MS 1 Mod 5 Ch 22 Hypertension

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?

• Refer the patient to a free clinic.

• Provide names of support groups.

• Refer the patient for financial assistance.

• Schedule an annual physical examination.

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?

• Within 24 hours

• Within several days

• Within the week

• Within the month

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

• This is a normal side effect of the medication and you will get used to it.

• You should stop taking this medication immediately.

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

• You can start taking sildenafil (Viagra); this should fix the problem.

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

• Monitor for bleeding gums.

• Report a headache immediately.

• Rise slowly to prevent dizziness.

• Heart palpitations are common.

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 form Korea

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?

• Reducing salt in the diet increases blood pressure.

• Patients who take diuretics do not need to reduce salt intake.

• Excessive salt intake is responsible for most types of hypertension.

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

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?

• 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.

The nurse is teaching a group of patients about hypertension. 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

A patient with diabetes mellitus is being evaluated for hypertension. Which statement indicates that the patient is at highest risk for hypertension?

• 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.

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?

• You should get more rest.

• You should reduce your exercise plan.

• You should consider more strenuous exercise.

• Your doctor may discuss medication with you.