Chapter 22
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Questions and Answers

A patient is newly diagnosed with hypertension, placed on new medications, and expected to comply with lifestyle modifications, weight loss, and follow-up visit. The patient tells the nurse they cannot afford the medications and are uninsured. What action should the nurse take to support compliance?

  • Refer the patient to a free clinic
  • Provide names of support groups
  • Refer the patient for financial assistance (correct)
  • Schedule an annual physical examination
  • The nurse is reviewing orders for a patient taking digoxin(Lanoxin) for heart failure. Which additional medication should the nurse question?

  • Losartan(Cozaar)
  • Carvedilol(Coreg)
  • Diltiazem(Cardizem) (correct)
  • Quinapril(Accupril)
  • The nurse is caring for a group of patients. Which patient is the priority?

  • A patient with a blood pressure(BP) of 140/70 mm Hg who has a nosebleed
  • A patient with a BP of 150/60 mm Hg who is anxious
  • A patient with a BP of 170/80 mmHg with a mild headache
  • A patient with a 180/120 mmHg who is asymptomatic (correct)
  • The nurse is measuring BPs during a screening clinic for a client experiencing hypertension urgency and started on medications. Which recommended follow-up timeframe should the nurse suggest?

    <p>Within several days</p> Signup and view all the answers

    A patient tells the nurse he has started experiencing erectile dysfunction since beginning treatment for hypertension. Which statement by the nurse is most appropriate?

    <p>I will talk to your doctor to see if adjustments can be made</p> Signup and view all the answers

    The nurse is planning care for patients with hypertension. What side effects should be included with teaching about the beta blocker propranolol(Inderal)

    <p>Rise slowly to prevent dizziness</p> Signup and view all the answers

    The nurse is planning care for a group of patients. Which individual should the nurse identify as being at the highest risk for developing hypertension from increased renin activity

    <p>A 56 year old African American woman</p> Signup and view all the answers

    A patient asks the nurse what the doctor meant by the phrase "hypertensive emergency." Which explanation should the nurse provide?

    <p>It refers to an episode of very high blood pressure</p> Signup and view all the answers

    The nurse is reinforcing teaching for a patient with hypertension. The patient tells the nurse "I understand that if I do not eat or cook with salt, my hypertension will go away." How should the nurse reply?

    <p>Some patients' blood pressure may not respond to salt restriction alone</p> Signup and view all the answers

    The nurse is reinforcing teaching provided to a patient who has been taught ways to decrease BP. Which patient statement indicates a need for further teaching?

    <p>I will stop my medication if I feel weak or dizzy</p> Signup and view all the answers

    The nurse is teaching a patient with hypertension about the DASH diet. Which statement made by the patient indicates a need for further teaching?

    <p>I ate a hamburger with a small order of fries last night</p> Signup and view all the answers

    The nurse is teaching a group of patients about hypertension. Which patient is at highest risk for developing hypertension?

    <p>A 60 year old with a family history of hypertension</p> Signup and view all the answers

    The nurse is preparing to administer furosemide(Lasix) to a patient with hypertension. The nurse reviews the patient's potassium and notes a level of 4.6 mEq/L. Which action should the nurse take?

    <p>Administer the medication as prescribed</p> Signup and view all the answers

    A patient returns to the clinic after making significant lifestyle modifications for high BP and asks the nurse what else can be done. How should the nurse reply?

    <p>Your doctor may discuss medication with you</p> Signup and view all the answers

    The nurse is caring for a patient who has secondary hypertension from an adrenal tumor. What treatment plan is anticipated?

    <p>Treating underlying cause</p> Signup and view all the answers

    The nurse is caring for a group of patients. Which patient should the nurse see first?

    <p>A patient receiving atenolol(Tenormin) with a BP of 188/114 mm Hg</p> Signup and view all the answers

    The nurse is caring for a patient with stage 1 hypertension. Which blood pressure reading supports this?

    <p>142/92 mm Hg</p> Signup and view all the answers

    The nurse is teaching a patient about a thiazide-like diuretic. Which statement made by the patient indicates an understanding of the teaching?

    <p>I should take the medication in the morning so I am not up all night going to the bathroom</p> Signup and view all the answers

    The nurse is contributing to a teaching session about hypertension. Which patient should the nurse identify as having the greatest risk for hypertension?

    <p>A 40-year-old man whose brother has hypertension</p> Signup and view all the answers

    The nurse is assessing a patient who has been taking clonidine( Catapres )for 3 months. Which indicates treatment is effective?

    <p>The patient's BP is 114/66 mm Hg</p> Signup and view all the answers

    The nurse is taking a medication history of a patient with a chronic cough. Which medication can the nurse suspect as contributing to the cough?

    <p>Captopril(Capoten)</p> Signup and view all the answers

    The nurse is preparing to administer atenolol(Tenormin) to a patient with hypertension. The patient's heart rate is 55 beats/minute. Which action should the nurse take?

    <p>Notify the HCP</p> Signup and view all the answers

    The nurse is assessing the BP of a patient and obtains a reading of 110/60 mm Hg. How should the nurse document this finding?

    <p>Normal blood pressure</p> Signup and view all the answers

    The nurse is caring for a patient in hypertensive emergency. What should the nurse expect to be the goal when treatment is provided for this patient?

    <p>Gradually reduce BP</p> Signup and view all the answers

    The nurse becomes concerned when recognizing that a patient's BP is 168/98 mm Hg after 6 antihypertensive medication. What should the nurse ask the patient?

    <p>Are you taking your medication as prescribed?</p> Signup and view all the answers

    The nurse is reviewing complications of hypertension with a patient. What should the nurse include in the teaching?

    <p>Heart failure</p> Signup and view all the answers

    The nurse is caring for a patient with hypertension who is being discharged home with a prescription of propranolol(Inderal). Which topics should include in the teaching?(Select all that apply)

    <p>Check the heart rate and BP before taking the medication</p> Signup and view all the answers

    The nurse observes the unlicensed assistive personnel(UAP) escort a patient to the examination room. seat them on the table with their legs dangling, and immediately take their BP. What action should the nurse take?(Select all that apply)

    <p>Speak with the UAP after leaving the room</p> Signup and view all the answers

    The nurse obtains a BP reading of 188/96 mm Hg on a resident who has no history of hypertension. What action do you take?(Select all that apply)

    <p>Confirm that proper technique is being used</p> Signup and view all the answers

    The nurse is obtaining a high BP reading on a patient who is taking medications. What additional symptoms should the nurse inquire about?(Select all that apply)

    <p>Headache</p> Signup and view all the answers

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