Deck 22: Nursing Care of Patients With Hypertension

Question 1

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?

A)Encourage increased rest periods.
B)Provide names of support groups.
C)Refer the patient for financial assistance.
D)Schedule an annual physical examination.

Answer 1

Refer the patient for financial assistance.

Question 2

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?

A)Notify the HCP.
B)Administer the medication as prescribed.
C)Withhold the medication.
D)Wait an hour and administer the medication.

Answer 2

Administer the medication as prescribed.

Question 3

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?

A)"I eat fried foods three times a week."
B)"I don't add salt to my food anymore."
C)"I walk my dog for 30 minutes every day."
D)"I take high blood pressure medication daily."

Answer 3

"I eat fried foods three times a week."

Question 4

The nurse is assessing a patient who has been taking prazosin (Minipress) for 3 months. Which indicates treatment is effective?

A)The patient reports a 4-pound weight loss in 3 months.
B)The patient states they work out at the gym every morning.
C)The patient tells the nurse she has been following a low-sodium diet.
D)The patient's blood pressure is 114/66 mm Hg.

Question 5

The nurse is caring for a patient with stage 1 hypertension. Which medication should the nurse expect to be prescribed for this patient?

A)Verapamil (Calan)
B)Minoxidil (Loniten)
C)Diltiazem (Cardizem)
D)Hydrochlorothiazide (HydroDIURIL)

Question 6

A patient asks the nurse what the doctor meant by the phrase, "hypertensive emergency." Which explanation should the nurse provide?

A)"It means that you've had a small stroke."
B)"It refers to an episode of very high blood pressure."
C)"It's when the heart is failing to pump blood effectively."
D)"It means the heart has become hyperactive and is beating too fast."

Question 7

The nurse is teaching a patient with hypertension about the DASH diet. Which statement made by the patient indicates a need for further teaching?

A)"I will eat 3 ounces of baked fish for dinner."
B)"I have eaten cup of cooked beans for dinner four times this week."
C)"I ate a hamburger with a small order of fries last night."
D)"My spouse has begun to cook using only 1 teaspoon of canola oil."

Question 8

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?

A)1 month
B)2 months
C)l year
D)2 years

Question 9

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

A)"This is a normal side effect of the medication and you will get used to it."
B)"You should stop taking this medication immediately."
C)"I will talk to your doctor and see about referring you for sexual counseling."
D)"You can start taking sildenafil (Viagra); this should fix the problem."

Question 10

The nurse is teaching a patient about furosemide (Lasix). Which statement made by the patient indicates an understanding of the teaching?

A)"If my blood pressure is really high, I will take a second dose."
B)"I will be sure to avoid potassium while taking this medication."
C)"I should take the medication in the morning so I am not up all night going to the bathroom."
D)"I need to be sure to take this pill without food or milk."

Question 11

The nurse is teaching a group of patients about hypertension. Which patient is at highest risk for developing hypertension?

A)A 50-year-old Caucasian female who is 5 foot 6 inches and weighs 150 pounds
B)A 30-year-old Asian male who is 5 foot 5 inches and weighs 110 pounds
C)A 60-year-old African American female who is 5 foot 7 inches and weighs 275 pounds
D)A 40-year-old Hispanic female who is 5 foot 7 inches and weighs 120 pounds

Question 12

The nurse is reviewing orders for a patient taking digoxin (Lanoxin). Which additional medication should the nurse question?

A)Ramipril (Altace)
B)Carvedilol (Coreg)
C)Verapamil (Calan SR)
D)Clonidine (Catapres)

Question 13

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?

A)"You should get more rest."
B)"You should decrease your exercise plan."
C)"You should consider more strenuous exercise."
D)"Your doctor may discuss medication with you."

Question 14

The nurse is caring for a patient who has possible kidney damage from high blood pressure. Which action should the nurse take?

A)Monitor glucose.
B)Encourage fluids.
C)Monitor urine color.
D)Review creatinine level.

Question 15

The nurse is caring for a group of patients. Which patient should the nurse see first?

A)A patient who received a dose of furosemide (Lasix) and reports an increase in urine output
B)A patient receiving spironolactone (Aldactone) with a potassium level of 4.8 mEq/L
C)A patient who received a dose of Metoprolol (Lopressor) with a blood pressure of 126/74 mm Hg
D)A patient receiving atenolol (Tenormin) with a blood pressure of 188/114 mmHg

Question 16

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?

