Nursing Management Hypertension

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Question 1
Free
Multiple Choice

Which of the following actions should the nurse in the hypertension clinic take in order to obtain an accurate baseline blood pressure (BP) for a new client?

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A

Obtain a BP reading in each arm and average the results.

B

Deflate the BP cuff at a rate of 5-10 mm Hg/second.

C

Have the client sit in a chair.

D

Assist the client to the supine position for BP measurements.

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Question 2
Free
Multiple Choice

The nurse obtains this information from a client with prehypertension. Which of the following findings is most important to address with the client?

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A

Low dietary fibre intake

B

No regular aerobic exercise

C

BMI of 23 kg/m2

D

Drinks wine with dinner once a week

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Question 3
Free
Multiple Choice

The nurse is caring for a client with hypertension and has just administered the initial dose of labetalol. Which of the following actions should the nurse take?

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A

Encourage oral fluids to prevent dry mouth or dehydration.

B

Instruct the client to ask for help if heart palpitations occur.

C

Ask the client to request assistance when getting out of bed.

D

Teach the client that headaches may occur with this medication.

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Question 4
Free
Multiple Choice

The nurse is teaching a client with stage 1 hypertension about diet modifications that should be implemented. Which of the following diet choices indicates that the teaching has been effective?

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A

The client avoids eating nuts or nut butters.

B

The client restricts intake of dietary protein.

C

The client has only one cup of coffee in the morning.

D

The client has a glass of low-fat milk with each meal.

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Question 5
Free
Multiple Choice

The nurse is caring for a client who has just diagnosed with hypertension and has a new prescription for captopril. Which of the following information is important to include when teaching the client?

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A

Check BP daily before taking the medication.

B

Increase fluid intake if dryness of the mouth is a problem.

C

Include high-potassium foods such as bananas in the diet.

D

Change position slowly to help prevent dizziness and falls.

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Question 6
Multiple Choice

The nurse is caring for a client with hypertension and has a prescription for nadolol. Which of the following assessment findings should the nurse report to the health care provider before administering this medication?

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A
Asthma
B
Peptic ulcer disease
C
Alcohol dependency
D
Myocardial infarction
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Question 7
Multiple Choice

The nurse is caring for a 52-year-old client who has no previous history of hypertension or other health problems and has suddenly developed a BP of 188/106 mm Hg. After reconfirming the BP, which of the following information is best for the nurse to tell theclient?

Choose correct answer/s
A
A BP recheck should be scheduled in a few weeks.
B
The dietary sodium and fat content should be decreased.
C
There is an immediate danger of a stroke and hospitalization will be required.
D
More diagnostic testing may be needed to determine the cause of the hypertension.
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Question 8
Multiple Choice

Which of the following actions should the nurse include in the plan of care for a client who is receiving sodium nitroprusside to treat a hypertensive emergency?

Choose correct answer/s
A
Organize nursing activities so that the client has undisturbed sleep for 6 to 8 hours at night.
B
Assist the client up in the chair for meals to avoid complications associated with immobility.
C
Use an automated noninvasive blood pressure machine to obtain frequent BP measurements.
D
Place the client on NPO status to prevent aspiration caused by nausea and the associated vomiting.
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Question 9
Multiple Choice

The nurse has just finished teaching a client who is hypertensive about the newly prescribed quinapril. Which of the following client statements indicates that more teaching is needed?

Choose correct answer/s
A
"The medication may not work as well if I take any Aspirin."
B
"My health care provider may order a blood potassium level occasionally."
C
"I will call my health care provider if I notice that I have a frequent cough."
D
"I won't worry if I have a little swelling around my lips and face."
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Question 10
Multiple Choice

During change-of-shift report, the nurse obtains this information about a client who is hypertensive and received the first dose of propranolol during the previous shift. Which of the following information indicates that the client needs immediate intervention?

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A
The client's most recent BP reading is 156/94 mm Hg.
B
The client's pulse has dropped from 64 to 58 beats/minute.
C
The client has developed wheezes throughout the lung fields.
D
The client complains that the fingers and toes feel quite cold.
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Question 11
Multiple Choice

The nurse is assessing a client who is being investigated for possible white coat hypertension. Which of the following actions should the nurse implement first?

