Question 1

The nurse is reinforcing teaching for a patient with hypertension.Which activity should the nurse include to help control hypertension?

Accepted Answer

Exercise can help control hypertension.Aerobic exercise is recommended.B.C.D.Yoga,weight lifting,and stretching exercises will not necessarily help to lower the blood pressure.

Question 2

The nurse is caring for a patient who is receiving furosemide (Lasix)for treatment of hypertension.Which laboratory test should the nurse carefully monitor?

Accepted Answer

Since furosemide (Lasix)causes loss of potassium,potassium levels should be monitored and potassium held,if low.Supplemental potassium is usually given with Lasix.A.C.D.Furosemide (Lasix)does not influence glucose,cholesterol,or hemoglobin levels.

Question 3

The nurse is measuring blood pressures during a screening clinic.For which blood pressure reading should the nurse instruct a patient to have follow-up in one year?

Accepted Answer

The pressure of 132/88 mm Hg is prehypertension and requires a 1-year follow-up.A.The reading of 108/80 mm Hg is normal blood pressure.C.D.The readings of 148/94 and 159/88 require a 2-month follow-up.

Question 4

A patient's current blood pressure reading is 144/94 mm Hg.A reading of 150/96 mm Hg was obtained on a prior occasion.Which type of hypertension should the nurse recognize that this patient is experiencing?

Accepted Answer

Stage 1 hypertension is 140 to 159/90 to 99 mm Hg.A.Prehypertension is 120 to 139/80 to 89 mm Hg.C.Stage 2 hypertension is greater than 160/100 mm Hg.D.Hypertensive emergency is a sustained increase in blood pressure despite measures to reduce the level.

Question 5

The nurse provides dietary teaching to a patient who is prescribed bumetanide (Bumex).Which food should the patient name as important to ingest while taking this medication?

Accepted Answer

Since bumetanide (Bumex)causes potassium loss,broccoli should be included in the diet.A.B.D.Radishes,lettuce,and cucumbers are not identified as being foods high in potassium.

Question 6

The nurse is planning care for patients with hypertension.Which ethnic group should the nurse understand is most sensitive to the effects of the beta blocker propranolol (Inderal)?

Accepted Answer

Hypertension among African Americans is usually caused by increased renin activity resulting in greater sodium and fluid retention.African Americans respond better to diuretics such as furosemide (Lasix)than to beta blockers such as propranolol (Inderal).A.Chinese people are more sensitive than Caucasians to the effects of propranolol on heart rate and blood pressure,requiring only half the blood level of European Americans to achieve a therapeutic effect.Propranolol is eliminated from the bodies of many Chinese people at double the rate of European Americans.They are more likely to suffer fatigue as a side effect.The nurse must carefully monitor the Chinese patient for therapeutic and side effects.B.D.There is no information to suggest that individuals of Korean or Japanese descent cannot take propranolol (Inderal).

Question 7

A patient is prescribed furosemide (Lasix)for hypertension and heart failure.Which statement should the nurse use to explain the purpose of this medication to the patient?

Accepted Answer

Furosemide (Lasix)acts on the ascending loop of Henle in the kidney to cause sodium and water loss.This will reduce the cardiac workload caused by the heart failure.A.Furosemide is not a vasodilator.B.Furosemide does not increase cardiac output.D.Furosemide does not impact the blood flow to the kidney.

Question 8

A patient on antihypertensive medication has no insurance,three children,and reports feeling great and exercising daily.What should the nurse include in this patient's teaching plan to promote compliance?

Accepted Answer

The nurse should refer the patient for financial assistance.If the patient cannot afford the medication,it will not be taken in spite of any teaching that is done.A.B.D.Rest,support groups,and annual physical examinations will not improve compliance with this patient's teaching plan.

Question 9

The nurse is monitoring a patient with a hypertensive urgency.Which manifestation should the nurse expect to find?

Accepted Answer

The patient with hypertensive urgency may experience severe headaches,nosebleeds,shortness of breath,and severe anxiety.A.B.D.Muscle weakness,urinary retention,and irregular heartbeats are not manifestations of hypertensive urgency.

