Help please! 1. A nurse is performing blood pressure screenings at a local health fair. While obtain. Question
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Help please! 1. A nurse is performing blood pressure screenings at a local health fair. While obtaining subjective assessment data from a client with hypertension, the nurse learns that the client has a family history of hypertension and she herself has high cholesterol and lipid levels. The client says she smokes one pack of cigarettes daily and drinks “about a pack of beer” every day. The nurse notes what nonmodifiable risk factor for hypertension? A) Hyperlipidemia B) Excessive alcohol intake C) A family history of hypertension D) Closer adherence to medical regimen 2. The staff educator is teaching ED nurses about hypertensive crisis. The nurse educator should explain that hypertensive urgency differs from hypertensive emergency in what way? A) The BP is always higher in a hypertensive emergency. B) Vigilant hemodynamic monitoring is required during treatment of hypertensive emergencies. C) Hypertensive urgency is treated with rest and benzodiazepines to lower BP. D) Hypertensive emergencies are associated with evidence of target organ damage. 3. A 56-year-old male client at a screening event has a blood pressure reading of 146/96 mm Hg. Upon hearing the reading, the client states, “My pressure has never been this high. Do you think my doctor will prescribe medication to reduce it?” What is the nurse’s best response? A) “Yes. Hypertension is prevalent among men; it is fortunate we caught this during your routine examination.” B) “We will need to reevaluate your blood pressure because your age places you at high risk for hypertension.” C) “A single elevated blood pressure does not confirm hypertension. You will need to have your blood pressure reassessed several times before a diagnosis can be made.” D) “You have no need to worry. Your pressure is probably elevated because you are being tested.” 4. A client newly diagnosed with hypertension is discussing risk factors with the nurse. The nurse talks about lifestyle changes with the client and advises that the client should avoid tobacco use. What is the primary rationale behind that advice to the client? A) Quitting smoking will cause the client’s hypertension to resolve. B) Tobacco use increases the client’s concurrent risk of heart disease. C) Tobacco use is associated with a sedentary lifestyle. D) Tobacco use causes ventricular hypertrophy. 5. A 55-year-old client comes to the clinic for a routine check-up. The client’s BP is 159/100 mm Hg and the physician diagnoses hypertension after referring to previous readings. The client asks why it is important to treat hypertension, since the client denies any discomfort. What would be the nurse’s best response? A) “Hypertension can cause you to develop dangerous blood clots in your legs that can migrate to your lungs.” B) “Hypertension puts you at increased risk of type 1 diabetes and cancer in your age group.” C) “Hypertension is the leading cause of death in people of your age.” D) “Hypertension greatly increases your risk of stroke and heart disease.” 6. The critical care nurse is caring for a client just admitted in a hypertensive emergency. The nurse should anticipate the administration of what medication? A) Warfarin B) Furosemide C) Sodium nitroprusside D) Ramipril 7. The community health nurse cares for many clients who have hypertension. What nursing diagnosis is most common among clients who are being treated for this health problem? A) Deficient knowledge regarding the lifestyle modifications for management of hypertension B) Noncompliance with therapeutic regimen related to adverse effects of prescribed therapy C) Deficient knowledge regarding BP monitoring D) Noncompliance with treatment regimen related to medication costs 8. The nurse is teaching a client about some of the health consequences of uncontrolled hypertension. What health problems should the nurse describe? Select all that apply. A) Transient ischemic attacks (TIAs) B) Cerebrovascular disease C) Retinal hemorrhage D) Venous insufficiency E) Right ventricular hypertrophy 9. The nurse is caring for an older adult with a diagnosis of hypertension who is being treated with a diuretic and beta-blocker. What should the nurse integrate into the management of this client’s hypertension? A) Ensure that the client receives a larger initial dose of antihypertensive medication due to impaired absorption B) Pay close attention to hydration status because of increased sensitivity to extracellular volume depletion C) Recognize that an older adult is less likely to adhere to their medication regimen than a younger client D) Carefully assess for weight loss because of impaired kidney function resulting from normal aging 10. A client has been prescribed antihypertensives. After assessment and analysis, the nurse has identified a nursing diagnosis of risk for ineffective health maintenance related to nonadherence to therapeutic regimen. When planning this client’s care, what desired outcome should the nurse identify? A) Client takes medication as prescribed and reports any adverse effects. B) Client’s BP remains consistently below 140/90 mm Hg. C) Client denies signs and symptoms of hypertensive urgency. D) Client is able to describe modifiable risk factors for hypertension.
SCIENCE
HEALTH SCIENCE
NURSING
NURS 420
Help please! 1. A nurse is performing blood pressure screenings at a local health fair. While obtain
