MedicalSurgical Nursing Chapter 32 TEST BANK HYPERTENSTION EXAM QUESTIONS 18 TERMS WITH VERIFIED DEFINITIONS UPDATED 2024
0 view 0 purchase
Course
NURSING 706
Institution
NURSING 706
Medical-Surgical Nursing Chapter 32 TEST BANK (HYPERTENSTION) EXAM QUESTIONS (18 TERMS) WITH VERIFIED DEFINITIONS UPDATED 2024
The nurse teaches a 28-yr-old man newly diagnosed with hypertension about lifestyle modifications to reduce his blood pressure. Which patient statement requires reinforcem...
Medical-Surgical Nursing Chapter 32 TEST BANK
(HYPERTENSTION) EXAM QUESTIONS (18
TERMS) WITH VERIFIED DEFINITIONS UPDATED
2024
1). The nurse teaches a 28-yr-old man newly diagnosed with hypertension about lifestyle
modifications to reduce his blood pressure. which patient statement requires reinforcement
of teaching?
a. "i will avoid adding salt to my food during or after cooking."
b."if i lose weight, i might not need to continue taking medications."
c. "i can lower my blood pressure by switching to smokeless tobacco."
d. "diet changes can be as effective as taking blood pressure medications.
Ans: C
Nicotine contained in tobacco products (smoking and chew) cause vasoconstriction and
increase blood pressure. Persons with hypertension should restrict sodium to 1500 mg/
day by avoiding foods high in sodium and not adding salt in preparation of food or at
meals. Weight loss can decrease blood pressure between 5 to 20 mm Hg. Following
dietary recommendations (e.g., the DASH diet) lowers blood pressure, and these
decreases compare with those achieved with blood pressure-lowering medication.
PaperStoc.com Page 1 of 9
, 2). The nurse supervises an unlicensed assistant personnel (uap) who is taking the blood
pressure of 58-yr-old obese female patient admitted with heart failure. which action by the
uap will require the nurse to intervene?
a. waiting 2 minutes after position changes to take orthostatic pressures
b. deflating the blood pressure cuff at a rate of 8 to 10 mm hg per second
c. taking the blood pressure with the patient's arm at the level of the heart
d. taking a forearm blood pressure because the largest cuff will not fit the patient's upper
arm
Ans: B.
The cuff should be deflated at a rate of 2 to 3 mm Hg per second. The arm should be
supported at the level of the heart for accurate blood pressure measurements. Using a
cuff that is too small causes a falsely high reading and too large causes a falsely low
reading. If the maximum size blood pressure cuff does not fit the upper arm, the forearm
may be used. Orthostatic blood pressures should be taken within 1 to 2 minutes of
repositioning the patient.
3). A 44-yr-old man is diagnosed with hypertension and receives a prescription for benazepril
(lotensin). after providing instruction, which statement by the patient indicates correct
understanding?
a. "if i take this medication, i will not need to follow a special diet."
b. "it is normal to have some swelling in my face while taking this medication."
c. "i will need to eat foods such as bananas and potatoes that are high in potassium."
d. "if i develop a dry cough while taking this medication, i should notify my doctor."
Ans: D.
Benazepril is an angiotensin-converting enzyme inhibitor. The medication inhibits
breakdown of bradykinin, which may cause a dry, hacking cough. Other adverse effects
include hyperkalemia. Swelling in the face could indicate angioedema and should be
reported immediately to the prescriber. Patients taking drug therapy for hypertension
should also attempt lifestyle modifications to lower blood pressure such as a reduced-
sodium diet.
4). A 67-yr-old woman with hypertension is admitted to the emergency department with a
blood pressure of 234/148 mm hg and was started on nitroprusside (nitropress). after one
hour of treatment, the mean arterial blood pressure (map) is 55 mm hg. which nursing
action is a priority?
a. start an infusion of 0.9% normal saline at 100 ml/hr.
b. maintain the current administration rate of the nitroprusside.
c. request insertion of an arterial line for accurate blood pressure monitoring.
d. stop the nitroprusside infusion and assess the patient for potential complications.
PaperStoc.com Page 2 of 9
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Academik001. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.49. You're not tied to anything after your purchase.
