnosed with hypertension. The client is a stock broker, smokes daily, and has diabetes. During a follow-up appointment, the client states that regular visits to the doctor just to check blood pressure (BP) are cumbersome and time consuming. As the nurse, which aspect of client teaching would you recommend? a) Advising smoking cessation b) Purchasing a self-monitoring BP cuff c) Administering glycemic control d) Discussing methods for stress reduction

D - abnormal lipid levels

After a series of visits to her care provider, a 40-year-old woman has been diagnosed with primary hypertension and metabolic syndrome. In addition to her persistently high blood pressure (BP) readings, what criterion would contribute to the woman's diagnosis of metabolic syndrome? a) Serum sodium levels of ≥135 mmol/L b) Presence of proteinuria c) Increased serum creatinine and/or blood urea nitrogen (BUN) levels d) Abnormal lipid levels

A - arterial vasoconstriction

Primary or essential hypertension accounts for about 95% of all hypertension diagnoses with an unknown etiology. Secondary hypertension accompanies specific conditions that create hypertension as a result of tissue damage. Which condition contributes to secondary hypertension? a) arterial vasoconstriction b) hepatic function c) acid-base imbalance d) calcium deficit

C - serum potassium value of 3.0 mEq/L

The nurse is caring for a client prescribed bumetanide for the treatment of stage 2 hypertension. Which finding indicates the client is experiencing an adverse effect of the medication? a) Blood glucose value of 160 mg/dL b) Electrocardiogram (EGG) tracing demonstrating peaked T waves c) Serum potassium value of 3.0 mEq/L d) Urine output of 90 mL 1 hour after medication administration

C - hypertensive urgency

A patient arrives at the clinic for a follow-up visit for treatment of hypertension. The nurse obtains a blood pressure 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) Secondary hypertension b) Primary hypertension c) Hypertensive urgency d) Hypertensive emergency

A - hypertension often causes no symptoms

A nurse working in the clinic is seeing a client who has just been prescribed a new medication for hypertension. The client asks why hypertension is sometimes called the "silent killer." What is the best response by the nurse? a) "Hypertension often causes no symptoms." b) "Hypertension often kills early in the disease process." c) "Hypertension is difficult to diagnose." d) "Hypertension often causes no pain."

A - retinal hemorrhage D - transient ischemic attacks E - cerebrovascular accident

The nurse is working with a patient who has uncontrolled hypertension. The patient asks the nurse what can happen if his blood pressure is not brought under control. What are potential consequences of uncontrolled hypertension? Select all that apply. a) Retinal hemorrhage b) Venous insufficiency c) Right ventricular hypertrophy d) Transient ischemic attacks e) Cerebrovascular accident

D - maintain adequate dietary intake of fruits and vegetables

The nurse teaches the client which guidelines regarding lifestyle modifications for hypertension? a) Reduce smoking to no more than four cigarettes per day b) Limit aerobic physical activity to 15 minutes, three times per week c) Stop alcohol intake d) Maintain adequate dietary intake of fruits and vegetables

D - 130/80 or lower

A nurse is teaching a client who is newly diagnosed with hypertension and diabetes mellitus. What will the nurse specify about this client's target blood pressure? a) 150/95 or lower b) 125/85 or lower c) 145/95 or lower d) 130/80 or lower

B - the kidney excretes sodium and water

The nurse is caring for a client with essential hypertension. The nurse reviews labwork and assesses kidney function. Which action of the kidney would the nurse evaluate as the body's attempt to regulate high blood pressure? a) The kidney retains sodium and water. b) The kidney excretes sodium and water. c) The kidney retains water and excretes sodium. d) The kidney retains sodium and excretes water.

D - lowering and controlling the blood pressure without adverse effects and without undue cost

The nurse is planning the care of a patient admitted to the hospital with hypertension. What objective will help to meet the needs of this patient? a) Scheduling the patient for all follow-up visits and making phone calls to the home to ensure adherence 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) Lowering and controlling the blood pressure without adverse effects and without undue cost

C - hypertensive urgency

Which term describes a situation in which blood pressure is very elevated but there is no evidence of impending or progressive target organ damage? a) Primary hypertension b) Secondary hypertension c) Hypertensive urgency d) Hypertensive emergency