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NUR 2990 Exam 2 Review questions and correct answers $7.99   Add to cart

Exam (elaborations)

NUR 2990 Exam 2 Review questions and correct answers

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NUR 2990 Exam 2 Review questions and correct answers

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  • August 13, 2024
  • 14
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS
  • NURS
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ACTUALSTUDY
STUVIA 2024/2025
NUR 2990 Exam 2 Review
120/80 - ✔✔Normal BP

120-139/80-89 - ✔✔Prehypertension

140-159/90-99 - ✔✔Stage 1 HTN

>160/>100 - ✔✔Stage 2 HTN

no known cause - ✔✔Primary HTN

-know what is causing it
ex: kidney failure

-medications (estrogen, steroids) - ✔✔Secondary HTN

30-50 year olds
210/150-160
%


complaints of severe head ache, blurred vision, SOB, uremia - ✔✔Malignant HTN

elderly patients
structural and functional changes
diastolic # is normal - ✔✔Isolated Systolic HTN

a situation in which blood pressure is severely elevated but there is no evidence of target organ
damage

Oral medications

normalize BP in 24-48 hours

use beta blockers or ACE inhibitors - ✔✔HTN urgency

>180/120 with end organ damage
Treat with IV vasodilators (nicardipine, clevidipine, labetalol, esmolol, nitroglycerin & nitroprusside)

reduce BP 25% witihin in hour
reduce to 160/100 within 6 hours


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, STUVIA 2024/2025
gradually decrease within next few days

monitor for organ failure
monitor BP - ✔✔HTN emergency

-"Diet: low salt, low fat, low calorie
DASH diet rich in fruits, vegetables, low fat dairy, low in total fat, saturated & cholesterol no more than
2 servings of meat, fish and poultry
-Follow up with opthamologist because of papilledema (swelling of optic disk)
-Reduced smoking lowers BP and risk of CV events
-Reduced alcohol intake limit 2 glasses a day excessive alcohol increase BP
-Weight loss lowers BP
-Exercise
-maintenance of potassium & calcium intake (adequate amounts lower BP) - ✔✔Lifestyle
modifications for HTN

-reinforce the importance of compliance with taking medications "Knowledge deficit"
-monitor for hypokalemia and hyperkalemia
-apical pulse
-monitor I & Os and daily weight - ✔✔Nursing care for HTN
%


thiazide diuretics - ✔✔Initial medication for HTN

-change positions slowly (orthostatic hypotension)
-educate avoid foods high in potassium (abvoid salt substitutes)
-high fiber diet
-use protective clothing & SPF ( can sunburn easily)
-monitor BP at home - ✔✔Interventions for antihypertensice medications

- Intermittent claudication to sharp, unrelenting constant pain.
-Diminished or absent pulses
-Pallor of foot
-Dry, shiny skin
-Cool temp. of skin
-Hair loss over toes and dorsum of foot.
-Nails are thick and rigid - ✔✔arterial insufficiency

assess:
-extremities and compare bilaterlly
-pulse


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