chapter 32- hypertension-hypertension

a patient is diagnosed with primary hypertension and asks the nurse what caused the condition. which response would the nurse give?

"there is no identified cause."

a patient arrives at a medical clinic for routine physical exam. the patient's BP is 150/94 mmHg. all other assessment findings are within normal limits, and there is no previous history of elevated BP. which situation may have falsely elevated the BP reading?

the BP cuff was too small for the size of the patient

as treatment for hypertensive crisis, a patient has received sodium nitroprusside for three days. for which reason would the nurse plan to monitor the patient's thiocyanate levels?

the medication is metabolized to cyanide, then thiocyanate.

a patient who has been taking clonidine for 10 years tells the nurse, "I decided to quit taking the medication a few days ago." for which manifestation would the nurse monitor this patient?

tremors

a patient admitted with a history of hypertension has been taking hydrochlorothiazide daily for the past 10 years. which parameter would the nurse evaluate to indicate the effectiveness of this drug therapy?

BP of 118/76 mmHg

which mechanism of hypertension causes target organ damage?

promotion of atherosclerosis and damage to the walls of the arteries

a patient who is black is hospitalized for the treatment of hypertension. which type of medication has been shown to provide better control for black individuals?

calcium channel blockers

a patient has been prescribed atenolol. which condition should the nurse question the patient about before administering the drug?

diabetes mellitus

which instruction would the nurse include in the patient's discharge teaching plan regarding prescribed propranolol for hypertension?

do not stop taking the medication abruptly

a patient's BP reading is 142/91 mmHg. how should the nurse classify the BP?

hypertension, stage 2

which medication should be used with caution in patient with diabetes because the drug may depress the tachycardia associated with hypoglycemia?

metoprolol

the nurse presents information to a group of nursing students about cultural and ethnic health disparities related to hypertension. which information would the nurse include about the comparison of Mexican Americans to while and black populations?

mexican americans have lower levels of awareness of hypertension and its treatment

the nurse is caring for a patient admitted to the hospital with hypertension who is taking prazosin. which action would the nurse include in the patient's plan of care?

monitor for orthostatic hypotension

the nurse is teaching an older patient with hypertension about developing an exercise program. which instructions would the nurse include?

perform muscle-strengthening activities twice a week

a patient with hypertension has been prescribed an antihypertensive medication. during a follow-up visit, the patient asks if the medication can be stopped because the BP is now within the normal range. which response would the nurse provide?

"continue the medication unless your health care provider advises discontinuing it."

a nurse provides education to a patient with hypertension related to lifestyle modifications to reduce overall cardiovascular risk. which statement made by the patient indicates effective learning? SATA

1,2,4

which instructions would the nurse include in the discharge teaching for a patient with orthostatic hypotension from carvedilol? SATA

1,3,4,5

a nurse provides discharge education to a patient about the care and management of hypertension. which information would the teaching plan include? SATA

1,3,6

the registered nurse on a medical inpatient unit reviews the patient assignments. which activities could the nurse delegate to assistive personnel? SATA

1,4

stage 1 hypertension

132 mmhg

the nurse provides education to a group of women about preventing hypertensions. which information would the nurse include? SATA

3,4,5

a patient with hypertension receives a prescription for chlorothiazide. which item would the nurse instruct the patient to limit?

NSAIDs