Porth's Chapter 31 Disorders of Blood Pressure Regulation

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

140

Which of the following patients is at greatest risk for orthostatic hypotension?

A 66-year-old post-surgery patient on bed rest

Which statements regarding alcohol consumption and hypertension are correct? Select all that apply.

A decrease in heavy alcohol consumption may help to lower blood pressure. Moderate alcohol consumption may decrease risk for cardiovascular disease. Chronic excessive alcohol consumption can induce hypertension.

A patient is diagnosed with stage 2 hypertension. The nurse knows that which of the following is characteristic of stage 2 hypertension?

A patient is diagnosed with stage 2 hypertension. The nurse knows that which of the following is characteristic of stage 2 hypertension?

A patient taking an antihypertensive drug for several months comes to the physician's office with a dry, persistent cough. The nurse knows that this cough is an adverse effect of which class of antihypertensive drugs?

Angiotensin-converting enzyme (ACE) inhibitors

A nurse is participating in a health fair and is addressing many of the varied factors that can contribute to hypertension. The nurse should be cognizant of the higher incidence and prevalence of hypertension in which groups?

Blacks and South Asians

A pregnant female client is at risk for the development of preeclampsia-eclampsia. Select the most important data to assess.

Blood pressure 160/100 mm Hg and proteinuria during the 30th week of pregnancy

A client has been prescribed a thiazide diuretic, hydrochlorothiazide (HCTZ), for the initial treatment of hypertension. What effect does the nurse know this drug will have to decrease blood pressure?

Decrease vascular volume

A nurse is teaching a patient with newly diagnosed hypertension about antihypertensive drug therapy. The nurse determines that the patient understands when the patient correctly matches which of the following drug categories to the action of decreasing vascular volume by suppressing renal reabsorption of sodium and increasing salt and water excretion?

Diuretics

The nurse knows that which group of antihypertensive drugs is usually the least expensive and is well tolerated?

Diuretics

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?

Headache and confusion

A client has systolic hypertension. The nurse knows that systolic pressure is influenced by which factors? Select all that apply.

Heart rate Compliance of arteries Stroke volume Contractile force

Persons with hypertension secondary to hyperaldosteronism may be treated with which medication?

Potassium-sparing diuretics

A patient's blood pressure is persistently in the range of 130-135 mm Hg systolic and 85-88 mm Hg diastolic. The nurse knows that which of the following conditions correctly describes this patient's blood pressure?

Prehypertension

A 75-year-old man presents at the clinic for a routine physical checkup. He is found to be hypertensive. While taking his blood pressure in the sitting, standing, lying positions, the nurse notes that the brachial artery is pulseless at a high cuff pressure, but she can still feel it. What condition would the nurse suspect?

Pseudohypertension

A patient is prescribed an angiotensin converting enzyme inhibitor (ACEI) for hypertension. The nurse knows that ACEIs are contraindicated by which clinical condition?

Renal artery stenosis

The nurse knows that which of the following foods is excluded from the Dietary Approaches to Stop Hypertension (DASH) diet?

Steak

A nurse is planning a community education program on lifestyle modification to manage hypertension. Which of the following topics should be included in the teaching plan? Select all that apply.

Stop smoking. Reduce dietary sodium intake. Limit alcohol consumption. Consume a diet rich in fruits, vegetables, and low-fat dairy products.

The nurse knows that the primary long term regulation of blood pressure is exerted by which of the following?

The kidneys

The nurse is providing education for a patient diagnosed with essential hypertension. The nurse will state that the cause of this disorder is which of the following?

Unknown