Chapter 33
Which blood pressure finding by the nurse indicates that no changes in therapy are needed for a patient with stage 1 hypertension who has a history of diabetes mellitus
128/76
The nurse on the intermediate care unit received change of shift report on four patients with hypertension. Which patient should the nurse assess first
43 year old bp 160/92 complaining of chest pain
Which action will the nurse in the hypertension clinic take in order to obtain an accurate baseline BP for new patient
Have a patient sit in a chair with the feet flat on the floor
The nurse obtains the following information from a patient newly diagnosed with prehypertension. Which finding is most important to address with the patient
No regular aerobic exercise
Which action should the nurse take when administering the intial dose of oral labetalol to a patient with hypertention
Ask the patient to request assistance when getting out of bed
The nurse has just finished teaching a hypertensive patient about the newly prescribed ALTACE. Which patient statement indicates that more teaching is needed
a little swelling around my lips and face is okay
Which assessment finding for a patient who is receiving IV Lasix to treat state 2 hypertension is most important to report to the health care provider
Blood potassium level 3.0
A patient with a history of hypertension treated with a diuretic and an ACE inhibitor arrives in the ed complaining of a severe headache and nausea and has a blood pressure of 238/118 which question should the nurse ask first
Have you been consistently taking your medications
Which nursing action should the nurse take first in order to assist a paitent with newly diagnosed stage 1 hypertension in making needed dietary changes
Collect a detailed diet history
`Which information should the nurse include when teaching a patient with newly diagnosed hypertension
Hypertension is usually asymptomatic until target organ damage occurs
the nurse is caring for a 70yr who uses hydrochlorathiazide and NORVASC but whose self monitored BP continues to be elevated. Which patient information may indicate a need for a change?
Patient uses Motrin daily to treat osteoarthritis
A patient with hypertension who has just started taking TENORMIN returns to the health clinic after 2 weeks for a follow up visit The blood pressure is unchanged from the previous visit. Which action should nurse take first
Question the patient about whether the medication is actually being taken
the nurse is reviewing the laboratory test results for a patient who has recently been diagnosed with hypertension Which result is most important to communicate to the health care provider
Serum creatinine of 2.8
The RN is caring for a patient with a hypertensive crisis who is receiving NIPRIDE. Which nursing action can the nurse delegate to an LPN/LVN
Set up the automatic blood pressure machine to take BP every 15 min
An older patient has been diagnosed with possible white coat hypertension. Which action will the nurse plan to take next
Tell the patient how to self monitor and record BPs at home
The nurse is assessing a patient who has been admitted to the ICU with a hypertensive emergency. Which finding is most important to report to the health care provider
The patient cannot move the left arm and leg when asked to do so
propranolol is prescribed for a patient diagnosed with hypertension. The nurse should consult with the health care provider before giving this medication with the patient reveals a history of
asthma
A patient has just been diagnosed with hypertension and has been started on Capoten. Which information is important to include when teaching the patient about this medication
change position slowly to help prevent dizziness and falls
a 56yr old patient who has no previous history of hypertension or other health problems suddenly devops a bp of 198/110. After reconfirming the BP it is appropriate for the nurse to tell the patient that
diagnosis of a possible cause, treatment and ongoing monitoring will be needed
The charge nurse observes a RN doing discharge teaching for a patient with hypertension who has a new prescription of VASOTEC. The charge nurse will need to intervene if the new RN tells the patient to
increase the dietary intake of high potassium foods
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
the patient has a glass of low fat milk with each meal
During change of shift report the nurse obtains the following information about a hypertensive patient who received the first dose of Corgard during the previous shift. Which information indicates that the patient needs immediate intervention
the patient has developed wheezes throughout the lung fields
which action will be included in the plan of care when the nurse is caring for a patient who is receiving nicardipine Cardene to treat a hypertensive emergency
use an automated noninvasive blood pressure machine to obtain frequent blood pressure measurements
