NUR 2990 Exam 2 Review Questions and
Correct Answer
120/80
o :### Normal BP
120-139/80-89
o :### Prehypertension
140-159/90-99
o :### Stage 1 HTN
>160/>100
o :### Stage 2 HTN
no known cause
o :### Primary HTN
-know what is causing it
ex: kidney failure
-medications (estrogen, steroids)
o :### Secondary HTN
30-50 year olds
210/150-160
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complaints of severe head ache, blurred vision, SOB, uremia
o :### Malignant HTN
elderly patients
structural and functional changes
diastolic # is normal
o :### 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
o :### 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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gradually decrease within next few days
monitor for organ failure
monitor BP
o :### 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)
o :### 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
o :### Nursing care for HTN
thiazide diuretics
Master01: DO NOT COPY AND PASTE!! August 21, 2024 Latest Update
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