final

The public health nurse is presenting a workshop on hypertension for the Parent Teacher Organization of the local elementary school. A parent asks the nurse who is at risk for hypertension. What would be the nurse's best answer?

"People at highest risk for hypertension include those with diabetes."

AKI treatment

*Pre-renal: fluids, it's reversible *Intrarenal: treat underlying cause *Post-renal: catheter placement

hypotonic solutions

0.45% saline, 0.33 NS

The nurse is administering 1,000 mL 0.9 normal saline over 10 hours (set delivers 60 gtt/1 mL). Using the formula below, the flow rate would be:

100gtt/min

Which condition contributes to secondary hypertension?

Arterial vasoconstriction

A nurse flushing a capped peripheral venous access device finds that the IV does not flush easily. What is the appropriate intervention in this situation?

Aspirate and attempt to flush the line again.

Kidney Labs

BUN (8-20) and creatinine (0.6-1.2)

A 77-year-old client has newly diagnosed stage 2 hypertension. The physician has prescribed the client a thiazide and an angio-converting enzyme inhibitor. The nurse is concerned about postural hypotension. Which of the following will the nurse be sure to include in education for this client?

Change positions (lying or sitting to standing) slowly.

Mr. Seeman, 65 years old, is admitted to the hospital for cardiogenic shock. He is placed on dopamine to improve his blood pressure. He also has a history of peripheral vascular disease, hyperlipidemia, and diabetes mellitus type 2. What adverse effect(s) would require health care provider notification?

Changes in temperature or color of skin

isotonic solutions

D5W, NS (0.9% NaCl), Ringers Lactate

BPH s/s

Difficulty starting a urine stream (hesitancy and straining). Decreased strength of the urine stream (weak flow). Dribbling after urination. Feeling that the bladder is not completely empty. An urge to urinate again soon after urinating. Pain during urination (dysuria).

Choose the statements that correctly match the hypertensive medication with its side effect. Select all that apply.

Direct vasodilators may cause headache and tachycardia. With thiazide diuretics, monitor serum potassium concentration. Adrenergic inhibitors can cause sedation and fatigue. Beta-blockers may induce decreased heart rate; pulse rate should be assessed before administration. Angiotensin-converting enzyme inhibitors can induce a mild to severe dry cough. (ace) Angiotensin II can cause blurred vision and pins and needles feeling.

When teaching a client about hypertension and lifestyle changes what does the nurse emphasizes should be included in the diet?

Fresh fruits and vegetables

Which condition(s) indicates target organ damage from untreated/undertreated hypertension? Select all that apply.

Heart failure Retinal damage Stroke

A client is newly diagnosed with hypertension. When explaining this diagnosis, the nurse would include information that hypertension increases the person's risk for which conditions? Select all that apply.

Heart failure Stroke Blindness Kidney disease

The nurse is administering a beta blocker to a patient with hypertension. Which would the nurse expect this drug to do? (Select all that apply.)

Increase renal blood flow Decrease heart rate Decrease cardiac muscle contraction

A nurse is caring for a patient who has burns on 30% of his body. Based on his condition, what type of IV solution might be ordered for this patient?

LR

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.

Lose weight. Manage stress effectively.

acute kidney injury causes

Low blood pressure. Bleeding too much. Having severe diarrhea. Heart disease or heart attack. Infection. Liver failure. Using NSAIDs

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?

Lowering and controlling the blood pressure without adverse effects and without undue cost

A patient is receiving a vasodilator that is available only in oral form. Which agent would the nurse most likely identify as being used?

Minoxidil

The nurse is developing the care plan for a client recently diagnosed with hypertension. What outcome would the nurse identify as most important?

Multiple diastolic blood pressure readings less than 90 mm Hg

s/s of glomerulonephritis

Pink, tea or cola colored urine (from RBC's) Foamy urine (excess protein) Hypertension Edema in face, hands, feet, and abdomen Fatigue from anemia or kidney failure

The nurse is instructing a student on the proper technique for measuring blood pressure (BP). Which student action indicates a need for further teaching?

Positions the arm at waist level

What does the administration of a calcium channel blocker result in? (Select all that apply.)

Relaxation of blood vessels Increase oxygen supply to the heart Reduce the workload on the heart Decrease blood pressure

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?

Serum potassium value of 3.0 mEq/L

A nurse is caring for a client with dehydration. Which of the following signs are observed in a client with dehydration? Select all that apply.

Skin turgor over sternum Decreased blood pressure Low urine output

end-stage renal disease

The final stage of kidney failure (as that resulting from diabetes, chronic hypertension, or glomerulonephritis) that is marked by the complete or nearly complete irreversible loss of renal function

The nurse is caring for a client with essential hypertension. The nurse reviews lab work and assesses kidney function. Which action of the kidney would the nurse evaluate as the body's attempt to regulate high blood pressure?

The kidney excretes sodium and water.

The nurse is obtaining a health history from a client with a blood pressure of 146/88 mm Hg. The client states that lifestyle changes have not been effective in lowering blood pressure. Which medication classification does the nurse anticipate first?

