Chapter 18 (Porth) prep

The nurse knows that systolic hypertension is characterized by systolic pressure of ____mm Hg or higher.

140

The nurse knows that mean arterial pressure is: Systolic pressure alone Diastolic pressure alone 60% of diastolic pressure and 40% of systolic pressure 50% of diastolic pressure and 50% of systolic pressure

60% of diastolic pressure and 40% of systolic pressure

A 50-year-old man is having routine blood work done as part of his yearly physical. The doctor informs him that his good cholesterol is low. To which form of cholesterol is the doctor referring?

HDL

The nurse is preparing to auscultate a client's blood pressure. Which information obtained from the client would indicate that the nurse should wait 30 minutes prior to obtaining a reading? The client ate a hamburger 45 minutes prior to the reading. The client took her antihypertensive medication 2 hours ago. The client just smoked a cigarette. The client left work 1 hour ago.

The client just smoked a cigarette.

The nurse is teaching a class on reduction of cardiovascular disease. Which action/activity demonstrates an intervention that is cognizant of the modifiable risk factors for hyperlipidemia? 1. Going for a brisk walk with a friend and talking to him about continuing to exercise regularly 2. Talking to a friend about using more saturated and less unsaturated fats when cooking 3. Encouraging a friend to be tested for familial hypercholesterolemia 4. Encouraging a friend to cook with transfats, as they extend the shelf life of foods

Going for a brisk walk with a friend and talking to him about continuing to exercise regularly

A client with malignant hypertension is at risk for a hypertensive crisis, including the cerebral vascular system often causing cerebral edema. The nurse would assess this client for which signs and symptoms? 1. Papilledema and lethargy 2. Headache and confusion 3. Restlessness and nervousness 4. Stupor and hyperreflexia

Headache and confusion

At 4 AM the hemodynamic monitoring for a critically ill client in the intensive care unit indicates that the client's mean arterial pressure (MAP) is at the low end of the normal range; at 5 AM the client's MAP has fallen definitively below normal. The nurses should prioritize assessments for: A. dependent edema and decreased cognition. B. ischemic stroke and ischemic heart disease. C. organ damage and hypovolemic shock. D. orthostatic hypotension and cerebral aneurysm.

organ damage and hypovolemic shock.