PrepU Ch. 27
A client who is newly diagnosed with hypertension is going to be starting antihypertensive medicine. What is one of the main things the client and the client's spouse should watch for? a. dizziness b. persistent cough c. blurred vision d. tremor
A
A client who was recently diagnosed with prehypertension is to meet with a dietitian and return for a follow-up with the cardiologist in 6 months. What would this client's treatment likely include? a. nonpharmacological interventions b. pharmacological interventions c. procedural interventions d. observation only
A
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. It takes 2 to 3 months for the taste buds to adapt to decreased salt intake. b. The taste buds never adapt to decreased salt intake. c. There is usually no need to change alcohol consumption for clients with hypertension. d. A person with hypertension should never consume alcohol.
A
A nurse is teaching a client who is newly diagnosed with hypertension and diabetes mellitus. What will the nurse specify about this client's target blood pressure? a. 140/90 or lower b. 130/80 or lower c. 150/95 or lower d. 125/85 or lower
A
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. "Rebound hypertension can occur." b. "Postural hypotension can occur." c. "Rebound hypotension can occur." d. "Postural hypertension can occur."
A
An older adult client has newly diagnosed stage 2 hypertension. The health care provider has prescribed the client hydrochlorothiazide and enalapril. What will the nurse be sure to include in educating this client? a. Change positions (lying or sitting to standing) slowly. b. Check blood pressure every day for signs of rebound hypertension. c. Do not become dependent on canes, walkers, or handrails. d. Eat plenty of salty food to prevent hypotension.
A
Which describes a situation in which blood pressure is severely elevated and there is evidence of actual or probable target organ damage? a. Hypertensive emergency b. Hypertensive urgency c. Primary hypertension d. Secondary hypertension
A
Which finding indicates that hypertension is progressing to target organ damage? a. Retinal blood vessel damage b. Urine output of 60 mL over 2 hours c. Blood urea nitrogen concentration of 12 mg/dL d. Chest x-ray showing pneumonia
A
Which of the following is the nurse most correct to recognize as a direct effect of client hypertension? a. Renal dysfunction resulting from atherosclerosis b. Anemia resulting from bone marrow suppression c. Hyperglycemia resulting from insulin receptor resistance d. Emphysema related to poor gas exchange
A
A client is placed on a low-sodium (500 mg/day) diet. Which client statement indicates that the nurse's nutrition teaching plan has been effective? a. "I can still eat a ham-and-cheese sandwich with potato chips for lunch." b. "I chose broiled chicken with a baked potato for dinner." c. "I chose a tossed salad with sardines and oil and vinegar dressing for lunch." d. "I'm glad I can still have chicken bouillon."
B
A nurse is educating a client about monitoring blood pressure readings at home. What will the nurse be sure to emphasize? a. "Avoid smoking cigarettes for 8 hours prior to taking blood pressure." b. "Sit quietly for 5 minutes prior to taking blood pressure." c. "Sit with legs crossed when taking your blood pressure." d. "Be sure the forearm is well supported above heart level while taking blood pressure."
B
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. "Increase the amount of fruits and vegetables you eat." c. "You may develop nasal congestion or depression while taking this medication." d. "You may drink alcohol while taking this medication."
B
The nurse is instructing a client who is newly prescribed an antihypertensive medication. Which nursing instruction is emphasized to maintain client safety? a. Use a pillbox to store daily medication. b. Sit on the edge of the chair and rise slowly. c. Do not operate a motor vehicle. d. Take the medication at the same time daily.
B
Which of the following client scenarios would be correct for the nurse to identify as a client with secondary hypertension? a. A client experiencing depression b. A client diagnosed with kidney disease c. A client of advanced age d. A client with excessive alcohol intake
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. Gallbladder disease b. Smoking c. Diabetes mellitus d. Physical inactivity e. Frequent upper respiratory infections
B, C, D
Hypertension that can be attributed to an underlying cause is termed a. primary hypertension. b. essential hypertension. c. secondary hypertension. d. isolated systolic hypertension.
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. Essential b. Primary c. Rebound d. Secondary
C
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? a. Secondary b. Pathologic c. Malignant d. Essential (primary)
D
A nurse is caring for a client who has hypertension and diabetes mellitus. The client's blood pressure this morning was 150/92 mm Hg. When the client asks the nurse what his or her blood pressure should be, what is the nurse's most appropriate response? a. "Your blood pressure is fine. Just keep doing what you're doing." b. "The current recommendation is for everyone to have blood pressure of 140/90 mm Hg or lower." c. "The lower the better. Blood pressure of 130/80 mm Hg is best for everyone." d. "Clients with diabetes should have a lower blood pressure goal. You should strive for 120/80 mm Hg."
D
Which client statement indicates a good understanding of the nutritional modifications needed to manage hypertension? a. "A glass of red wine each day will lower my blood pressure." b. "I should eliminate caffeine from my diet to lower my blood pressure." c. "If I include less fat in my diet, I'll lower my blood pressure." d. "Limiting my salt intake to 2 grams per day will improve my blood pressure."
D
