Hypertension Questions

The nurse obtains the following information from a patient newly diagnosed with prehypertension. Which finding is most important to address with the patient? A.Low dietary fiber intake B.No regular aerobic exercise C.Weight 5 pounds above ideal weight D.Drinks a beer with dinner on most nights

B.No regular aerobic exercise

Why is hypertension (HTN) considered a silent killer? a) Because symptoms don't usually present until end organ damage occurs b) It is not; myocardial infarctions are considered the silent killer c) Because at no point in the disease progression does symptoms ever present d) Because it never progresses slowly, it occurs suddenly and immediately

a) Because symptoms don't usually present until end organ damage occurs

A client receiving furosemide (Lasix) as an adjunct to treatment of hypertension returns for follow-up. Which of the following objective data should the nurse consider when determining the effectiveness of the drug therapy? a)Blood pressure log notes blood pressure 120/70-134/88 since discharge. b)Weight loss of six pounds in the past month c)Frequency of voiding of at least six times per day d)Absence of edema in lower extremities

a)Blood pressure log notes blood pressure 120/70-134/88 since discharge.

Officially, hypertension is diagnosed when the patient demonstrates a systolic blood pressure greater than ______ mm Hg and a diastolic blood pressure greater than _____ mm Hg over a sustained period. a) 120, 70 b) 140, 90 c) 130, 80 d) 110, 60

b) 140, 90

A client with newly diagnosed hypertension asks what she can do to decrease the risk for related cardiovascular problems. Which of the following risk factors is modifiable by the client? a) Impaired renal function b) Dyslipidemia c) Age d) Family history

b) Dyslipidemia

Which action will the nurse in the hypertension clinic take in order to obtain an accurate baseline blood pressure (BP) for a new patient? a)Deflate the BP cuff at a rate of 5 to 10 mm Hg per second. b)Have the patient sit in a chair with the feet flat on the floor. c)Assist the patient to the supine position for BP measurements. d)Immediately re-inflate cuff for second reading.

b)Have the patient sit in a chair with the feet flat on the floor.

The nurse preparing to administer HCTZ (Hydrodiuril) 25 mg to a client with hypertension checks laboratory values and finds that the potassium level is 2.8 mEq. The appropriate action is to: a)Give the client a banana and recheck the potassium level. b)Hold the medication and notify the health care provider. c)Administer the drug with orange juice. d)Administer the drug as ordered and continue to monitor the potassium level.

b)Hold the medication and notify the health care provider.

A patient presents with prehypertension to the outpatient office with a BP of 138/88. They are obese, work from home and have minimal activity, consume a large amount of soda and processed foods. What will the physician recommend? a)20 mg lisinopril PO daily, first dose now b)dietary and exercise changes c)Send to the emergency department to treat this hypertensive crisis/ emergency d)Nothing

b)dietary and exercise changes

The nurse teaches a 28-year-old man newly diagnosed with hypertension about lifestyle modifications to reduce his blood pressure. Which statement by the patient requires additional teaching by the nurse? a) "I will avoid adding salt to my food during or after cooking." b) "If I lose weight, I might not need to continue taking medications." c) "I can lower my blood pressure by switching to smokeless tobacco." d) "Diet changes can be as effective as taking blood pressure medications."

c) "I can lower my blood pressure by switching to smokeless tobacco."

A nurse is teaching about lifestyle modifications to a group of clients with known hypertension. Which of the following statements would the nurse include in the education session? a) Limit alcohol consumption to no more that 3 drinks per day. b) Maintain a waist circumference of 45 (men) and 40 (women) inches or less. c) Engage in aerobic activity at least 30 minutes/day most days of the week. d) Maintain a body mass index between 30 and 35.

c) Engage in aerobic activity at least 30 minutes/day most days of the week.

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? a) Check blood pressure (BP) in both arms before taking the medication. b) Increase fluid intake if dryness of the mouth is a problem. c) Include high-potassium foods such as bananas in the diet. d) Change position slowly to help prevent dizziness and falls.

d) Change position slowly to help prevent dizziness and falls.

A patient is admitted to the intensive care unit (ICU) with a diagnosis of hypertension emergency/crisis. The patient's blood pressure (BP) is 200/130 mm Hg. The nurse is preparing to administer IV Nitropress (nitroprusside). Upon assessment, which of the following patient findings requires immediate intervention by the nurse? a) Nausea and severe headache b) Chest pain score of 3/10 (on a scale of 1 to 10) c) Urine output of 40 cc/mL over the last hour d) Left arm numbness and weakness

d) Left arm numbness and weakness

Which of the following is not considered a potential effect from long-term untreated hypertension? a)Renal failure b)Stroke c)Heart attack d)Major depressive disorder

d)Major depressive disorder

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? a)The patient restricts intake of chicken and fish. b)The patient avoids eating nuts or nut butters. c)The patient has two cups of decaffeinated coffee in the morning. d)The patient has a glass of low-fat milk with each meal.

d)The patient has a glass of low-fat milk with each meal.