ch 27 hypertension Flashcards

1
Q

nursing education for beta blocker

A

use of strategies to prevent falls from orthostatic hypotension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

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

A

retinal blood vessel damage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

nonmodifiable risk factor for hypertension

A

family history of hypertension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

difference between hypertensive urgency and hypertensive emergency

A

emergencies associated with evidence of target organ damage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

bp 146/96 nursing education for hypertensive meds

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

primary rationale to avoid tobacco use for hypertension

A

tobacco use increases clients concurrent risk of heart disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

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

A

client takes med as prescribed and reports any adverse side effects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

nursing education for new diagnosis for hypertension

A

client will return demonstrate measuring a blood pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

prolonged uncontrolled hypertension risks what health problem

A

chronic kidney diseases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

nursing education for reported dizziness when taking alpha adrenergic blocker

A

rising slowly from a lying or sitting position

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

which bp is goal of treatment

A

130/80 or lower

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

goal of intravenous vasodilator therapy for hypertensive emergency

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

avoid what for accurate bp measurement

A

taking bp 10 minutes after nicotine or coffee ingestion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

risk factors for primary hypertension

A

obesity and high intake of sodium and saturated fat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

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

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

compare primary hypertension and secondary hypertension

A

secondary has a specific cause

17
Q

what contributing factor should be looked at first for unimproved hypertension

A

lack of adherence to drug therapy

18
Q

for unstable bp readings how often should you check

A

every 5 minutes

19
Q

s/s of what comorbidity with hypertension

A

atherosclerosis

20
Q

most appropriate outcome for hypertension treatment

A

client will reduce sodium to less than 2 g daily

21
Q

why does client have to visit more often for hypertension

A

to make sure your health is stable

22
Q

nursing diagnosis for hypertension

A

noncompliance with therapeutic regimen related to adverse effects of prescribed therapy

23
Q

health problems related to uncontrolled hypertension

A

transient ischemic attacks
cerebrovascular disease
retinal hemorrhage

24
Q

priority diet modifications hypertension

A

reduced fat and sodium

25
what med for hypertensive emergency
sodium nitropusside
26
which client is most at risk for hypertensive emergency
client with hypertension that was diagnosed 2 years ago
27
bp 116/101
stage 2 hypertensive
28
prevent progression for hypertensive state
exercise on a regular basis
29
normal bp
less that 120/80
30
hypertension highest among what ethnic group
african americans
31
which assessment for worsening hypertension
do ever see spots in front of your eyes
32
relationship between hypertension and age
structural and functional changes in the cardiovascular system that occur with age contribute to an increase in blood pressure
33
bp 159/100 - nursing education for hypertension if asymptomatic
hypertension greatly increases risk for stroke and heart disease regardless of symptoms
34
potential benefits of anti hypertensives
-decreased peripheral resistance -decreased blood volume -decrease strength and rate for myocardial contractions
35
nurse education - thiazide diuretic
this med causes low blood pressure and dizziness if you get up too fast
36
goal of treatment for hypertensive emergency
normalizing bp within 24-48 hours
37
side effects of hydrochlorothiazide
increase urine output
38
what levels to observe when taking furosemide
potassium level
39
bp of 122/76 and 128/78
elevated