Term
| The client receives hydrochlorothiazide (HydroDIURIL). He tells the nurse he is urinating a lot and questions how this drug affects his blood pressure. What is the best response by the nurse? |
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Definition
| “Hydrochlorothiazide (HydroDIURIL) decreases the fluid in your bloodstream and this lowers your blood pressure.” |
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Term
| The nurse is conducting the initial group education session for clients who have hypertension. What is the most important information to include? Select all that apply. |
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Definition
1.Anger can result in hypertension.
2.The aorta has sensors that help regulate blood pressure. |
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Term
| The client has a blood pressure reading of 126/84 mm/Hg. She asks the nurse if she has high blood pressure. What is the best response by the nurse? |
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Definition
| “You have prehypertension; let’s discuss your lifestyle.” |
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Term
| The client has been recently diagnosed with hypertension with a sustained blood pressure of 144/90 mm/Hg. The client is concerned about effects on the body. What effects of hypertension on the body will the nurse include in her education of this client? Select all that apply. |
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Definition
Heart failure
Blindness
Stroke
Kidney damage |
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Term
The client has been recently diagnosed with hypertension. Assessment data includes:
Wt: 200 pounds
Ht: 5¢ 4≤
Diet: Mostly starches
Alcohol intake: 3 beers/week
Stressors: Works 60 hours/week
In planning care with this client, what is the priority outcome? |
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Definition
| Client will achieve and maintain optimum weight. |
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Term
| The client is receiving hydrochlorothiazide (HydroDIURIL) as well as digoxin (Lanoxin). Which lab result would the nurse recognize as most significant? |
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Definition
| Potassium level of 2.9 mEq/L |
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Term
| The client with hypertension is receiving nefedipine (Procardia XL). The nurse determines that the client needs additional medication education when the client selects which menu for breakfast? |
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Definition
| Eggs, whole-wheat toast with butter, Lucky Charms cereal, milk, and grapefruit juice |
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Term
| The nurse is taking the initial history of a client admitted to the hospital for hypertension. The physician has ordered a beta-adrenergic blocker. Which statement by the client does the nurse recognize as most significant? |
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Definition
| “I have always had problems with my asthma.” |
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Term
| What is a priority nursing intervention for a client who has just begun antihypertensive treatment with enalapril (Vasotec)? |
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Definition
| Take the client’s blood pressure |
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Term
| The client comes to the emergency department with a blood pressure of 200/120 mm/Hg. The physician orders hydralazine (Apresoline) IV. What will the nurse’s priority assessment include? |
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Definition
| Hypotension and tachycardia |
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Term
| The nurse completed medication education with the client who receives hydrochlorothiazide (HydroDIURIL). The nurse determines that teaching has been effective when the client makes which statement? |
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Definition
| “I take my medication early in the morning.” |
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Term
| The nurse is teaching the client about lifestyle modifications to help manage the client’s hypertension. The nurse determines that teaching has been effective when the client makes which statement? |
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Definition
| “I know I need to give up my cigarettes and alcohol.” |
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Term
| The client has a nighttime cough related to taking enalapril (Vasotec). What is the best nursing intervention to promote rest in this client? |
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Definition
| Have the client sleep on two or three pillows at night. |
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Term
| The client with hypertension has experienced heart failure. The nurse notes that the client is receiving nefedipine (Procardia). What is a priority assessment for the nurse? |
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Definition
| Auscultate breath sounds for crackles. |
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Term
| The client is receiving doxazosin (Cardura) for hypertension. He asks the nurse how the medication works. What is the nurse’s best response? |
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Definition
| “It works by making your blood vessels expand.” |
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Term
| According to the JNC-7, a patient with a blood pressure of 144/82 would be classified as: |
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Definition
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Term
| Which of the following lists include the three factors that make up blood pressure? |
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Definition
| Cardiac output, blood volume, and peripheral vascular resistance |
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Term
| Diuretics are often used to lower blood pressure. Which factor do they affect most? |
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Definition
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Term
| Changes in which of the following would be sensed by baroreceptors and relayed to the vasomotor center? |
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Definition
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Term
| Which statement is accurate in regard to secondary hypertension? |
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Definition
| 4. It can result from chronic renal impairment. |
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Term
| Which of the following interventions would be indicated and take highest priority for a smoking 30-year-old female with a BMI of 20 and a blood pressure of 137/88 |
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Definition
| Smoking-cessation program |
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Term
| A patient with consistent blood pressures of 180–200 systolic over 90–100 diastolic would benefit most from: |
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Definition
| Non-pharmacologic measures, a thiazide diuretic, and a beta blocker. |
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Term
| Which drug lowers blood pressure by reducing heart rate? |
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Definition
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Term
| Which laboratory test would be the priority for a hypertensive patient taking a thiazide diuretic? |
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Definition
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Term
| A hypertensive female patient being treated with which of the following would be of primary concern if she became pregnant? |
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Definition
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