CS1, CH 31 - Adult Health 2

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? A) isolated systolic hypertension B) primary hypertension C) hypertensive urgency D) secondary hypertension

A

A client with high blood pressure is receiving an antihypertensive drug. When developing a client teaching plan to minimize orthostatic hypotension, which instruction should the nurse include? A) "flex your calf muscles, avoid alcohol, and change positions slowly" B) "wear elastic stockings, change positions quickly, and hold onto a stationary object when rising" C) "avoid drinking alcohol and straining at stool, and eat a low-protein snack at night" D) "rest between demanding activities, eat plenty of fruits/veggies, and drink 6-8 cups of fluid daily"

A

An older adult client has newly diagnosed stage 2 hypertension. The health care provider has prescribed Chlorothiazide and Benazepril. What will the nurse monitor this client for? A) postural hypertension and resulting injury B) sexual dysfunction C) postural hypotension and resulting injury D) rebound hypertension

A

The nurse is caring for a client who is prescribed medication for the treatment of hypertension. The nurse recognizes that which medication conserves potassium? A) spironolacton B) chlorothiazide C) furosemide D) chlorthalidone

A

The nurse is teaching a client diagnosed with hypertension about the DASH diet. How many servings of meat, fish, and poultry should the client consume per day? A) 2 or fewer B) 2-3 C) 4-5 D) 7-8

A

Which of the following is the nurse most correct to recognize as a direct effect of client hypertension? A) renal dysfunction resulting from athrosclerosis B) anemia resulting from bone marrow suppression C) emphysema related to poor gas exchange D) hyperglycemia resulting from insulin receptor resistance

A

What risk factors would cause the nurse to become concerned that the client may have atherosclerotic heart disease? Select all that apply. A) hypertension B) family history of early cardiovascular events C) obesity D) lowered triglyceride levels E) active lifestyle F) diabetes

A,B,C,F

The nurse is administering medications on a medical-surgical unit. A client is ordered to receive 40 mg oral nadolol for the treatment of hypertension. Before administering the medication, the nurse should A) check the pts urinary output B) check the pts heart rate C) check the pts serum K+ level D) weigh the pt

B

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? A) scheduling the pt for all follow-up visits and making phone calls to the home to ensure adherence B) lowering and controlling the blood pressure without adverse effects and without undue cost C) instructing the pt to enter a weight loss program and begin an exercise regimen D) making sure that the pt adheres to the therapeutic medication regimen

B

A nurse providing education about hypertension to a community group is discussing the high risk for cardiovascular complications. What are risk factors for cardiovascular problems in clients with hypertension? Select all that apply. A) frequent upper respiratory infections B) physical inactivity C) gallbladder disease D) smoking E) diabetes mellitus

B,D,E

Which statements are true when the nurse is measuring blood pressure (BP)? Select all that apply. A) the pts bp should be measured 1 hour before consuming alcohol B) the pt should sit quietly while bp is being measured C) using a BP cuff that is too large will give a higher BP measurement D) using a BP cuff that is too small will give a higher bp measurement E) the pts arm should be positioned at the level of the heart

B,D,E

A client is brought to the emergency department with reports of a bad headache and an increase in blood pressure. The blood pressure reading obtained by the nurse is 260/180 mm Hg. What is the therapeutic goal for reduction of the mean blood pressure? A) reduce the bp by 50% within the first hour of treatment B) reduce the bp to about 140/80 C) reduce the bp by 20-25% within the first hour of treatment D) rapidly reduce the blood pressure so the pt will not suffer a stroke

C

According to the classification of hypertension diagnosed in older adults, hypertension that can be attributed to an underlying cause is termed A) primary B) isolated systolic C) secondary E) essential

C

The nurse is caring for a client with a blood pressure of 210/100 mm Hg in the emergency room. What is the most appropriate route of administration for antihypertensive agents? A) oral B) sublingual C) continuous IV infusion D) intramuscular

C

Which describes a situation in which blood pressure is severely elevated and there is evidence of actual or probable target organ damage? A) secondary hypertension B) primary hypertension C) hypertensive emergency D) hypertensive urgency

C

Which term describes high blood pressure from an identified cause, such as renal disease? A) primary hypertension B) rebound hypertension C) secondary hypertension D) hypertensive emergency

C

Which term is refers to hypertension in which blood pressure that is controlled with therapy becomes uncontrolled (abnormally high) when the therapy is discontinued? A) secondary B) essential C) rebound D) primary

C

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? A) there is usually no need to change alcohol consumption for pts with hypertension B) the taste buds never adapt to decreased salt intake C) a person with hypertension should never consume alcohol D) it takes 2-3 months for the taste buds to adapt the decreased salt intake

D

The nurse is administering metoprolol to a client. What type of medication should the nurse educate the client about? A) diuretic B) ACE inhibitor C) vasodilator D) beta blocker

D

The nurse is caring for a client prescribed bumetanide for the treatment of stage 2 hypertension. Which finding indicates the client is experiencing an adverse effect of the medication? A) blood glucose value of 160 B) urine output of 90mL 1 hour after medication administration C) EGG tracing demonstrating peaked T waves D) serum potassium value of 3.0

D

The nurse is caring for a client who has had 25 mg of oral hydrochlorothiazide added to the medication regimen for the treatment of hypertension. Which instruction should the nurse give the client? A) "take this medication before going to bed" B) "you may drink alcohol while taking this medication C) "you may develop nasal congestion or depression while taking this medication" D) "increase the amount of fruits/veggies you eat"

D

Which of the following client scenarios would be correct for the nurse to identify as a client with secondary hypertension? A) a pt with excessive alcohol intake B) a pt with experiencing depression C) a pt of advanced age D) a pt diagnosed with kidney disease

D

It is appropriate for the nurse to recommend smoking cessation for clients with hypertension because nicotine A) increases the HR, constricts arterioles, and reduces the hearts ability to eject blood B) increases the HR, constricts arterioles, and increases the hearts ability to eject blood C) decrease circulating blood volume D) decreases the heart rate, constricts arterioles, and reduces the heart's ability to eject blood

A