MS 1 Mod 5 Ch 22 Hypertension

Front

A patient is newly diagnosed with hypertension, placed on new medications, and expected to comply with lifestyle modifications, weight loss, and follow-up visits. The patient tells the nurse they cannot afford the medications and are uninsured. What action should the nurse take to support compliance?

Back

Refer the patient for financial assistance.

Front

The nurse is measuring BPs during a screening clinic for a client experiencing hypertension urgency and started on medications. Which recommended follow-up timeframe should the nurse suggest?

Back

Within several days

Front

A patient tells the nurse he has started experiencing erectile dysfunction since beginning treatment for hypertension. Which statement by the nurse is most appropriate?

Back

I will talk to your doctor to see if adjustments can be made.

Front

The nurse is planning care for patients with hypertension. What side effect should be included with teaching about the beta blocker propranolol (Inderal)?

Back

Rise slowly to prevent dizziness.

Front

The nurse is planning care for a group of patients. Which individual should the nurse identify as being at the highest risk for developing hypertension from increased renin activity? A 60-year-old Japanese American man, A 56-year-old African American woman, A 45-year old female tourist from China, A 51-year old man who recently emigrated from Korea

Back

A 56-year-old African American woman

Front

The nurse is reinforcing teaching for a patient with hypertension. The patient tells the nurse, “I understand that if I do not eat or cook with salt, my hypertension will go away.” How should the nurse reply?

Back

Some patients’ blood pressure may not respond to salt restriction alone.

Front

The nurse is reinforcing teaching provided to a patient who has been taught ways to decrease BP. Which patient statement indicates a need for further teaching? Options: I will stop my medication if I feel weak or dizzy. I don’t add salt to my food anymore. I walk my dog for 30 minutes every day. I will eat more potassium in my diet.

Back

I will stop my medication if I feel weak or dizzy.

Front

Which patient is at highest risk for developing hypertension? A 50-year-old Caucasian female who exercises daily, A 30-year-old who is 5 foot 5 inches and weighs 110 pounds, A 60-year-old with a family history of hypertension, A 40-year-old with well-controlled diabetes

Back

A 60-year-old with a family history of hypertension

Front

A patient with diabetes mellitus is being evaluated for hypertension. Which statement indicates that the patient is at highest risk for hypertension? Options: This patient is not at risk for hypertension. This patient is not at risk for hypertension. This patient has a family history of hypertension, which is a strong risk factor. This patient is not at highest risk for hypertension, as the diabetes is well-controlled.

Back

This patient has a family history of hypertension, which is a strong risk factor.

Front

A patient returns to the clinic after making significant lifestyle modifications for high BP and asks the nurse what else can be done. How should the nurse reply?

Back

Your doctor may discuss medication with you.