Exam 33: Nursing Management: Hypertension

A 52-year-old patient has no history of hypertension and no risk factors related to hypertension. During an annual physical examination, the BP is 188/106. After reconfirming the BP, it is appropriate for the nurse to tell the patient that

Laboratory testing is ordered for a patient during a clinic visit for routine assessment of hypertension. When monitoring for target organ damage, the nurse will be most concerned about

The RN has developed a care plan for a patient with a hypertensive crisis who is receiving sodium nitroprusside (Nipride). Which of the following nursing actions should not be delegated to an LPN/LVN who is working in the ICU?

A 62-year-old patient who has just arrived in the emergency department complaining of a sudden-onset severe headache and nausea has a BP of 240/118 mm Hg. The patient gives a history of taking clonidine (Catapres) and hydrochlorothiazide (HydroDIURIL) for 10 years for hypertension. The most appropriate question by the nurse at this time is

During change-of-shift report, the nurse obtains all of this information about a hypertensive patient who received the first dose of nadolol (Corgard) during the previous shift. The information that will be of most concern to the nurse is that

The nurse is evaluating the response to treatment for a patient has recently started taking furosemide (Lasix) to treat stage 2 hypertension. The information that will require the nurse to act most rapidly is a(n)

When reading the medical history on a patient's chart, the nurse notes that the patient has pseudohypertension. When assessing the patient, the nurse will anticipate

The nurse is planning patient teaching for a patient who has just been diagnosed with hypertension and has a new prescription for captopril (Capoten). Which information is important to include when teaching the patient?

The nurse obtains the following information about hypertension risk factors from a patient with prehypertension. The risk factor that will be most important to address with the patient is that the patient

A patient is diagnosed with hypertension, and first-line drug therapy with a b-adrenergic blocking agent is planned. After reviewing the patient's history, the nurse consults with the health care provider about the use of this drug upon finding a history of

A new patient is seen at an outpatient clinic for a routine health examination. To determine the patient's baseline blood pressure (BP) accurately, the nurse will

The nurse measures the BP of a 78-year-old patient and finds it to be 168/86 mm Hg in both arms. The nurse will plan to teach the patient that

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

During assessment of a patient with newly diagnosed stage 1 hypertension, the nurse finds that the patient uses a lot of salt on foods and is 30 pounds overweight. The patient states, "I thought high blood pressure was caused by stress, but I do not feel stressed at all." An appropriate nursing diagnosis for this patient is

While caring for a patient admitted with a hypertensive emergency and receiving sodium nitroprusside (Nipride), it will be essential for the nurse to

The nurse teaches a patient who is taking labetalol (Normodyne) for treatment of hypertension to change position slowly because this drug

A patient with hypertension asks the nurse why lifestyle changes are needed when the patient has no symptoms from the high BP. The response by the nurse that is most likely to improve patient compliance with therapy is that hypertension

An 86-year-old patient lives alone and is on a fixed income. The patient is taking once-daily doses of metoprolol (Lopressor) and furosemide (Lasix) to control BP. The patient is able to tell the nurse the names of the medications and when they are to be taken but does not always take the medications regularly, so BP is not well controlled. The most appropriate action by the nurse will be to

A patient with stage 1 hypertension who received a new prescription for atenolol (Tenormin) returns to the health clinic after 2 weeks for a follow-up visit. BP is unchanged from the previous clinic visit. The nurse's first action will be to

A patient with no history of health problems and a BP of 210/142 is admitted to the ICU with a diagnosis of hypertensive crisis. The clinical manifestation that will require the most immediate action by the nurse is that