Thiazide diuretic

The nurse is evaluating the types of medications prescribed for a client's hypertension. Which of the following medication classifications establishes an action on vasoconstrictive hormones in the blood stream?

ace inhibitor

A black client is receiving lisinopril. The nurse would need to closely monitor for which concern?

airway patency

A client is receiving carvedilol to treat hypertension. The nurse identifies this drug as a(n):

alpha and beta blockder

Glomerulonephritis Treatment

antibiotic therapy, corticosteroids, blood pressure management, and temporary dialysis

UTI treatment

antibiotic- ciproflaxin

A client of African descent is being treated for hypertension. What antihypertensive agent would the nurse expect to be prescribed?

calcium channel blocker

Hypertension is defined as "sustained elevations in systolic or diastolic blood pressures that exceed prehypertension levels." What are some of the consequences of hypertension that make it such a health menace in the United States?

cardiac failure cerebrovascular accident renal disease

A client is receiving captopril. Which would be most important for the nurse to monitor?

cbc

Air embolism is a potential complication of IV therapy. The nurse should be alert to which clinical manifestation associated with air embolism?

chest pain

ESRD treatment

dialysis and kidney transplant

A patient is receiving verapamil. What would be important for the nurse to stress that the patient avoid?

grapefruit juice

The nurse has admitted a client with type 1 diabetes mellitus who has been prescribed captopril for treatment of hypertension. The nurse knows this medication is used in clients with diabetes for what reason?

it reduces proteinuria

A client with a history of hypertension is receiving client education about structures that regulate arterial pressure. Which structure is a component of that process?

kidneys

The nurse on a surgical unit is caring for a client recovering from recent surgery with the placement of a nasogastric tube on low continuous suction. Which acid-base imbalance is most likely to occur?

metabolic alkalosis

Mr. Jones is admitted to your unit from the emergency department with a diagnosis of hypocalcemia. His laboratory results show a serum calcium level of 8.2 mg/dL. For what assessment findings will you be looking?

muscle cramping and tetany

The nurse is reviewing lab results where the client has elevated BUN and creatinine levels. The nurse would question the administration of which antihypertensive?

quinapril

To compensate for decreased fluid volume (hypovolemia), the nurse can anticipate which response by the body?

tachycardia

The nurse is caring for a 12-month-old infant with dehydration and metabolic acidosis. What symptom does the nurse document as congruent with dehydration and metabolic acidosis?

tachypnea (abnormal rapid breathing)

stress incontinence tx

tampon urethral stent kegel biofeedback

A patient is receiving an ACE inhibitor. The nurse ensures that the patient's hydration status is maintained to prevent:

excessive hypotension

TURP

transurethral resection of the prostate

Autoregulation of blood flow is directly connected to raising or lowering blood pressure via vasoactive substances. What are the examples of vasoconstrictive substances? Select all that apply.

Angiotensin II Endothelin-1

Which adrenergic inhibitor acts directly on the blood vessels, producing vasodilation?

Prazosin

The nurse is conducting a service project for a local elderly community group on the topic of hypertension. The nurse will relay that which risk factors and cardiovascular problems are related to hypertension? Select all that apply.

Smoking Overweight/obesity Age ≥65 in women

Raymaud's Disease

A condition in which some areas of the body feel numb and cool in certain circumstances. dr wynn got dis

A nurse educator is providing information about hypertension to a small group of clients. A participant asks "What can I do to decrease my blood pressure and thus my risk for heart problems?" The nurse describes modifiable and nonmodifiable risk factors. Which of the following risk factors can the client modify?

Dyslipidemia

After teaching a group of students about nitroprusside and cyanide toxicity, the instructor determines that the teaching was successful when the students identify what as an assessment finding? (Select all that apply.)

Dyspnea Dilated pupils Distant heart sounds Shallow breathing

A client develops a severe elevation in blood pressure. The physician orders an ACE inhibitor to be given intravenously. Which agent would be most likely?

Enalaprilat

A client hospitalized for treatment of hypertension is being prepared for discharge. Which teaching topic should the nurse be sure to cover?

Maintaining a low-sodium diet

Buerger's disease

A condition in which the blood vessels, especially those supplying the legs, are constricted whenever nicotine enters the bloodstream, the ultimate result being gangrene and amputation.

UTI s/s

-dysuria -frequency -urgency -chills -low grade fever -hematuria lower abdominal pain

A nurse providing education about hypertension to a community group is reviewing consequences of the disease. Which of the following would the nurse identify as target organs for hypertensive damage? Choose all that apply.

Heart Kidneys Brain Eyes

A community health nurse is facilitating a health promotion session for a group of older adults. Which topic related to hypertension is most important to include in the information?

Hypertension will increase the risk of heart disease.

The nurse is completing a cardiac assessment on a client. The patient has a blood pressure (BP) reading of 126/80. What would the nurse would identify this blood pressure reading as?

Prehypertension

A client in a clinic setting has just been diagnosed with hypertension. When the client asks what the end goal is for treatment, what is the nurse's best response?

To prevent complications/death by achieving and maintaining a blood pressure of 140/90 or less

A nurse is teaching a client with severe hypertension about the damage this condition can cause to the body. What system/organs will the nurse note are particularly targeted for damage due to severe hypertension?

sensory

A client has been newly diagnosed with primary hypertension. Which medication classification represented in the client's current medication regime should the nurse question when considering the treatment for this new diagnosis?

direct vasoconstrictors