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NUR 120 Exam #3 Questions with Latest Update
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NUR 120 Exam #3 Questions with Latest Update
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NUR 120 Exam #3 Questions with LatestUpdate
Normal BP Range <60 yrs - Answer-<140/90
Normal BP Range >60 yrs - Answer-<150/90
Arteriosclerosis - Answer-Thickening or hardening of arterial wall; often associated with
aging
Atherosclerosis - Answer-Type of arteriosclerosis involving formation of plaque within
arterial wall; caused by increasing cholesterol and triglycerides
Essential(Primary) Hypertension - Answer-Family history
>60 yrs
African American
Hyperlipidemia
Smoking
Excessive Na+
Caffeine/ETOH intake
Overweight
Stress
Secondary Hypertension - Answer-Kidney disease
Aldosteronism
Cushings
Brain tumors
Encephalitis
Pregnancy
Medication: estrogen
Glucocorticoids
Mineralocorticoids
Nursing care of Hypertension - Answer-Diagnosis: potential and actual end organ
damage, knowledge deficit
Intervention: teaching, medication
ACE Inhibitors (-pril) - Answer-Block constriction
Lower after load
ACE Inhibitors Nursing Care - Answer-Hypotension, cough, diabetes, pregnancy,
postural orthostatic
, Angiotensin II Receptor Blockers (-sartans) - Answer-Block angiotensin receptors
blocking the vasoconstrictor and aldosterone-secreting affects of angiotensin II
ARBs Nursing Care - Answer-Not as effective for African Americans, good option for
people who cannot tolerate ACEI
Beta Blockers - Answer-Cardio specific block conduction in the heart
Non-cardio selective block blood vessel constriction
Beta Blocker Nursing Care - Answer-Asthma, bronchitis, dibetes
Do not give to people with respiratory and/or pancreas issues
Centrally Acting Adrenergic Inhibitors - Answer-Not used for first-line management
Drips in ICUs
Alpha-adrenergic Antagonists (-osins) - Answer-Dilation of both arterioles and wins
Calcium Channel Blockers - Answer-Inhibits influx of Ca+ through cell membrane
CCBs Nursing Care - Answer-CCbs slow heart rate, so ask MD to hold if heart rate is
<60 bpm
Take apical heart rate for full minute
Thiazides - Answer-Inhibits Na+ and H2O reabsorption in distal tubules
Loop diuretics (-ides) - Answer-inhibits reabsorption of Na+ and H2O in ascending top
of Henle
Potassium-sparing diuretics - Answer-Inhibits Na+ and H2O reabsorption
K+ retention
What is the most frequent side effect associated with thiazide and loop diuretics? -
Answer-Increase in urination and loss of K+
Spironolactone causes elevated K+. What to monitor and teach? - Answer-Watch K+
levels
Avoid foods rich in K+ ie, bananas
What is the most important immediate intervention when caring for a patient with acute
hypertension? - Answer-IV anti-hypertensives
What is the most important long-term intervention when caring for a patient with
hypertension? - Answer-Lifestyle changes
Lowering Na+
Diet changes
Med usage
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