Focus on Adult Health Medical-Surgical Nursing Psc Edition by Linda
Focus on Adult Health Medical-Surgical Nursing Psc Edition by Linda
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Chapter 13- Patients with Hypertension
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | An 80-year-old man, newly diagnosed with primary hypertension, has just been started on a beta-blocker. The nurse knows that in addition to teaching the patient about his medication (ie, side effects, purpose, and schedule), she should also focus her teaching on what? | |
| A) | Limiting fluids in order to decrease vascular volume | |
| B) | Maintaining a diet high in dairy to increase protein necessary to prevent organ damage | |
| C) | Use of supportive devices such as hand rails and walkers to prevent falls stemming from postural hypotension | |
| D) | Limiting exercise to avoid injury that can be caused by postural hypotension | |
| 2. | The staff educator is talking to a group of new emergency department nurses about hypertensive crises. The nurse educator is aware that hypertensive urgency differs from hypertensive emergency in what way? | |
| A) | The patient’s blood pressure (BP) is always higher in a hypertensive emergency. | |
| B) | Close hemodynamic monitoring is required during treatment of hypertensive emergencies. | |
| C) | Hypertensive urgency is treated with rest and tranquilizers to lower BP. | |
| D) | Hypertensive emergencies are associated with evidence of target organ damage. | |
| 3. | A 56-year-old man has sought care because the automated blood pressure machine in his pharmacy indicated a blood pressure reading of 146/96 mm Hg. He has said to the nurse, “My pressure has never been this high. Will I need to take medication to reduce it?” Which of the following responses by the nurse would be best? | |
| A) | “Yes. Hypertension is prevalent among males; it’s fortunate we caught this during your routine examination.” | |
| B) | “Quite likely, because your age places you at high risk for hypertension.” | |
| C) | “A single elevated blood pressure doesn’t confirm hypertension. You’ll need to have your blood pressure reassessed several times before a diagnosis can be made.” | |
| D) | “You have no need to worry. Your pressure was probably elevated because of your anxiety.” | |
| 4. | A 40-year-old man newly diagnosed with hypertension is discussing risk factors with the nurse. The nurse talks about lifestyle changes with the patient and advises that the patient should avoid tobacco use. What is the rationale behind that advice to the patient? | |
| A) | Smoking directly causes high blood pressure. | |
| B) | Smoking increases the risk of heart disease. | |
| C) | Smoking causes obesity, which exacerbates hypertension. | |
| D) | Smoking increases cardiac output. | |
| 5. | A patient newly diagnosed with hypertension asks the nurse what happens when uncontrolled hypertension is prolonged. The nurse explains that a patient with prolonged uncontrolled hypertension is at risk for developing what health problem? | |
| A) | Renal failure | |
| B) | Right ventricular hypertrophy | |
| C) | Glaucoma | |
| D) | Anemia | |
Answer Key
| 1. | C |
| 2. | D |
| 3. | C |
| 4. | B |
| 5. | A |
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $40.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
