Chapter 33: Nursing Management: Hypertension Flashcards
- Which action will the nurse in the hypertension clinic take in order to obtain an accurate baseline blood pressure (BP) for a new patient?
a.
Deflate the BP cuff at a rate of 5 to 10 mm Hg per second.
b.
Have the patient sit in a chair with the feet flat on the floor.
c.
Assist the patient to the supine position for BP measurements.
d.
Obtain two BP readings in the dominant arm and average the results.
ANS: B
The patient should be seated with the feet flat on the floor. The BP is obtained in both arms, and the results of the two arms are not averaged. The patient does not need to be in the supine position. The cuff should be deflated at 2 to 3 mm Hg per second.
- The nurse obtains the following information from a patient newly diagnosed with prehypertension. Which finding is most important to address with the patient?
a. Low dietary fiber intake
b.
No regular aerobic exercise
c.
Weight 5 pounds above ideal weight
d.
Drinks a beer with dinner on most nights
ANS: B
The recommendations for preventing hypertension include exercising aerobically for 30 minutes most days of the week. A weight that is 5 pounds over the ideal body weight is not a risk factor for hypertension. The Dietary Approaches to Stop Hypertension (DASH) diet is high in fiber, but increasing fiber alone will not prevent hypertension from developing. The patients alcohol intake is within guidelines and will not increase the hypertension risk.
- Which action should the nurse take when administering the initial dose of oral labetalol (Normodyne) to a patient with hypertension?
a.
Encourage the use of hard candy to prevent dry mouth.
b.
Instruct the patient to ask for help if heart palpitations occur.
c.
Ask the patient to request assistance when getting out of bed.
d.
Teach the patient that headaches may occur with this medication.
ANS: C
Labetalol decreases sympathetic nervous system activity by blocking both – and b-adrenergic receptors, leading to vasodilation and a decrease in heart rate, which can cause severe orthostatic hypotension. Heart palpitations, dry mouth, dehydration, and headaches are possible side effects of other antihypertensives.
- After the nurse teaches the patient with stage 1 hypertension about diet modifications that should be implemented, which diet choice indicates that the teaching has been effective?
a.
The patient avoids eating nuts or nut butters.
b.
The patient restricts intake of chicken and fish.
c.
The patient has two cups of coffee in the morning.
d.
The patient has a glass of low-fat milk with each meal.
ANS: D
For the prevention of hypertension, the Dietary Approaches to Stop Hypertension (DASH) recommendations include increasing the intake of calcium-rich foods. Caffeine restriction and decreased protein intake are not included in the recommendations. Nuts are high in beneficial nutrients and 4 to 5 servings weekly are recommended in the DASH diet.
- A patient has just been diagnosed with hypertension and has been started on captopril (Capoten). Which information is important to include when teaching the patient about this medication?
a.
Check blood pressure (BP) in both arms before taking the medication.
b.
Increase fluid intake if dryness of the mouth is a problem.
c.
Include high-potassium foods such as bananas in the diet.
d.
Change position slowly to help prevent dizziness and falls.
ANS: D
The angiotensin-converting enzyme (ACE) inhibitors frequently cause orthostatic hypotension, and patients should be taught to change position slowly to allow the vascular system time to compensate for the position change. Increasing fluid intake may counteract the effect of the medication, and the patient is taught to use gum or hard candy to relieve dry mouth. The BP should be taken in the nondominant arm by newly diagnosed patients in the morning, before taking the medication, and in the evening. Because ACE inhibitors cause potassium retention, increased intake of high-potassium foods is inappropriate.
- Propranolol (Inderal) is prescribed for a patient diagnosed with hypertension. The nurse should consult with the health care provider before giving this medication when the patient reveals a history of
a.
asthma.
b.
daily alcohol use.
c.
peptic ulcer disease.
d.
myocardial infarction (MI).
ANS: A
Nonselective b-blockers block b1 and b2-adrenergic receptors and can cause bronchospasm, especially in patients with a history of asthma. b-Blockers will have no effect on the patients peptic ulcer disease or alcohol use. b-Blocker therapy is recommended after MI.
- A 56-year-old patient who has no previous history of hypertension or other health problems suddenly develops a blood pressure (BP) of 198/110 mm Hg. After reconfirming the BP, it is appropriate for the nurse to tell the patient that
a.
a BP recheck should be scheduled in a few weeks.
b.
dietary sodium and fat content should be decreased.
c.
there is an immediate danger of a stroke and hospitalization will be required.
d.
diagnosis of a possible cause, treatment, and ongoing monitoring will be needed.
ANS: D
A sudden increase in BP in a patient over age 50 with no previous hypertension history or risk factors indicates that the hypertension may be secondary to some other problem. The BP will need treatment and ongoing monitoring. If the patient has no other risk factors, a stroke in the immediate future is unlikely. There is no indication that dietary salt or fat intake have contributed to this sudden increase in BP, and reducing intake of salt and fat alone will not be adequate to reduce this BP to an acceptable level.
- Which action will be included in the plan of care when the nurse is caring for a patient who is receiving nicardipine (Cardene) to treat a hypertensive emergency?
a.
Keep the patient NPO to prevent aspiration caused by nausea and possible vomiting.
b.
Organize nursing activities so that the patient has undisturbed sleep for 6 to 8 hours at night.
c.
Assist the patient up in the chair for meals to avoid complications associated with immobility.
d.
