Chapter 28--Hypertension: Nursing Management

Chapter 28–Hypertension: Nursing Management

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. Which of the following should the nurse instruct a client who is newly diagnosed with hypertension?

ANS:  1

Treatment of hypertension is a lifelong process. It requires lifestyle modification and occurs in all racial and economical groups. Hypertension can either be easy or difficult to manage.

PTS:   1                    DIF:    Apply            REF:   Introduction

2. A client is diagnosed with isolated systolic hypertension. The nurse realizes that this diagnosis means the client is experiencing a systolic pressure:

ANS:  3

The likelihood of developing isolated systolic hypertension is greater with age and is confirmed with a systolic pressure greater than 140 mmHg while the diastolic pressure remains less than 90 mmHg.

PTS:   1                    DIF:    Analyze         REF:   Hypertension: Nonmodifiable Risk Factors

3. The nurse is instructing a client on the impact of cigarette smoking and the development of hypertension. Which of the following would not be appropriate for the nurse to include in these instructions?

ANS:  3

Tobacco and smoking have been shown to increase heart rate and blood pressure because of vasoconstriction and the accumulation of plaque on the artery walls. Because of the replacement of oxygen with carbon monoxide from tobacco smoke, the heart has to work harder to supply oxygen to the organs. There is no evidence that smoking thins the blood and causes bleeding.

PTS:   1                    DIF:    Apply            REF:   Hypertension: Modifiable Risk Factors

4. The nurse is assessing a client’s pulse pressure. His blood pressure reading is 130/82 mmHg. Which of the following is the correct pulse pressure?

ANS:  2

The pulse pressure is the difference between the systolic and diastolic pressure: 130 – 82 = 48. The other choices represent miscalculations or not understanding the correct way to calculate pulse pressure.

PTS:   1                    DIF:    Apply            REF:   Hypertension: Pathophysiology

5. A client is surprised to learn that she has high blood pressure. Which of the following should the nurse assess in this client? The presence or occurrence of:

ANS:  3

With very elevated blood pressure, headache is the most commonly reported symptom. Although pain and nausea may be reported, they are not the most common. Fear is not commonly associated with hypertension though it may occur with an onset of pain or nausea.

PTS:   1                    DIF:    Apply

REF:   Hypertension: Assessment with Clinical Manifestations