CH 26 HTN Flashcards
4) For which conditions is a client with hypertension at risk? all that apply. 1. Kidney damage 2. Stroke 3. Liver failure 4. Heart failure 5. Blindness
- Kidney damage
- Stroke
- Heart failure
- Blindness
5) The nurse reviewing the records of a client diagnosed with hypertension notes a weight of 200 lbs, height 5’ 4”, dietary intake includes primarily starches, an alcohol intake of three beers per week, and stressors include 60-hour workweeks. Based on this information, which should the nurse identify as a priority outcome?
1. Patient will eliminate alcohol from the diet.
2. Patient will decrease stress by limiting work to 40 hours/week.
3. Patient will balance diet according to the food pyramid.
4. Patient will achieve and maintain optimum weight.
- Patient will achieve and maintain optimum weight.
12) The nurse has discussed lifestyle modifications to help manage the client’s hypertension. Which statement made by the client indicates an understanding of the information?
1. “I need to get started on my medications right away.”
2. “My father had hypertension, did nothing, and lived to be 90 y.o.”
3. “I know I need to give up my cigarettes and alcohol.”
4. “I won’t be able to run in the marathon race anymore.”
- “I know I need to give up my cigarettes and alcohol.”
21) Which intervention is the highest priority for a 30-year-old female with a BMI of 20 who smokes and has a blood pressure of 137/88?
1. Smoking-cessation program
2. Diuretic therapy
3. Weight-loss program
4. Stress management
- Smoking-cessation program
25) The nurse is educating a patient whose blood pressure is 140/90 mmHg on ways to lower blood pressure and avoid hypertension. Which lifestyle choices may eliminate the need for pharmacotherapy in this patient?
Select all that apply.
1. “I have incorporated yoga into my exercise program.”
2. “I will monitor my daily sodium intake.”
3. “I will drink a glass of red wine daily to help lower my blood pressure.”
4. “I am receiving acupuncture to help me stop smoking.”
- “I have incorporated yoga into my exercise program.”
- “I will monitor my daily sodium intake.”
- “I am receiving acupuncture to help me stop smoking.”
15) A client prescribed doxazosin (Cardura) asks how the medication works. Which information should the nurse provide the client?
1. “Doxazosin causes the kidneys to excrete more urine.”
2. “Doxazosin helps the heart work more efficiently.”
3. “Doxazosin helps dilate the blood vessels.”
4. “Doxazosin decreases the release of the stress hormones.”
- “Doxazosin helps dilate the blood vessels.”
8) Which statement made by a client newly prescribed a beta-adrenergic blocker should the nurse be concerned about?
1. “I don’t handle stress well; I have a lot of diarrhea.”
2. “When I have a migraine headache, I need to have the room darkened.”
3. “My father died of a heart attack when he was 48 years old.”
4. “I have always had problems with my asthma.”
- “I have always had problems with my asthma.”
13) For which assessment findings should the nurse hold enalapril (Vasotec)? Select all that apply. 1. Cough 2. Lightheadedness on ambulation 3. Periorbital edema 4. Sneezing 5. Difficulty swallowing
- Periorbital edema
5. Difficulty swallowing
14) The nurse notes that a client experiencing heart failure has been receiving nifedipine (Procardia). Which is a priority assessment for the nurse?
1. Review recent lab results for hypokalemia.
2. Assess urinary output.
3. Assess level of orientation.
4. Auscultate breath sounds for crackles.
- Auscultate breath sounds for crackles.
26) A male client states to the nurse, “I am going to stop taking my metoprolol (Lopressor). I have been experiencing problems having sex.” Which responses should the nurse include in the discussion with the client?
Select all that apply.
1. “I understand sexual dysfunction can be a common problem with this drug.”
2. “Perhaps it would be better if you took atenolol (Tenormin).”
3. “I cannot stop you from discontinuing the drug.”
4. “Stopping the prescription abruptly may cause your blood pressure to elevate even higher.”
5. “Try taking the drug early in the morning.”
- “I understand sexual dysfunction can be a common problem with this drug.”
- “Stopping the prescription abruptly may cause your blood pressure to elevate even higher.”
27) A client experiencing syncope is suspected of taking a losartan (Cozaar) overdose? Which intervention should the nurse anticipate?
1. Administer a calcium infusion
2. Administer a loop diuretic
3. Administer a vasopressor
4. Administer an intravenous solution of normal saline
- Administer an intravenous solution of normal saline
2) The nurse is providing education for nonpharmacological interventions to manage hypertension. Which information should the nurse include?
Select all that apply.
1. Increase your dietary intake of fruits and vegetables.
2. Decrease the consumption of alcohol.
3. Reduce the dietary intake of potassium.
4. Increase physical activity.
5. Restrict your intake of sodium.
- Increase your dietary intake of fruits and vegetables.
- Decrease the consumption of alcohol.
- Increase physical activity.
- Restrict your intake of sodium.
6) Which electrolytes should the nurse anticipate monitoring for a client prescribed losartan (Cozaar)? Select all that apply. 1. Potassium 2. Sodium 3. Calcium 4. Chloride 5. Magnesium
- Potassium
2. Sodium
11) The nurse has completed the education for a client prescribed hydrochlorothiazide (Microzide). Which statement made by the client indicates an understanding of the teaching?
1. “I really need to avoid grapefruit juice when I take this medication.”
2. “I need to avoid salt substitutes and potassium-rich foods.”
3. “I take my medication early in the morning.”
4. “If I develop a cough, I should call my physician.”
- “I take my medication early in the morning.”
16) The nurse is preparing to administer clevidipine (Cleviprex) to a client experiencing a hypertensive crisis. Which interventions should the nurse implement?
Select all that apply.
1. Monitor bowel sounds
2. Administer the drug intravenously
3. Continually monitor blood pressure
4. Crush caplets for administration
5. Infuse prescription in normal saline at 125 mL/h
- Administer the drug intravenously
3. Continually monitor blood pressure
