Question 1

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

Accepted Answer

A)  43-year-old with a (blood pressure (BP) of 160/92 who is complaining of chest pain 
B)  52-year-old with a BP of 212/90 who has intermittent claudication 
C)  50-year-old with a BP of 190/104 who has a creatinine of 1.7 mg/dL 
D)  48-year-old with a BP of 172/98 whose urine shows microalbuminuria 
A)  43-year-old with a (blood pressure (BP) of 160/92 who is complaining of chest pain 
B)  52-year-old with a BP of 212/90 who has intermittent claudication 
C)  50-year-old with a BP of 190/104 who has a creatinine of 1.7 mg/dL 
D)  48-year-old with a BP of 172/98 whose urine shows microalbuminuria

Question 2

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

Accepted Answer

A)  Titrate nitroprusside to decrease mean arterial pressure (MAP) to 115 mm Hg. 
B)  Evaluate effectiveness of nitroprusside therapy on blood pressure (BP). 
C)  Set up the automatic blood pressure machine to take BP every 15 minutes. 
D)  Assess the patient's environment for adverse stimuli that might increase BP. 
A)  Titrate nitroprusside to decrease mean arterial pressure (MAP) to 115 mm Hg. 
B)  Evaluate effectiveness of nitroprusside therapy on blood pressure (BP). 
C)  Set up the automatic blood pressure machine to take BP every 15 minutes. 
D)  Assess the patient's environment for adverse stimuli that might increase BP.

Question 3

During change-of-shift report,the nurse obtains the following information about a hypertensive patient who received the first dose of nadolol (Corgard)during the previous shift.Which information indicates that the patient needs immediate intervention?

Accepted Answer

A)  The patient's most recent blood pressure (BP) reading is 158/91 mm Hg. 
B)  The patient's pulse has dropped from 68 to 57 beats/minute. 
C)  The patient has developed wheezes throughout the lung fields. 
D)  The patient complains that the fingers and toes feel quite cold. 
A)  The patient's most recent blood pressure (BP) reading is 158/91 mm Hg. 
B)  The patient's pulse has dropped from 68 to 57 beats/minute. 
C)  The patient has developed wheezes throughout the lung fields. 
D)  The patient complains that the fingers and toes feel quite cold.

Question 4

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

Accepted Answer

A)  Low dietary fiber intake 
B)  No regular aerobic exercise 
C)  Weight 5 pounds above ideal weight 
D)  Drinks a beer with dinner on most nights 
A)  Low dietary fiber intake 
B)  No regular aerobic exercise 
C)  Weight 5 pounds above ideal weight 
D)  Drinks a beer with dinner on most nights

Exam 29: Nursing Management: Hypertension

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

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

During change-of-shift report,the nurse obtains the following information about a hypertensive patient who received the first dose of nadolol (Corgard)during the previous shift.Which information indicates that the patient needs immediate intervention?

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

The Importance of Nursing

Health Disparities and Cultural Care

Pain Management

Palliative Care

Substance Use and Dependency

Nursing Management: Inflammation and Wound Healing

Genetics and Genomics

Altered Immune Responses and Transplantation

Nursing Management: Infection and Human Immunodeficiency Virus Infection

Cancer

Nursing Management: Fluid,electrolyte and Acidbase Imbalances

Nursing Management: Preoperative Care

Nursing Management: Intraoperative Care

Nursing Management: Postoperative Care

Nursing Assessment: Visual and Auditory Systems

Nursing Management: Visual and Auditory Problems

Nursing Assessment: Integumentary System

Nursing Management: Integumentary Problems

Nursing Management: Burns

Nursing Assessment: Respiratory System

Nursing Management: Upper Respiratory Problems

Nursing Management: Lower Respiratory Problems

Nursing Management: Obstructive Pulmonary Diseases

Nursing Assessment: Haematological System

Nursing Management: Haematological Problems

Nursing Assessment: Cardiovascular System

Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome

Nursing Management: Heart Failure

Nursing Management: Ecg Monitoring and Arrhythmias

Nursing Management: Inflammatory and Structural Heart Disorders

Nursing Management: Vascular Disorders

Nursing Assessment: Gastrointestinal System

Nursing Management: Nutritional Problems

Nursing Management: Obesity

Nursing Management: Upper Gastrointestinal Problems

Nursing Management: Lower Gastrointestinal Problems

Nursing Management: Liver,pancreas and Biliary Tract Problems

Nursing Assessment: Urinary System

Nursing Management: Renal and Urological Problems

Nursing Management: Acute Kidney Injury and Chronic Kidney Disease

Nursing Assessment: Endocrine System

Nursing Management: Diabetes Mellitus

Nursing Management: Endocrine Problems

Nursing Assessment: Reproductive System

Nursing Management: Breast Disorders

Nursing Management: Sexually Transmitted Infections

Nursing Management: Female Reproductive Problems

Nursing Management: Male Reproductive Problems

Nursing Assessment: Nervous System

Nursing Management: Acute Intracranial Problems

Nursing Management: the Patient With a Stroke

Nursing Management: Chronic Neurological Problems

Nursing Management: Delirium,depression and Dementia

Nursing Management: Peripheral Nerve and Spinal Cord Problems

Nursing Assessment: Musculoskeletal System

Nursing Management: Musculoskeletal Trauma and Orthopaedic Surgery

Nursing Management: Musculoskeletal Problems

Nursing Management: Arthritis and Connective Tissue Diseases

Nursing Management: Critical Care Environment

Nursing Management: Shock,systemic Inflammatory Response Syndrome and Multiple Organ Dysfunction Syndrome

Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome

Nursing Management: Emergency Care Situations

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