Exam 22: Nursing Care of Patients With Hypertension

The infection control nurse observes a nurse on a cardiac unit.Which actions by the nurse would require intervention by the infection control nurse? (Select all that apply.)

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?

The nurse reinforced teaching provided to a patient about complications of hypertension.Which organs if identified by a patient indicate correct understanding of the organs most likely to be damaged from uncontrolled hypertension? (Select all that apply.)

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?

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?

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?

A patient with hypertension has been following the Mediterranean diet however blood pressure has not been any lower.What additional information should the nurse obtain from the patient?

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?

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?

After completing a family history,the nurse is concerned that a patient is at risk for developing high blood pressure.What information did the nurse obtain to come to this conclusion? (Select all that apply.)

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?

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?

The nurse is caring for a patient who has possible kidney damage from high blood pressure.Which action should the nurse take?

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?

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)?

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?

A patient is being considered for medication therapy to treat high blood pressure.Prior to beginning medication,the nurse should prepare to schedule the patient for which diagnostic tests? (Select all that apply.)

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

A patient with essential hypertension asks the nurse to explain the cause for the disorder.What should the nurse respond to the patient?

A patient with a history of hypertension used to take prescribed antihypertensive medication for headaches however stopped when the headaches disappeared.Now the patient's blood pressure is 198/110 mm Hg.What should the nurse emphasize when teaching this patient?