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NUR3262 CH 32 TEST WITH COMPLETE SOLUTION
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NUR3262 CH 32 TEST WITHCOMPLETE SOLUTION
Which action should the nurse in the hypertension clinic take to obtain an
accurate baseline
blood pressure (BP) for a new patient? - A. Deflate the BP cuff at a rate
of 5 to 10 mm Hg per second.
b. Have the patient sit in a chair with the feet flat on the floor.
c. Assist the patient to the supine position for BP measurements.
d. Obtain two BP readings in the dominant arm and average the results.
ANS: B
The patient should be seated with the feet flat on the floor. The BP is
obtained in both arms,
and the results of the two arms are not averaged. The patient does not need
to be in the supine
position. The cuff should be deflated at 2 to 3 mm Hg per second.
The nurse obtains the following information from a patient newly diagnosed
with elevated
blood pressure. Which finding is most important to address with the patient?
- A. Low dietary fiber intake
,b. No regular physical exercise
c. Drinks a beer with dinner every night
d. Weight is 5 pounds above
ANS: B
The recommendations for preventing hypertension include exercising
aerobically for 30
minutes most days of the week. A weight that is 5 pounds over the ideal
body weight is not a
risk factor for hypertension. The Dietary Approaches to Stop Hypertension
(DASH) diet is
high in fiber but increasing fiber alone will not prevent hypertension from
developing. The
patient's alcohol intake is within guidelines and will not increase the
hypertension risk.
Which action should the nurse take when giving the first dose of oral
labetalol to a patient
with hypertension? - A. Encourage the use of hard candy to prevent dry
mouth.
b. Teach the patient that headaches often occur with this drug.
c. Instruct the patient to call for help if heart palpitations occur.
d. Ask the patient to request assistance before getting out of bed.
, ANS: D
Labetalol decreases sympathetic nervous system activity by blocking both
alpha and
Beta -adrenergic receptors, leading to vasodilation and a decrease in heart
rate, which can cause
severe orthostatic hypotension. Heart palpitations, dry mouth, dehydration,
and headaches are
possible side effects of other antihypertensives.
After the nurse teaches the patient with stage 1 hypertension about diet
modifications, which
diet choice indicates that the teaching has been most effective? - A. The
patient avoids eating nuts or nut butters.
b. The patient restricts intake of chicken and fish.
c. The patient drinks low-fat milk with each meal.
d. The patient has two cups of coffee in the morning.
ANS: C
For the prevention of hypertension, the Dietary Approaches to Stop
Hypertension (DASH)
recommendations include increasing the intake of calcium-rich foods.
Caffeine restriction and
decreased protein intake are not part of the recommendations. Nuts are high
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