Question 1

Which is true regarding hypertension in older adults?

Accepted Answer

A)  It is age related. 
B)  It is unavoidable. 
C)  It is progressively disabling. 
D)  It improves with treatment. 
A)  It is age related. 
B)  It is unavoidable. 
C)  It is progressively disabling. 
D)  It improves with treatment.

Question 2

A patient with hypertension reports the symptom of headache.How do headaches related to hypertension characteristically occur?

Accepted Answer

A)  Frontal in the afternoon 
B)  Temporal on exertion 
C)  Occipital on arising 
D)  Frontal at night 
A)  Frontal in the afternoon 
B)  Temporal on exertion 
C)  Occipital on arising 
D)  Frontal at night

Question 3

What should a nurse instruct a patient who has been started on verapamil (Calan)for elevated blood pressure to monitor?

Accepted Answer

A)  Urine output 
B)  Pulse 
C)  Stool for blood 
D)  Edema 
A)  Urine output 
B)  Pulse 
C)  Stool for blood 
D)  Edema

Question 4

What should be the nursing priority when caring for a patient with a hypertensive crisis?

Accepted Answer

A)  Suctioning secretions 
B)  Monitoring for seizure activity 
C)  Monitoring fluid volume 
D)  Preventing hyperthermia 
A)  Suctioning secretions 
B)  Monitoring for seizure activity 
C)  Monitoring fluid volume 
D)  Preventing hyperthermia

Question 5

An 87-year-old patient is taking furosemide (Lasix)for elevated blood pressure.What should the nurse know that older patients are at risk for?

Accepted Answer

A)  Falls 
B)  Hypokalemia 
C)  Reflex tachycardia 
D)  Neutropenia 
A)  Falls 
B)  Hypokalemia 
C)  Reflex tachycardia 
D)  Neutropenia

Question 6

Which patient is at the highest risk for malignant hypertension?

Accepted Answer

A)  White postmenopausal women 
B)  Obese Asians 
C)  Young African-American adults 
D)  Older Latino men 
A)  White postmenopausal women 
B)  Obese Asians 
C)  Young African-American adults 
D)  Older Latino men

Question 7

What does treatment for essential hypertension focus on?

Accepted Answer

A)  Daily medication with mild diuretics 
B)  Low-dose vasodilators 
C)  Reduction of modifiable risks 
D)  Combination of vasodilators and diuretics 
A)  Daily medication with mild diuretics 
B)  Low-dose vasodilators 
C)  Reduction of modifiable risks 
D)  Combination of vasodilators and diuretics

Question 8

A nurse explains that the force against which the left ventricle must work to force the blood into the circulation is called ______.

Accepted Answer

peripheral

Question 9

Which antihypertensive medication is contraindicated in patients who have chronic obstructive pulmonary disease (COPD)and asthma?

Accepted Answer

A)  Propranolol (Inderal): beta-adrenergic receptor blocker 
B)  Hydrochlorothiazide (HydroDIURIL): diuretic 
C)  Diltiazem (Cardizem): calcium antagonist 
D)  Captopril (Capoten): ACE inhibitor 
A)  Propranolol (Inderal): beta-adrenergic receptor blocker 
B)  Hydrochlorothiazide (HydroDIURIL): diuretic 
C)  Diltiazem (Cardizem): calcium antagonist 
D)  Captopril (Capoten): ACE inhibitor

Question 10

A patient is being evaluated every week for possible hypertension and is classified as prehypertensive.Which assessment would support this conclusion?

Accepted Answer

A)  Blood pressure reading over 120/80 mm Hg for two consecutive visits 
B)  Blood pressure reading over 130/85 mm Hg for over 2 months 
C)  Blood pressure reading over 140/95 mm Hg for 2 months 
D)  Blood pressure reading over 144/100 mm Hg at one visit 
A)  Blood pressure reading over 120/80 mm Hg for two consecutive visits 
B)  Blood pressure reading over 130/85 mm Hg for over 2 months 
C)  Blood pressure reading over 140/95 mm Hg for 2 months 
D)  Blood pressure reading over 144/100 mm Hg at one visit

Exam 36: Hypertension

Which is true regarding hypertension in older adults?

A patient with hypertension reports the symptom of headache.How do headaches related to hypertension characteristically occur?

What should a nurse instruct a patient who has been started on verapamil (Calan)for elevated blood pressure to monitor?

What should be the nursing priority when caring for a patient with a hypertensive crisis?

An 87-year-old patient is taking furosemide (Lasix)for elevated blood pressure.What should the nurse know that older patients are at risk for?

Which patient is at the highest risk for malignant hypertension?

What does treatment for essential hypertension focus on?

A nurse explains that the force against which the left ventricle must work to force the blood into the circulation is called ______.

Which antihypertensive medication is contraindicated in patients who have chronic obstructive pulmonary disease (COPD)and asthma?

A patient is being evaluated every week for possible hypertension and is classified as prehypertensive.Which assessment would support this conclusion?

Aspects of Medical-Surgical Nursing

Medical-Surgical Practice Settings

Medical-Surgical Patients: Individuals, Families, and Communities

Health, Illness, Stress, and Coping

Immunity, Inflammation, and Infection

Fluid, Electrolyte, and Acidbase Imbalance

The Patient With Cancer

Pain

Shock

The Older Adult Patient

Falls

Immobility

Delirium and Dementia

Incontinence

Nutrition

Intravenous Therapy

Surgery

The Patient With an Ostomy

Palliative and Hospice Care

Complementary and Alternative Therapies

Neurologic System Introduction

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Respiratory System Introduction

Upper Respiratory Disorders

Acute Lower Respiratory Tract Disorders

Chronic Lower Respiratory Tract Disorders

Hematologic System Introduction

Hematologic Disorders

Immunologic System Introduction

Immunologic Disorders

Cardiovascular System Introduction

Cardiac Disorders

Vascular Disorders

Digestive System Introduction

Upper Digestive Tract Disorders

Lower Digestive Tract Disorders

Liver, Gallbladder, and Pancreatic Disorders

Urologic System Introduction

Urologic Disorders

Musculoskeletal System Introduction

Connective Tissue Disorders

Fractures

Amputations

Endocrine System Introduction

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes and Hypoglycemia

Female Reproductive System Introduction

Female Reproductive Disorders

Male Reproductive System Introduction

Male Reproductive Disorders

Sexually Transmitted Infections

Integumentary System Introduction

Skin Disorders

Special Senses Introduction

Eye and Vision Disorders

Ear and Hearing Disorders

Psychobiological Disorders

Substance Abuse

First Aid, Emergency Care, and Disaster Management

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