TEST 3 CARDIOVASCULAR WITH ELEKTROCARDIOGRAM (EKG)

The nurse is caring for an older adult with a diagnosis of hypertension who is being treated with a diuretic and beta-blocker. Which of the following should the nurse integrate into the management of this clients hypertension? 1. A) Ensure that the patient receives a larger initial dose of antihypertensive medication due to impaired absorption. 2. B) Pay close attention to hydration status because of increased sensitivity to extracellular volume depletion. 3. C) Recognize that an older adult is less likely to adhere to his or her medication regimen than a younger patient. 4. D) Carefully assess for weight loss because of impaired kidney function resulting from normal aging. A nurse is teaching an adult female patient about the risk factors for hypertension. What should the nurse explain as risk factors for primary hypertension? 1. A) Obesity and high intake of sodium and saturated fat 2. B) Diabetes and use of oral contraceptives 3. C) Metabolic syndrome and smoking 4. D) Renal disease and coarctation of the aorta The nursing lab instructor is teaching student nurses how to take blood pressure. To ensure accurate measurement, the lab instructor would teach the students to avoid which of the following actions? 1. A) Measuring the BP after the patient has been seated quietly for more than 5 minutes 2. B) Taking the BP at least 10 minutes after nicotine or coffee ingestion 3. C) Using a cuff with a bladder that encircles at least 80% of the limb 4. D) Using a bare forearm supported at heart level on a firm surface A patient in a hypertensive emergency is admitted to the ICU. The nurse anticipates that the patient will be treated with IV vasodilators, and that the primary goal of treatment is what? 1. A) Lower the BP to reduce onset of neurologic symptoms, such as headache and vision changes. 2. B) Decrease the BP to a normal level based on the patients age. 3. C) Decrease the mean arterial pressure between 20% and 25% in the first hour of treatment. 4. D) Reduce the BP to 120/75 mm Hg as quickly as possible. A patient with primary hypertension complains of dizziness with ambulation. The patient is currently on an alpha-adrenergic blocker and the nurse assesses characteristic signs and symptoms of postural hypotension. When teaching this patient about risks associated with postural hypotension, what should the nurse emphasize? 1. Rising slowly from a lying or sitting position 2. Increasing fluids to maintain BP 3. Stopping medication if dizziness persists 4. Taking medication first thing in the morning The nurse is planning the care of a patient who has been diagnosed with hypertension, but who otherwise enjoys good health. When assessing the response to an antihypertensive drug regimen, what blood pressure would be the goal of treatment? A. 156/96 mm Hg or lower B. 140/90 mm Hg or lower C. Average of 2 BP readings of 150/80 mm Hg