A)A 60-year-old Japanese American man
B)A 56-year-old African American woman
C)A 45-year-old female tourist from China
D)A 51-year-old man who recently emigrated from Korea

Question 17

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)?

A)Chinese
B)Koreans
C)African Americans
D)Japanese Americans

Question 18

The nurse is contributing to a teaching session about hypertension. Which patient should the nurse identify as having the greatest risk for hypertension?

A)A 43-year-old married mother of three teenagers
B)A 40-year-old man whose brother has hypertension
C)A 35-year-old male construction worker who smokes
D)A 34-year-old single female who is an administrative assistant

Question 19

The nurse is caring for a group of patients. Which patient should the nurse see first?

A)A patient with a blood pressure of 140/70 mm Hg who is asymptomatic
B)A patient with a blood pressure of 150/60 mm Hg who is anxious
C)A patient with a blood pressure of 170/80 mm Hg with a headache
D)A patient with a blood pressure of 180/120 mm Hg reporting a nosebleed

Question 20

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?

A)"Reducing salt in the diet increases blood pressure."
B)"Patients who take diuretics do not need to reduce salt intake."
C)"Excessive salt intake is responsible for most types of hypertension."
D)"Some patients' blood pressure may not respond to salt restriction alone."

Question 21

The nurse becomes concerned that a male patient's blood pressure is 168/98 mm Hg after 6 months on antihypertensive medication. What question should the nurse ask after measuring this blood pressure?

A)Is the patient taking the medication?
B)What is the volume of alcohol ingested each day?
C)Which pharmacy is filling the prescribed medications?
D)How many hours of sleep does the patient receive each night?

Question 22

The nurse is assessing a blood pressure of a patient and obtains a reading of 110/60 mm Hg. The nurse knows the patient falls under which category?

A)Stage 1 hypertension
B)Elevated blood pressure
C)Normal blood pressure
D)Stage 2 hypertension

Question 23

The nurse is preparing to administer furosemide (Lasix) 20 mg intravenously to a patient with hypertension. The available dose is 40 mg/mL. How many mL will the nurse administer? Enter the numeral only.

Question 24

The nurse is preparing to administer lisinopril (Prinivil) 40 mg by mouth to a patient with hypertension. The available does is 20 mg per tablet. How many tablets will the nurse administer? Enter the numeral only.

Question 25

The nurse is taking a medication history of a patient with a chronic cough. Which medication can the nurse suspect as contributing to the cough?

A)Chlorothiazide (Diuril)
B)Furosemide (Lasix)
C)Nadolol (Corgard)
D)Lisinopril (Zestril)

Question 26

The nurse is caring for a patient in hypertensive emergency. What should the nurse expect to be the goal when treatment is provided for this patient?

A)Increase urine output.
B)Negate the impact of sodium in the body.
C)Ensure an adequate potassium blood level.
D)Reduce blood pressure by 25% in 1 hour.

Question 27

The nurse is preparing to administer atenolol (Tenormin) to a patient with hypertension. The patient's blood pressure is 72/40 mm Hg. Which action should the nurse take?

A)Administer the medication as ordered.
B)Notify the HCP.
C)Reassess the patient's blood pressure in 8 hours.
D)Administer half of the prescribed dose.

Question 28

The infection control nurse observes a nurse on a cardiac unit. Which actions by the nurse would require intervention by the infection control nurse? (Select all that apply.)

A)Wipes stethoscope with a soft cloth before each patient use
B)Carries stethoscope in a laboratory coat pocket when not in use
C)Performs hand hygiene before and after contact with each patient
D)Leaves a thermometer in the room of a patient on contact precautions
E)Takes own stethoscope into the room of a patient on contact precautions 6.Uses a stethoscope and blood pressure cuff supplied in the patient's room

Question 29

The nurse is reviewing complications of hypertension with a patient. Which should the nurse include in the teaching? (Select all that apply.)

A)Heart failure
B)Liver disease
C)Hypothyroidism
D)Stroke
E)Myocardial infarction
F)Kidney Failure

Question 30

The nurse is caring for a patient with hypertension who is being discharged home with a prescription of propranolol (Inderal). Which topics should the nurse include in the teaching? (Select all that apply.)

A)Check the heart rate and blood pressure before taking the medication.
B)Get up slowly to avoid dizziness.
C)Keep appointments to have potassium level checked.
D)Wear sunscreen to avoid photosensitivity.
E)Talk to the doctor before the medication is stopped.