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HESI CASE STUDIES-HYPERTENSION (GEORGE THOMAS) QUESTIONS AND ANSWERS UPDATED
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HESI CASE STUDIES-HYPERTENSION (GEORGE THOMAS) QUESTIONS AND ANSWERS UPDATED
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HESI CASE STUDIES-HYPERTENSION (GEORGETHOMAS) QUESTIONS AND ANSWERS
UPDATED 2024 - 2025
1.,Mr.,Thomas's,blood,pressure,reading,is,189/110.,His,LDL,cholesterol,reading,is,200,mg/dl.,He,asks,the,
student,nurse,if,he,should,be,concerned,about,his,blood,pressure.,How,should,the,student,respond?,ANS
,-
Please,sit,here,quietly,for,a,few,minutes.,I,need,to,recheck,your,blood,pressure.,(BP,may,be,temporarily,e
levated,due,to,activity,or,stress)
2.,What,significant,risk,factor,for,hypertension,does,the,student,nurse,identify,for,Mr.,Thomas,according,
to,this,health,history?,ANS,-
Alcohol,consumption,,smoking,,stress,(Family,Hx,of,diabetes,would,be,important,if,he,also,had,diabetes.,
Caffeine,intake,is,not,a,risk,factor,for,HTN)
3.,According,to,the,assessment,of,this,client,,what,recommendation,is,most,important,for,the,student,nu
rse,to,provide,Mr.,Thomas?,ANS,-
See,his,healthcare,provider,within,the,next,week,for,a,BP,recheck,(since,the,two,previous,BP,were,taken,i
n,the,same,day,,checking,BP,on,a,different,day,will,be,a,more,accurate,indicator,of,HTN)
4.,The,student,nurse,continues,to,talk,with,Mr.,Thomas,about,hypertension.,Mr.,Thomas,states,he,feels,
physically,and,does,not,see,why,he,needs,to,see,his,healthcare,provider.,How,should,the,student,nurse,r
espond?,ANS,-
While,often,there,are,no,symptoms,,high,blood,pressure,does,cause,damage,to,many,organs,(organ,dam
age,may,occur,before,patient,sees,symptoms)
5.,What,information,obtained,during,the,assessment,supports,this,diagnosis,(stage,2,,primary,[essential],
hypertension)?,ANS,-Blood,pressure,of,184/98,(Stage,2:,SBP,>=,160,mmHg,or,DBP,>=,100,mmHg)
6.,He,asks,,"shouldn't,the,healthcare,provider,find,out,why,I,have,hypertension?",How,should,the,nurse,r
espond,to,Mark's,question?,ANS,-90-
95%,of,all,cases,of,hypertension,are,without,an,identified,cause,,so,unless,there,is,some,indicator,in,you,
health,history,,the,healthcare,provider,does,not,look,for,one,(primary,essential,HTN,has,no,identifiable,c
ause,though,there,are,contributing,risk,factors)
, 7.,In,evaluating,George's,understanding,,which,statement(s),indicate,that,George,understands,the,nurse'
s,instructions,about,his,medications?,ANS,--
I,will,need,to,take,Diuril,early,in,the,day,(diuretic,,taking,it,at,night,may,disrupt,patient's,sleep)
-I,may,experience,impotence,with,this,drug,regimen,(common,SE,of,many,anti-
HTN,drugs.,Atenolol,or,Tenormin,is,a,beta,blocker)
-I,should,avoid,drinking,alcohol,(may,increase,chance,of,dizziness,occurring)
8.,In,discussing,these,lifestyle,modifications,with,George,,what,information,is,most,important,for,the,nur
se,to,share,with,him?,ANS,-
Use,of,tobacco,products,is,linked,with,increased,risk,for,cardiovascular,disease,(quitting,will,decrease,BP,
and,has,cardiovascular,benefits,within,1st,year,of,quitting)
9.,Mr.,Thomas,expresses,interest,in,learning,more,about,how,to,reduce,his,stress,level.,How,should,the,n
urse,respond?,ANS,-
Many,methods,can,reduce,stress.,Tell,me,about,your,work,day,(Nurse,can,help,him,identify,strategies,th
at,could,work,with,his,lifestyle.,This,empowers,the,patient,to,be,engaged,in,the,process,of,determining,w
hich,strategy,will,be,most,effective,for,him)
10.,What,is,the,most,effective,nursing,intervention,to,help,George,be,successful,this,time?,ANS,-
Encourage,George,to,make,a,quit,plan,(using,more,than,one,method,can,help,him,quit.,Nicotine,gum,,thr
ow,away,all,tobacco,products,,involving,family,members,,anticipating,withdrawal,symptoms)
11.,He,asks,the,nurse,if,high,blood,pressure,causes,this,problem.,How,should,the,nurse,respond,to,Georg
e's,concern?,ANS,-
Advise,him,that,his,healthcare,provider,may,want,to,do,further,testing,because,of,his,family,history,(Stud
ies,have,shown,a,strong,genetic,predisposition,in,the,development,of,abdominal,aortic,aneurysms.,This,r
esponse,provides,immediate,feedback,that,addresses,the,patient's,concerns)
12.,Considering,the,overall,plan,of,care,,what,is,the,primary,reason,for,the,nurse,to,encourage,George,to,
keep,his,next,appointment?,ANS,-Follow-up,measurement,of,his,blood,pressure
13.,In,teaching,George,about,the,aneurysm,,what,information,should,the,nurse,include?,ANS,-
Maintaining,a,normal,blood,pressure,can,effectively,treat,this,size,of,aneurysm,(For,aneurysms,5cm,or,s
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