Ch 31: Assessment and Management of Patients with Hypertension
"Do you have hypertension in your family?"
A client comes to the emergency department complaining of visual changes and severe headache and denies past medical history. The nurse measures the client's blood pressure at 210/120 mm Hg. What question will the nurse ask to explore the hypertension situation?
numbness and weakness in the left arm
A client is admitted to the intensive care unit (ICU) with a diagnosis of hypertension emergency/crisis. The client's blood pressure (BP) is 200/130 mm Hg. The nurse is preparing to administer IV nitroprusside. Upon assessment, which finding requires immediate intervention by the nurse?
primary (essential)
A client is being seen at the clinic for a routine physical when the nurse notes the client's blood pressure is 150/97. The client is considered to be a healthy, well-nourished young adult. What type of hypertension does this client have?
"Flex your calf muscles, avoid alcohol, and change positions slowly."
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?
secondary
A client, newly admitted to the nursing unit, has a primary diagnosis of renal failure. When assessing the client, the nurse notes a blood pressure (BP) of 180/100. The nurse knows that this is what kind of hypertension?
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?
- coronary artery disease - myocardial infarction - stroke
A nurse is providing education about hypertension to a community group. What are possible consequences of untreated hypertension? Select all that apply.
"Rebound hypertension can occur."
A nurse is teaching a client with newly diagnosed hypertension who asks if there is any harm in stopping antihypertensive medication. What is the nurse's best response?
a possible adverse effect of blood pressure medicine is dizziness when you stand
An older adult client visits the clinic for a blood pressure check. The client's hypertension is not well controlled, and a new blood pressure medicine is prescribed. What is important for the nurse to teach this client about blood pressure medicine?
increases the heart rate, constricts arterioles, and reduces the heart's ability to eject blood
It is appropriate for the nurse to recommend smoking cessation for clients with hypertension because nicotine
decreases the production of neurotransmitters that constrict peripheral arterioles
Nurses should implement measures to relieve emotional stress for clients with hypertension because the reduction of stress
pheochromocytoma
The nurse in an oncology clinic notes that the client being treated has hypertension. What tumor is a predisposing condition for secondary hypertension?
the adrenal gland
The nurse is caring for a client with hypertension. The nurse is correct to realize that a 24-hour urine is ordered to determine if the cause of hypertension is related to the dysfunction of which of the following?
loss of arterial elasticity
The nurse is caring for an older adult client who has come to the clinic for a yearly physical. When assessing the client, the nurse notes the blood pressure (BP) is 140/93. The nurse knows that in older clients what happens that may elevate the systolic BP?
elevated
The nurse is completing a cardiac assessment on a client. The patient has a blood pressure (BP) reading of 126/78. What would the nurse would identify this blood pressure reading as?
sit on the edge of the chair and rise slowly
The nurse is instructing a client who is newly prescribed an antihypertensive medication. Which nursing instruction is emphasized to maintain client safety?
- character of apical and peripheral pulses - heart rate - heart rhythm
The nurse is performing an assessment on a patient to determine the effects of hypertension on the heart and blood vessels. What specific assessment data will assist in determining this complication? (Select all that apply.)
systolic blood pressure is between 120 and 139 mmHg
The nurse is seeing a client for the first time and has just checked the client's blood pressure. The nurse would consider the client prehypertensive if:
echocardiography
The nurse is teaching a client about hypertension and the effects on the left ventricle. What diagnostic test will the nurse describe?
pressures should not differ more than 5 mmHg between arms
When measuring the blood pressure in each arm of a healthy adult client, the nurse recognizes that which statement is true?
"Limiting my salt intake to 2 grams per day will improve my blood pressure."
Which client statement indicates a good understanding of the nutritional modifications needed to manage hypertension?
hypertensive emergency
Which describes a situation in which blood pressure is severely elevated and there is evidence of actual or probable target organ damage?
retinal blood vessel damage
Which finding indicates that hypertension is progressing to target organ damage?
intracranial hemorrhage
Which of the following would be inconsistent with a hypertensive urgency?
secondary hypertension
Which term describes high blood pressure from an identified cause, such as renal disease?
