Podcast
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?
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?
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?
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?
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?
A patient tells the nurse he has started experiencing erectile dysfunction since beginning treatment for hypertension. Which statement by the nurse is most appropriate?
A patient tells the nurse he has started experiencing erectile dysfunction since beginning treatment for hypertension. Which statement by the nurse is most appropriate?
The nurse is planning care for patients with hypertension. What side effects should be included with teaching about the beta blocker propranolol(Inderal)
The nurse is planning care for patients with hypertension. What side effects should be included with teaching about the beta blocker propranolol(Inderal)
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
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
A patient asks the nurse what the doctor meant by the phrase "hypertensive emergency." Which explanation should the nurse provide?
A patient asks the nurse what the doctor meant by the phrase "hypertensive emergency." Which explanation should the nurse provide?
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?
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?
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?
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?
The nurse is teaching a patient with hypertension about the DASH diet. Which statement made by the patient indicates a need for further teaching?
The nurse is teaching a patient with hypertension about the DASH diet. Which statement made by the patient indicates a need for further teaching?
The nurse is teaching a group of patients about hypertension. Which patient is at highest risk for developing hypertension?
The nurse is teaching a group of patients about hypertension. Which patient is at highest risk for developing hypertension?
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?
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?
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?
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?
The nurse is caring for a patient who has secondary hypertension from an adrenal tumor. What treatment plan is anticipated?
The nurse is caring for a patient who has secondary hypertension from an adrenal tumor. What treatment plan is anticipated?
The nurse is caring for a group of patients. Which patient should the nurse see first?
The nurse is caring for a group of patients. Which patient should the nurse see first?
The nurse is caring for a patient with stage 1 hypertension. Which blood pressure reading supports this?
The nurse is caring for a patient with stage 1 hypertension. Which blood pressure reading supports this?
The nurse is teaching a patient about a thiazide-like diuretic. Which statement made by the patient indicates an understanding of the teaching?
The nurse is teaching a patient about a thiazide-like diuretic. Which statement made by the patient indicates an understanding of the teaching?
The nurse is contributing to a teaching session about hypertension. Which patient should the nurse identify as having the greatest risk for hypertension?
The nurse is contributing to a teaching session about hypertension. Which patient should the nurse identify as having the greatest risk for hypertension?
The nurse is assessing a patient who has been taking clonidine( Catapres )for 3 months. Which indicates treatment is effective?
The nurse is assessing a patient who has been taking clonidine( Catapres )for 3 months. Which indicates treatment is effective?
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?
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?
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？
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？
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?
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?
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?
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?
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?
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?
The nurse is reviewing complications of hypertension with a patient. What should the nurse include in the teaching?
The nurse is reviewing complications of hypertension with a patient. What should the nurse include in the teaching?
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)
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)
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)
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)
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)
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)
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)
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)
Flashcards
Patient's inability to afford medication, what to do?
Patient's inability to afford medication, what to do?
Refer the patient to financial assistance programs.
