Class Twenty Three Chapter 31 (25) Prep U
A client admitted with dehydration reports feeling dizzy with ambulation. What teaching would the nurse provide to the client? - "Dizziness can occur when baroreceptors overreact to the changes in BP." - "Dizziness when you change position can occur when fluid volume in the body is decreased." - "Dizziness is caused by very low blood pressure when you lie down." - "Dizziness can occur due to changes in the hospital environment."
"Dizziness when you change position can occur when fluid volume in the body is decreased."
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? - "Rest between demanding activities, eat plenty of fruits and vegetables, and drink 6 to 8 cups of fluid daily." - "Flex your calf muscles, avoid alcohol, and change positions slowly." - "Avoid drinking alcohol and straining at stool, and eat a low-protein snack at night." - "Wear elastic stockings, change positions quickly, and hold onto a stationary object when rising."
"Flex your calf muscles, avoid alcohol, and change positions slowly."
A nurse working in the clinic is seeing a client who has just been prescribed a new medication for hypertension. The client asks why hypertension is sometimes called the "silent killer." What is the best response by the nurse? - "Hypertension often causes no pain." - "Hypertension often causes no symptoms." - "Hypertension is difficult to diagnose." - "Hypertension often kills early in the disease process."
"Hypertension often causes no symptoms."
Which client statement indicates a good understanding of the nutritional modifications needed to manage hypertension? - "Limiting my salt intake to 2 grams per day will improve my blood pressure." - "I should eliminate caffeine from my diet to lower my blood pressure." "If I include less fat in my diet, I'll lower my blood pressure." "A glass of red wine each day will lower my blood pressure."
"Limiting my salt intake to 2 grams per day will improve my blood pressure."
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? - "Rebound hypertension can occur." - "Postural hypertension can occur." - "Postural hypotension can occur." - "Rebound hypotension can occur."
"Rebound hypertension can occur."
Which condition(s) indicates target organ damage from untreated/undertreated hypertension? Select all that apply. - Stroke - Diabetes - Hyperlipidemia - Retinal damage - Heart failure
- Stroke - Retinal damage - Heart failure
A nurse is discussing with a nursing student how to accurately measure blood pressure. What statement by the student indicates an understanding of the education? - A cuff that is too small will give a false high blood pressure. - The size of the cuff does not matter as long as it fits snugly around the arm. - A cuff that is too large will give a false high blood pressure. - A cuff that is too small will give a false low blood pressure.
A cuff that is too small will give a false high blood pressure.
A client has severe coronary artery disease (CAD) and hypertension. Which medication order should the nurse consult with the health care provider about that is contraindicated for a client with severe CAD? - Clonidine - Methyldopa - Amiloride - Bumetanide
Clonidine
Which describes a situation in which blood pressure is severely elevated and there is evidence of actual or probable target organ damage? - Hypertensive urgency - Hypertensive emergency - Primary hypertension - Secondary hypertension
Hypertensive emergency
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? - Decrease in blood volume - Loss of arterial elasticity - Increase in calcium intake - Decrease in cardiac output
Loss of arterial elasticity
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? - Numbness and weakness in the left arm - Chest pain score of 3 (on a scale of 1 to 10) - Urine output of 40 mL over the past hour - Nausea and severe headache
Numbness and weakness in the left arm
As recommended follow-up for a client initially diagnosed with prehypertension, the client should get his or her blood pressure rechecked within which time frame? - Evaluate within 1 month - Confirm within 2 months - Recheck in 1 year - Recheck in 2 years
Recheck in 1 year
Which of the following is the nurse most correct to recognize as a direct effect of client hypertension? - Hyperglycemia resulting from insulin receptor resistance - Anemia resulting from bone marrow suppression - Renal dysfunction resulting from atherosclerosis - Emphysema related to poor gas exchange
Renal dysfunction resulting from atherosclerosis
Which term describes high blood pressure from an identified cause, such as renal disease? - Primary hypertension - Hypertensive emergency - Rebound hypertension - Secondary hypertension
Secondary hypertension
A client with newly diagnosed hypertension asks what to do to decrease the risk for related cardiovascular problems. Which risk factor is not modifiable by the client? - Obesity - Inactivity - Dyslipidemia - Age
age
The community nurse working at a community health fair is assessing a client's vital signs at rest. Which finding requires nursing intervention? - respirations 20 per minute - blood pressure 180/90 mmHg - pulse rate 86 beats per minute - temperature 98.9 ºF
blood pressure 180/90 mmHg
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? - sublingual - oral - intramuscular - continuous IV infusion
continuous IV infusion
A nurse is assessing the blood pressure of a team of healthy athletes at the heath care facility. Which observation can be made by the nurse and athletes by measuring the blood pressure? - the oxygen levels in the blood - the volume of air entering the lungs - the ability of the arteries to stretch - the thickness of circulating blood
the ability of the arteries to stretch
The nurse is administering metoprolol to a client. What type of medication should the nurse educate the client about? - Vasodilator - Beta blocker - Angiotensin-converting enzyme (ACE) inhibitor - Diuretic
Beta blocker
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? - Postural hypertension and resulting injury - Sexual dysfunction - Rebound hypertension - Postural hypotension and resulting injury
Postural hypotension and resulting injury
When administering beta blocker medications, the physician adds an order to hold medication when the client is bradycardic. Which statement explains this order? - The client is unable to stay upright when blood pressure is checked. - The client's pulse rate is below 60 beats per minute. - The client's systolic blood pressure is less than 100 mm Hg. - The client's respiratory rate is less than 18 breaths per minute.
The client's pulse rate is below 60 beats per minute.
Papilledema is a fairly common symptom of elevated blood pressure. The best way to detect this condition is through: - ophthalmic examination. - laboratory tests. - an MRI. - using a sphygmomanometer.
ophthalmic examination.
A nursing student is assessing blood pressure in an adult client. Which action by the nursing student would require intervention from the nursing instructor? - pumping the blood pressure cuff up to 200 mm Hg routinely - placing the ear tips of the stethoscope forward into the ear - placing the client's arm in a comfortable resting position - using light pressure over the anatomic site for assessment
pumping the blood pressure cuff up to 200 mm Hg routinely
Hypertension that can be attributed to an underlying cause is termed - primary hypertension. - essential hypertension. - isolated systolic hypertension. - secondary hypertension.
secondary hypertension
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? - Take the medicine on an empty stomach. - A severe drop in blood pressure is possible. - A possible adverse effect of blood pressure medicine is dizziness when you stand. - There are no adverse effects from blood pressure medicine.
A possible adverse effect of blood pressure medicine is dizziness when you stand.