Use an automated noninvasive blood pressure machine to obtain frequent blood pressure (BP) measurements.
ANS: D
Frequent monitoring of BP is needed when the patient is receiving rapid-acting IV antihypertensive medications. This can be most easily accomplished with an automated BP machine or arterial line. The patient will require frequent assessments, so allowing 6 to 8 hours of undisturbed sleep is not appropriate. When patients are receiving IV vasodilators, bed rest is maintained to prevent decreased cerebral perfusion and fainting. There is no indication that this patient is nauseated or at risk for aspiration, so an NPO status is unnecessary.
The nurse has just finished teaching a hypertensive patient about the newly prescribed ramipril (Altace). Which patient statement indicates that more teaching is needed?
a.
A little swelling around my lips and face is okay.
b.
The medication may not work as well if I take any aspirin.
c.
The doctor may order a blood potassium level occasionally.
d.
I will call the doctor if I notice that I have a frequent cough.
ANS: A
Angioedema occurring with angiotensin-converting enzyme (ACE) inhibitor therapy is an indication that the ACE inhibitor should be discontinued. The patient should be taught that if any swelling of the face or oral mucosa occurs, the health care provider should be immediately notified because this could be life threatening. The other patient statements indicate that the patient has an accurate understanding of ACE inhibitor therapy.
- During change-of-shift report, the nurse obtains the following information about a hypertensive patient who received the first dose of nadolol (Corgard) during the previous shift. Which information indicates that the patient needsimmediate intervention?
a.
The patients most recent blood pressure (BP) reading is 158/91 mm Hg.
b.
The patients pulse has dropped from 68 to 57 beats/minute.
c.
The patient has developed wheezes throughout the lung fields.
d.
The patient complains that the fingers and toes feel quite cold.
ANS: C
The most urgent concern for this patient is the wheezes, which indicate that bronchospasm (a common adverse effect of the noncardioselective b-blockers) is occurring. The nurse should immediately obtain an oxygen saturation measurement, apply supplemental oxygen, and notify the health care provider. The mild decrease in heart rate and complaint of cold fingers and toes are associated with b-receptor blockade but do not require any change in therapy. The BP reading may indicate that a change in medication type or dose may be indicated. However, this is not as urgently needed as addressing the bronchospasm.
- An older patient has been diagnosed with possible white coat hypertension. Which action will the nurse plan to take next?
a.
Schedule the patient for regular blood pressure (BP) checks in the clinic.
b.
Instruct the patient about the need to decrease stress levels.
c.
Tell the patient how to self-monitor and record BPs at home.
d.
Inform the patient that ambulatory blood pressure monitoring will be needed.
ANS: C
Having the patient self-monitor BPs at home will provide a reliable indication about whether the patient has hypertension. Regular BP checks in the clinic are likely to be high in a patient with white coat hypertension. Ambulatory blood pressure monitoring may be used if the data from self-monitoring are unclear. Although elevated stress levels may contribute to hypertension, instructing the patient about this is unlikely to reduce BP.
- Which blood pressure (BP) finding by the nurse indicates that no changes in therapy are needed for a patient with stage 1 hypertension who has a history of diabetes mellitus?
a.
102/60 mm Hg
b.
128/76 mm Hg
c.
139/90 mm Hg
d.
136/82 mm Hg
ANS: B
The goal for antihypertensive therapy for a patient with hypertension and diabetes mellitus is a BP <130/80 mm Hg. The BP of 102/60 may indicate overtreatment of the hypertension and an increased risk for adverse drug effects. The other two blood pressures indicate a need for modifications in the patients treatment.
- Which information should the nurse include when teaching a patient with newly diagnosed hypertension?
a.
Increasing physical activity will control blood pressure (BP) for most patients.
b.
Most patients are able to control BP through dietary changes.
c.
Annual BP checks are needed to monitor treatment effectiveness.
d.
Hypertension is usually asymptomatic until target organ damage occurs.
ANS: D
Hypertension is usually asymptomatic until target organ damage has occurred. Lifestyle changes (e.g., physical activity, dietary changes) are used to help manage blood pressure, but drugs are needed for most patients. Home BP monitoring should be taught to the patient and findings checked by the health care provider frequently when starting treatment for hypertension and then every 3 months once stable.
- The nurse on the intermediate care unit received change-of-shift report on four patients with hypertension. Which patient should the nurse assess first?
a.
43-year-old with a (blood pressure (BP) of 160/92 who is complaining of chest pain
b.
52-year-old with a BP of 212/90 who has intermittent claudication
c.
50-year-old with a BP of 190/104 who has a creatinine of 1.7 mg/dL
d.
48-year-old with a BP of 172/98 whose urine shows microalbuminuria
ANS: A
The patient with chest pain may be experiencing acute myocardial infarction, and rapid assessment and intervention are needed. The symptoms of the other patients also show target organ damage but are not indicative of acute processes.
- The nurse is reviewing the laboratory test results for a patient who has recently been diagnosed with hypertension. Which result is most important to communicate to the health care provider?
a.
Serum creatinine of 2.8 mg/dL
b.
Serum potassium of 4.5 mEq/L
c.
Serum hemoglobin of 14.7 g/dL
d.
Blood glucose level of 96 mg/dL
ANS: A
The elevated creatinine indicates renal damage caused by the hypertension. The other laboratory results are normal.