Question 10

The nurse measures a blood pressure of 166/100 mm Hg on a participant of a screening clinic.Which follow-up should the nurse recommend to this participant?

Accepted Answer

A blood pressure of 166/100 mm Hg is stage 2 hypertension and requires a 1-month follow-up.B.C.D.Waiting for 2 months,12 months or 24 months would be too long for the patient with stage 2 hypertension.

Question 11

The nurse is measuring blood pressures during a screening clinic.Which recommended follow-up time frame should the nurse suggest to a patient for a blood pressure reading of 118/72 mm Hg?

Accepted Answer

This is a normal blood pressure and requires a 2-year follow-up.A.B.C.Follow-up of 1 month,2 months,or 1 year are not necessary for a normal blood pressure.

Question 12

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?

Accepted Answer

Hypertension continues to be the most serious health problem for African Americans in the United States.A.C.D.Hypertension is not as serious of a health problem in individuals from Japan,China,or Korea.

Question 13

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

Accepted Answer

Hypertensive emergency is a severe type of hypertension,characterized by elevations in systolic blood pressure (SBP)greater than 180 mm Hg and diastolic blood pressure (DBP)greater than 120 which are complicated by risk for or progression of target organ dysfunction.A.A hypertensive emergency is not a small stroke.C.This does not mean that the heart if failing to pump blood effectively.D.This does not mean that the heart is hyperactive and beating too fast.

Question 14

The nurse is caring for a patient who is prescribed a thiazide diuretic.What instructions should the nurse provide this patient who reports fatigue due to sleep deprivation?

Accepted Answer

If the patient's lifestyle is to sleep at night and the medication is taken later in the day,it can interfere with sleep due to the need to void.So,the medication should be taken early in the day for this patient.A.Position changes should be made slowly to reduce the risk of orthostatic hypotension.C.Taking the medication before bedtime can increase sleep deprivation.D.There is no reason for the patient to empty the bladder after the first dose of the medication.

Question 15

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

Accepted Answer

Fried foods should be reduced to decrease saturated fat intake.B.C.D.These statements indicate teaching about ways to control blood pressure were effective.

Question 16

The nurse is reinforcing teaching for a patient with hypertension.If a patient states,"I understand that if I do not eat or cook with salt,my hypertension will go away." What is the nurse's best response?

Accepted Answer

The nurse should explain that some patients' blood pressure may not respond to salt restriction alone,so it is important to follow prescribed therapy.A.B.C.These statements are not necessarily true for all people.

Question 17

The nurse is reinforcing teaching provided to a patient on the pathophysiology of hypertension.Which patient statement indicates understanding of this teaching?

Accepted Answer

Hypertension is referred to as the silent killer as it can cause serious problems.D.High blood pressure is a lifelong condition.B.The average of at least two or more readings on different dates is needed to diagnose hypertension.C.Hypertension may have no symptoms.

Question 18

The nurse is obtaining a health history from an individual at a blood pressure screening clinic.Which information in the patient's history should the nurse identify as a modifiable risk factor for hypertension?

Accepted Answer

Modifiable risk factors are those that can be changed and include blood glucose levels,activity levels,smoking,and salt and alcohol intake.A.B.D.Age,gender,and family history are non-modifiable risk factors or those that cannot be changed.

Question 19

The nurse is measuring blood pressures at a screening clinic.For which blood pressure reading should the nurse provide the patient with instructions for follow-up in 2 months?

Accepted Answer

148/96 mm Hg requires a 2-month follow-up.A.A reading of 130/72 mm Hg requires a 1-year follow-up.C.A reading of 164/100 mm Hg requires a 1-month follow-up.D.A reading of 184/110 mm Hg requires immediate follow-up.

Question 20

The nurse is measuring blood pressures during a screening clinic.Which participant statement indicates that teaching about blood pressure has been effective?

Accepted Answer

Normal blood pressure is less than 120/80 mm Hg.B.A blood pressure of 130/90 is considered as being prehypertension.C.D.Readings of 148/94 and 158/88 are considered stage 1 hypertension and should be evaluated every 2 months with possible treatment of medication.

Quiz 22: Nursing Care of Patients With Hypertension