MED SURG 103 Chapter 22. Nursing Care of Patients with Hypertension
Multiple Choice
Identify the
... [Show More] choice that best completes the statement or answers the question.
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A patient on antihypertensive medication has no insurance, three children, and reports feeling great and exercising daily. What should the nurse include in this patient’s teaching plan to promote compliance?
1. Encourage increased rest periods.
2. Provide names of support groups.
3. Refer the patient for financial assistance.
4. Schedule an annual physical examination.
The nurse is reviewing orders for a patient taking digoxin (Lanoxin). Which additional medication should the nurse question?
1. Ramipril (Altace)
2. Carvedilol (Coreg)
3. Verapamil (Calan SR)
4. Clonidine (Catapres)
The nurse is caring for a group of patients. Which patient should the nurse see first?
1. A patient with a blood pressure of 140/70 mm Hg who is asymptomatic
2. A patient with a blood pressure of 150/60 mm Hg who is anxious
3. A patient with a blood pressure of 170/80 mm Hg with a headache
4. A patient with a blood pressure of 180/120 mm Hg reporting a nosebleed
The nurse is measuring blood pressures during a screening clinic. Which recommended follow- up time frame should the nurse suggest to a patient for a blood pressure reading of 118/72 mm Hg?
1. 1 month
2. 2 months
3. l year
4. 2 years
A patient tells the nurse he has started experiencing impotence since beginning treatment for hypertension. Which statement by the nurse is most appropriate?
1. “This is a normal side effect of the medication and you will get used to it.”
2. “You should stop taking this medication immediately.”
3. “I will talk to your doctor and see about referring you for sexual counseling.”
4. “You can start taking sildenafil (Viagra); this should fix the problem.”
The nurse is planning care for patients with hypertension. Which ethnic group should the nurse understand is most sensitive to the effects of the beta blocker propranolol (Inderal)?
1. Chinese
2. Koreans
3. African Americans
4. Japanese Americans
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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?
1. A 60-year-old Japanese American man
2. A 56-year-old African American woman
3. A 45-year-old female tourist from China
4. A 51-year-old man who recently emigrated from Korea
A patient asks the nurse what the doctor meant by the phrase, “hypertensive emergency.” Which explanation should the nurse provide?
1. “It means that you’ve had a small stroke.”
2. “It refers to an episode of very high blood pressure.”
3. “It’s when the heart is failing to pump blood effectively.”
4. “It means the heart has become hyperactive and is beating too fast.”
The nurse is reinforcing teaching for a patient with hypertension. If a patient states, “I understand that if I do not eat or cook with salt, my hypertension will go away.” What is the nurse’s best response?
1. “Reducing salt in the diet increases blood pressure.”
2. “Patients who take diuretics do not need to reduce salt intake.”
3. “Excessive salt intake is responsible for most types of hypertension.”
4. “Some patients’ blood pressure may not respond to salt restriction alone.”
10. The nurse is reinforcing teaching provided to a patient who has been taught ways to decrease blood pressure. Which patient statement indicates a need for further teaching?
1. “I eat fried foods three times a week.”
2. “I don’t add salt to my food anymore.”
3. “I walk my dog for 30 minutes every day.”
4. “I take high blood pressure medication daily.”
11. The nurse is teaching a patient with hypertension about the DASH diet. Which statement made by the patient indicates a need for further teaching?
1. “I will eat 3 ounces of baked fish for dinner.”
2. “I have eaten cup of cooked beans for dinner four times this week.”
3. “I ate a hamburger with a small order of fries last night.”
4. “My spouse has begun to cook using only 1 teaspoon of canola oil.”
12. The nurse is teaching a group of patients about hypertension. Which patient is at highest risk for developing hypertension?
1. A 50-year-old Caucasian female who is 5 foot 6 inches and weighs 150 pounds
2. A 30-year-old Asian male who is 5 foot 5 inches and weighs 110 pounds
3. A 60-year-old African American female who is 5 foot 7 inches and weighs 275 pounds
4. A 40-year-old Hispanic female who is 5 foot 7 inches and weighs 120 pounds
13. The nurse is preparing to administer furosemide (Lasix) to a patient with hypertension. The nurse reviews the patient’s potassium and notes a level of 4.6 mEq/L. Which action should the nurse take?
1. Notify the HCP.
2. Administer the medication as prescribed.
3. Withhold the medication.
4. Wait an hour and administer the medication.
14. A patient who has unsuccessfully implemented lifestyle modifications for high blood pressure asks what else can be done. What should the nurse respond to this patient?
1. “You should get more rest.”
2. “You should decrease your exercise plan.”
3. “You should consider more strenuous exercise.”
4. “Your doctor may discuss medication with you.”
15. The nurse is caring for a patient who has possible kidney damage from high blood pressure.
Which action should the nurse take?
1. Monitor glucose.
2. Encourage fluids.
3. Monitor urine color.
4. Review creatinine level.
16. The nurse is caring for a group of patients. Which patient should the nurse see first?
1. A patient who received a dose of furosemide (Lasix) and reports an increase in urine output
2. A patient receiving spironolactone (Aldactone) with a potassium level of 4.8 mEq/L
3. A patient who received a dose of Metoprolol (Lopressor) with a blood pressure of 126/74 mm Hg
4. A patient receiving atenolol (Tenormin) with a blood pressure of 188/114 mmHg
17. The nurse is caring for a patient with stage 1 hypertension. Which medication should the nurse expect to be prescribed for this patient?
1. Verapamil (Calan)
2. Minoxidil (Loniten)
3. Diltiazem (Cardizem)
4. Hydrochlorothiazide (HydroDIURIL)
18. The nurse is teaching a patient about furosemide (Lasix). Which statement made by the patient indicates an understanding of the teaching?
1. “If my blood pressure is really high, I will take a second dose.”
2. “I will be sure to avoid potassium while taking this medication.”
3. “I should take the medication in the morning so I am not up all night going to the bathroom.”
4. “I need to be sure to take this pill without food or milk.”
19. The nurse is contributing to a teaching session about hypertension. Which patient should the nurse identify as having the greatest risk for hypertension?
1. A 43-year-old married mother of three teenagers
2. A 40-year-old man whose brother has hypertension
3. A 35-year-old male construction worker who smokes
4. A 34-year-old single female who is an administrative assistant
20. The nurse is assessing a patient who has been taking prazosin (Minipress) for 3 months. Which indicates treatment is effective?
1. The patient reports a 4-pound weight loss in 3 months.
2. The patient states they work out at the gym every morning.
3. The patient tells the nurse she has been following a low-sodium diet.
4. The patient’s blood pressure is 114/66 mm Hg. [Show Less]