Perfusion

The results of an adult patient’s blood pressure screening on three occasions are: 120/80 mmHg, 130/76 mmHg, and 118/86 mmHg. How will the healthcare provider interpret this information?

• Hypertension Stage 2

• Prehypertension

• Hypertension Stage 1

• Normal blood pressure

A patient is diagnosed with primary hypertension. When taking the patient’s history, the healthcare provider anticipates the patient will report which of the following?

• “I have not noticed any significant changes in my health.”

• "Sometimes I get pain in my lower legs when I take my daily walk.”

• “Every once in awhile I wake up at night covered in sweat.”

• “I’m starting to get out of breath when I go up a flight of stairs.”

A patient is prescribed a thiazide diuretic for the treatment of hypertension. When teaching the patient about the medication, which of the following will the healthcare provider include?

• “Take this medication each day with a large glass of water after your evening meal.”

• “Stop taking this medication if you notice changes in how much you urinate.”

• “Be sure to include a number of foods that are rich in potassium in your diet.”

• “I’ll teach you how to take your radial pulse before taking the medication.”

A patient is prescribed a new medication for the treatment of hypertension. While supine, the patient’s blood pressure is 112/70 mmHg and the heart rate is 80/minute. The healthcare provider assesses the patient when the patient changes to a sitting position. Which of the following indicates the patient is experiencing orthostatic hypotension?

• BP 90/60, HR 68

• BP 120/84, HR 82

• BP 88/62, HR 100

• BP 100/66, HR 90

A patient tells the healthcare provider, “I stopped taking my medication because it kept me up at night with a dry cough.” When reviewing the patient’s medical record, which of these antihypertensive medications will the healthcare provider identify as the likely cause of this patient’s report?

• Loop diuretic

• Beta blocker

• Calcium channel blocker

• Angiotensin-converting enzyme (ACE) inhibitor

A client in sinus tachycardia. What orders would the nurse anticipate? Select all that apply.

• Exercise

• Oxygen

• Treat the cause

• scary movies and in-laws

When evaluating a ECG monitoring strip, the identifies which as a representation of ventricular contractions?.

• U wave

• T wave

• PQR interval

• QRS interval

A patient with chronic heart failure is treated with hydrochlorothiazide, digoxin and lisinopril. To prevent the risk of digoxin toxicity with these drugs, it is most important the nurse monitor the patient's

• heart rate.
• blood pressure.
• gastrointestinal function.
•  potassium levels.

When caring for a patient after cardiac catheterization with coronary angiography, which of the following findings would be of most concern to the nurse?

• swelling at the catheter insertion site
• development of raised wheals on the patient trunk
• Absence of pulses distal to the catheter insertion site
• Patient states pain at the insertion site as 4 out of 10

A physical assessment finding that the nurse would expect to be present in the patient with acute left-sided heart failure is:

•  crackles, rales, and tachycardia
• hepato-splenomegaly and tachypnea
• peripheral edema and clammy, diaphoretic skin
• frothy blood tinged sputum and distended jugular veins