Choose correct answer/s
A
Schedule the client for frequent BP checks in the clinic.
B
Instruct the client about the need to decrease stress levels.
C
Tell the client how to self-monitor and record BPs at home.
D
Teach the client about ambulatory blood pressure monitoring.
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Question 12
Multiple Choice

Which of the following BP findings by the nurse indicate that no changes in therapy are needed for a client with stage 1 hypertension who has a history of heart failure?

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A
108/64 mm Hg
B
128/76 mm Hg
C
140/90 mm Hg
D
136/82 mm Hg
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Question 13
Multiple Choice

Which of the following information should the nurse include when teaching a client with newly diagnosed hypertension?

Choose correct answer/s
A
Dietary sodium restriction will control BP for most clients.
B
Most clients are able to control BP through lifestyle changes.
C
Hypertension is usually asymptomatic until significant organ damage occurs.
D
Annual BP checks are needed to monitor treatment effectiveness.
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Question 14
Multiple Choice

The nurse in the emergency department received change-of-shift report on these four clients with hypertension. Which of the following clients should the nurse assess first?

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A
52-year-old with a BP of 212/90 who has intermittent claudication
B
43-year-old with a BP of 190/102 who is complaining of chest pain
C
50-year-old with a BP of 210/110 who has a creatinine of 133 mcmol/L
D
48-year-old with a BP of 200/98 whose urine shows microalbuminuria
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Question 15
Multiple Choice

The nurse is reviewing the laboratory test results for a client who has recently been diagnosed with hypertension. Which result is most important to communicate to the health care provider?

Choose correct answer/s
A
Serum creatinine of 230 mcmol/L
B
Serum potassium of 3.8 mmol/L
C
Serum hemoglobin of 147 g/L
D
Blood glucose level of 5.3 mmol/L
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Question 16
Multiple Choice

The nurse is admitting a client with a history of hypertension and is being treated with a diuretic and an angiotensin-converting enzyme (ACE) inhibitor to the emergency department. The client has symptoms of a severe headache and has a BP of 240/118 mmHg. Which of the following questions should the nurse ask first?

Choose correct answer/s
A
Did you take any acetaminophen today?
B
Do you have any recent stressful events in your life?
C
Have you been consistently taking your medications?
D
Have you recently taken any antihistamine medications?
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Question 17
Multiple Choice

The nurse is caring for a client who is experiencing a hypertensive crisis and is receiving sodium nitroprusside. Which of the following time frequencies should the nurse assess the clients' blood pressure and pulse during the initial administration ofthis medication?

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A
2-3 minutes
B
5-10 minutes
C
15-30 minutes
D
Hourly
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Question 18
Multiple Choice

When a client with hypertension who has a new prescription for atenolol returns to the health clinic after 2 weeks for a follow-up visit, the BP is unchanged from the previous visit. Which of the following actions should the nurse take first?

Choose correct answer/s
A
Provide information about the use of multiple drugs to treat hypertension.
B
Teach the client about the reasons for a possible change in drug therapy.
C
Remind the client that lifestyle changes also are important in BP control.
D
Ask the client about whether the medication is actually being taken.
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Question 19
Multiple Choice

Which of the following nursing actions should the nurse take first in order to assist a client with newly diagnosed stage 1 hypertension in making needed dietary changes?

Choose correct answer/s
A
Have the client record dietary intake for 3 days.
B
Give the client a detailed list of low-sodium foods.
C
Teach the client about foods that are high in sodium.
D
Help the client make an appointment with a dietitian.
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Question 20
Multiple Choice

The charge nurse observes a new RN doing discharge teaching for a client who is hypertensive and has a new prescription for enalapril. Which of the following actions by the new RN should cause the charge nurse to intervene in the client's care?

Choose correct answer/s
A
Check the BP with a home BP monitor every day.
B
Move slowly when moving from lying to standing.
C
Increase the dietary intake of high-potassium foods.
D
Make an appointment with the dietitian for teaching.
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