ch 27 hypertension

Question 1

nursing education for beta blocker

Answer 1

use of strategies to prevent falls from orthostatic hypotension

Question 2

hypertensive patient reports gradual onset of blurry vision and decreased visual acuity

Answer 2

retinal blood vessel damage

Question 3

nonmodifiable risk factor for hypertension

Answer 3

family history of hypertension

Question 4

difference between hypertensive urgency and hypertensive emergency

Answer 4

emergencies associated with evidence of target organ damage

Question 5

bp 146/96 nursing education for hypertensive meds

Answer 5

a single elevated bp does not confirm hypertension, diagnosis requires multiple readings

Question 6

primary rationale to avoid tobacco use for hypertension

Answer 6

tobacco use increases clients concurrent risk of heart disease

Question 7

nursing action for diagnosis of ineffective health maintenance related to non adherence to therapeutic regimen for hypertension

Answer 7

client takes med as prescribed and reports any adverse side effects

Question 8

nursing education for new diagnosis for hypertension

Answer 8

client will return demonstrate measuring a blood pressure

Question 9

prolonged uncontrolled hypertension risks what health problem

Answer 9

chronic kidney diseases

Question 10

nursing education for reported dizziness when taking alpha adrenergic blocker

Answer 10

rising slowly from a lying or sitting position

Question 11

which bp is goal of treatment

Answer 11

130/80 or lower

Question 12

goal of intravenous vasodilator therapy for hypertensive emergency

Answer 12

decrease systolic bp by nor more than 25% in the first hour

Question 13

avoid what for accurate bp measurement

Answer 13

taking bp 10 minutes after nicotine or coffee ingestion

Question 14

risk factors for primary hypertension

Answer 14

obesity and high intake of sodium and saturated fat

Question 15

what item should nurse integrate when taking a diuretic and beta blocker

Answer 15

pay close attention to hydration status because of increased sensitivity to extra cellular volume depletion

Question 16

compare primary hypertension and secondary hypertension

Answer 16

secondary has a specific cause

Question 17

what contributing factor should be looked at first for unimproved hypertension

Answer 17

lack of adherence to drug therapy

Question 18

for unstable bp readings how often should you check

Answer 18

every 5 minutes

Question 19

s/s of what comorbidity with hypertension

Answer 19

atherosclerosis

Question 20

most appropriate outcome for hypertension treatment

Answer 20

client will reduce sodium to less than 2 g daily

Question 21

why does client have to visit more often for hypertension

Answer 21

to make sure your health is stable

Question 22

nursing diagnosis for hypertension

Answer 22

noncompliance with therapeutic regimen related to adverse effects of prescribed therapy

Question 23

health problems related to uncontrolled hypertension

Answer 23

transient ischemic attacks
cerebrovascular disease
retinal hemorrhage

Question 24

priority diet modifications hypertension

Answer 24

reduced fat and sodium

Question 25

what med for hypertensive emergency

Answer 25

sodium nitropusside

Question 26

which client is most at risk for hypertensive emergency

Answer 26

client with hypertension that was diagnosed 2 years ago

Question 27

bp 116/101

Answer 27

stage 2 hypertensive

Question 28

prevent progression for hypertensive state

Answer 28

exercise on a regular basis

Question 29

normal bp

Answer 29

less that 120/80

Question 30

hypertension highest among what ethnic group

Answer 30

african americans

Question 31

which assessment for worsening hypertension

Answer 31

do ever see spots in front of your eyes

Question 32

relationship between hypertension and age

Answer 32

structural and functional changes in the cardiovascular system that occur with age contribute to an increase in blood pressure

Question 33

bp 159/100 - nursing education for hypertension if asymptomatic

Answer 33

hypertension greatly increases risk for stroke and heart disease regardless of symptoms

Question 34

potential benefits of anti hypertensives

Answer 34

-decreased peripheral resistance
-decreased blood volume
-decrease strength and rate for myocardial contractions

Question 35

nurse education - thiazide diuretic

Answer 35

this med causes low blood pressure and dizziness if you get up too fast

Question 36

goal of treatment for hypertensive emergency

Answer 36

normalizing bp within 24-48 hours

Question 37

side effects of hydrochlorothiazide

Answer 37

increase urine output

Question 38

what levels to observe when taking furosemide

Answer 38

potassium level

Question 39

bp of 122/76 and 128/78

Answer 39

elevated