Chapter 22. Nursing Care of Patients With Hypertension

Chapter 22. Nursing Care of Patients With Hypertension

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Multiple Choice

Identify the choice that best completes the statement or answers the question.

____     1.   A patient on antihypertensive medication has no insurance, three children, and reports feeling great and exercising daily. What should the nurse include in this patient’s teaching plan to promote compliance?

____     2.   A patient’s current blood pressure reading is 144/94 mm Hg. A reading of 150/96 mm Hg was obtained on a prior occasion. Which type of hypertension should the nurse recognize that this patient is experiencing?

____     3.   The nurse is caring for a patient who is prescribed a thiazide diuretic. What instructions should the nurse provide this patient who reports fatigue due to sleep deprivation?

____     4.   The nurse is measuring blood pressures during a screening clinic. Which participant statement indicates that teaching about blood pressure has been effective?

____     5.   The nurse is measuring blood pressures during a screening clinic. For which blood pressure reading should the nurse instruct a patient to have follow-up in one year?

MULTIPLE CHOICE

1. ANS:  C

The nurse should refer the patient for financial assistance. If the patient cannot afford the medication, it will not be taken in spite of any teaching that is done. A. B. D. Rest, support groups, and annual physical examinations will not improve compliance with this patient’s teaching plan.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Safe and Effective Care Environment—Management of Care | Cognitive Level: Application

2. ANS:  B

Stage 1 hypertension is 140 to 159/90 to 99 mm Hg. A. Prehypertension is 120 to 139/80 to 89 mm Hg. C. Stage 2 hypertension is greater than 160/100 mm Hg. D. Hypertensive emergency is a sustained increase in blood pressure despite measures to reduce the level.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Health Promotion and Maintenance | Cognitive Level: Analysis

3. ANS:  B

If the patient’s lifestyle is to sleep at night and the medication is taken later in the day, it can interfere with sleep due to the need to void. So, the medication should be taken early in the day for this patient. A. Position changes should be made slowly to reduce the risk of orthostatic hypotension. C. Taking the medication before bedtime can increase sleep deprivation. D. There is no reason for the patient to empty the bladder after the first dose of the medication.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Pharmacological and Parenteral Therapies | Cognitive Level: Application

4. ANS:  A

Normal blood pressure is less than 120/80 mm Hg. B. A blood pressure of 130/90 is considered as being prehypertension. C. D. Readings of 148/94 and 158/88 are considered stage 1 hypertension and should be evaluated every 2 months with possible treatment of medication.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Analysis

5. ANS:  B

The pressure of 132/88 mm Hg is prehypertension and requires a 1-year follow-up. A. The reading of 108/80 mm Hg is normal blood pressure. C. D. The readings of 148/94 and 159/88 require a 2-month follow-up.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Application