Chapter 31: Assessment and Management of Patients With Hypertension: Part 4

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?

It takes 2 to 3 months for the taste buds to adapt to decreased salt intake.

A nurse is educating about lifestyle modifications for a group of clients with newly diagnosed hypertension. While discussing dietary changes, which point would the nurse emphasize?

Keep weight stable.

The nurse is discussing aging and the incidence of hypertension with an older adult. What lifestyle change will lower blood pressure for the older adult?

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?

Papilledema

The nurse is assessing a patient with severe hypertension. When performing a focused assessment of the eyes, what does the nurse understand may be observed related to the hypertension?

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?

Smoking Overweight/obesity Age ≥65 in women

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.

Sensory

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?

Drug therapy

A diabetic client visits a walk-in clinic and asks the nurse to take a blood pressure (BP) reading. The measurements are 150/90 mm Hg. Which of the following would the nurse expect as the treatment to normalize the client's BP?

stage 1 hypertension.

A diastolic blood pressure of 90 mm Hg is classified as

"The medication you were prescribed may cause sexual dysfunction; are you experiencing this side effect?"

A 55-year-old client newly diagnosed with hypertension returns to the physician's office for a routine follow-up appointment after several months of treatment with metoprolol. During the initial assessment, the nurse records the client's blood pressure (BP) as 180/90 mm Hg. The client states that the medicatoin is not taken as prescribed. Which is the best response by the nurse?

"Have you taken your prescribed clonidine today?"

A 66-year-old client presents to the emergency department reporting severe headache and mild nausea for the past 6 hours. Upon assessment, the client's BP is 210/120 mm Hg. The client has a history of hypertension and takes 1.0 mg clonidine twice daily. Which question is most important for the nurse to ask the client next?

Isolated systolic hypertension

A client is being seen at the clinic on a monthly basis for assessment of blood pressure. The client has been checking blood pressure at home as well and has reported a systolic pressure of 158 and a diastolic pressure of 64. What does the nurse suspect this client is experiencing?

"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?

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?

Maintain adequate dietary intake of fruits and vegetables

The nurse teaches the client which guidelines regarding lifestyle modifications for hypertension?

hypertension diabetes obesity family history of eary cardiovascular events

What risk factors would cause the nurse to become concerned that the client may have atherosclerotic heart disease? Select all that apply.

Arterial vasoconstriction

Which condition contributes to secondary hypertension?

Heart failure Retinal damage Stroke

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

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?