Exam 32: Hypertension

A 56-yr-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

The nurse has just finished teaching a hypertensive patient about the newly prescribed drug,ramipril (Altace). Which patient statement indicates that more teaching is needed?

A patient has just been diagnosed with hypertension and has been started on captopril . Which information is most important to include when teaching the patient about this drug?

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?

Which action will the nurse in the hypertension clinic take to obtain an accurate baseline blood pressure (BP)for a new patient?

Which assessment finding for a patient who is receiving IV furosemide (Lasix)to treat stage 2 hypertension is most important to report to the health care provider?

The nurse on the intermediate care unit received change-of-shift report on four patients with hypertension. Which patient should the nurse assess first?

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?

The nurse obtains a blood pressure of 176/82 mm Hg for a patient. What is the patient's mean arterial pressure (MAP)?

The nurse obtains the following information from a patient newly diagnosed with prehypertension. Which finding is most important to address with the patient?

Which information is most important for the nurse to include when teaching a patient with newly diagnosed hypertension?

The charge nurse observes a new registered nurse (RN)doing discharge teaching for a patient with hypertension who has a new prescription for enalapril (Vasotec). The charge nurse will need to intervene if the new RN tells the patient to

The nurse is assessing a patient who has been admitted to the intensive care unit (ICU)with a hypertensive emergency. Which finding is most important to report to the health care provider?

A patient with hypertension who has just started taking atenolol (Tenormin)returns to the health clinic after 2 weeks for a follow-up visit. The blood pressure (BP)is unchanged from the previous visit. Which action should the nurse take first?

An older patient has been diagnosed with possible white coat hypertension. Which planned action by the nurse best addresses the suspected cause of the hypertension?

Which blood pressure (BP)finding by the nurse indicates that no changes in therapy are needed for a 48-yr-old patient with newly diagnosed hypertension?

The registered nurse (RN)is caring for a patient with a hypertensive crisis who is receiving sodium nitroprusside . Which nursing action can the nurse delegate to an experienced licensed practical/vocational nurse (LPN/LVN)?

Which nursing action should the nurse take first to assist a patient with newly diagnosed stage 1 hypertension in making needed dietary changes?

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 most effective?

Which action should the nurse take when giving the initial dose of oral labetalol to a patient with hypertension?