Chapter 31: Assessment and Management of Patients With Hypertension: Part 2

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?

Essential (primary)

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?

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?

"Sit quietly for 5 minutes prior to taking blood pressure."

A nurse is educating a client about monitoring blood pressure readings at home. What will the nurse be sure to emphasize?

Smoking Diabetes mellitus Physical inactivity

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.

25%

A patient is being treated for hypertensive emergency. When treating this patient, the priority goal is to lower the mean blood pressure (BP) by up to which percentage in the first hour?

Creatinine Blood urea nitrogen (BUN)

A patient with hypertension is waking up several times a night to urinate. The nurse knows that what laboratory studies may indicate pathologic changes in the kidneys due to the hypertension? (Select all that apply.)

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

Pheochromocytoma

The nurse in an oncology clinic notes that the client being treated has hypertension. What tumor is a predisposing condition for secondary hypertension?

check the client's heart rate.

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

Spironolactone

The nurse is caring for a client who is prescribed medication for the treatment of hypertension. The nurse recognizes that which medication conserves potassium?

stroke

The nurse is teaching a client about chronic untreated hypertension. What complication will the nurse explain to the client?

inform client to avoid over-the-counter cold and sinus medications

The nurse understands that client education related to antihypertensive medication should include which of the following?

Pressures should not differ more than 5 mm Hg between arms.

When measuring the blood pressure in each arm of a healthy adult client, the nurse recognizes that which statement is true?

Hypertensive emergency

Which describes a situation in which blood pressure is severely elevated and there is evidence of actual or probable target organ damage?

Rebound

Which term is refers to hypertension in which blood pressure that is controlled with therapy becomes uncontrolled (abnormally high) when the therapy is discontinued?

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

140/90 mmHg

Officially, hypertension is diagnosed when the client demonstrates a systolic blood pressure greater than ______ mm Hg and a diastolic blood pressure greater than _____ mm Hg over a sustained period.

ophthalmic examination.

Papilledema is a fairly common symptom of elevated blood pressure. The best way to detect this condition is through:

Reduce the blood pressure by 20% to 25% within the first hour of treatment.

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?