Which BP-regulating mechanism(s) can result in the development of hypertension if defective (select all that apply)? A. Release of norepinephrine B. Secretion of prostaglandins C. Stimulation of the SNS D. Stimulation of the PNS E. Activation of the renin-angiotensin-aldosterone system ACE
While o...
NURS 426 Exam II Questions and
Correct Answers
Which BP-regulating mechanism(s) can result in the development of hypertension if
defective (select all that apply)?
A. Release of norepinephrine
B. Secretion of prostaglandins
C. Stimulation of the SNS
D. Stimulation of the PNS
E. Activation of the renin-angiotensin-aldosterone system ✅ACE
While obtaining subjective assessment data from a patient with hypertension, the nurse
recognizes that a modifiable risk factor for the development of hypertension is
A. a low-calcium diet
B. excessive alcohol consumption
C. family history of hypertension
D. consumption of a high-protein diet ✅B
In teaching a patient with hypertension about controlling the condition, the nurse
recognizes that
A. All patients with elevated BP require medication
B. Obese persons must achieve a normal weight to lower BP
C. It is not necessary to limit salt in the diet if taking a diuretic
D. Lifestyle modifications are indicated for all persons with elevated BP ✅D
A major consideration in the management of the older adult with hypertension is to
A. prevent primary hypertension from converting to secondary hypertension
B. recognize that the older adult is less likely to adhere to the drug therapy regimen than
a younger adult
C. ensure that the patient receives larger initial doses of antihypertensive drugs
because of impaired absorption
D. use careful technique in assessing the BP of the patient because of the possible
presence of an auscultatory gap ✅D
A patient with newly discovered high BP has an average reading of 158/98 mm Hg after
3 months of exercise and diet modifications. Which management strategy will be a
priority for this patient?
A. medication will be required because BP is still not at goal
B. BP monitoring should continue for another 3 months to confirm a diagnosis of HTN
C. Lifestyle changes are less important, since they were not effective and medications
will be started
D. more vigorous changes in the patient's lifestyle are needed for a longer time before
starting medications ✅A
, A patient is admitted to the hospital in hypertensive emergency (BP 244/142 mm Hg).
Sodium nitroprusside is started to treat the elevated BP. Which management
strategy(ies) would be appropriate for this patient? (select all that apply)
A. measuring hourly urine output
B. decreasing the MAP by 50% within the first hour
C. continuous BP monitoring with an intraarterial line
D. maintaining bed rest and providing tranquilizers to lower the BP
E. assessing the patient for signs and symptoms of heart failure and changes in mental
status ✅ACE
An overweight patient (BMI 28.1kg/m^2) is scheduled for a laparoscopic
cholecystectomy at an outpatient surgery setting. The nurse knows that
A. surgery will involve multiple small incisions
B. this setting is not appropriate for this procedure
C. surgery will involve removing a portion of the liver
D. the patient will need special preparation because of obesity ✅A
The patient tells the nurse in the pre-operative setting that she has noticed she has a
reaction when wearing rubber gloves. What is the most appropriate intervention?
A. notify the surgeon so the case can be cancelled
B. ask additional questions to assess for a possible latex allergy
C. notify the OR staff immediately so that latex-free supplies can be used
D. no intervention is needed because the patient's rubber sensitivity has no bearing on
surgery ✅B
A 59yo man is scheduled for a herniorrhaphy in 2 days. During the preoperative
evaluation, he reports that he takes ginkgo daily. What is the priority intervention?
A. inform the surgeon, since the procedure may need to be rescheduled
B. notify the anesthesia care provider, since this herb interferes with anesthetics
C. ask the patient if he has noticed any s/e from taking this herbal supplement
D. tell the patient to continue to take the herbal supplement up to the day before surgery
✅A
A 17yo patient w/ a leg fracture is scheduled for surgery. She reports that she is living
w/ a friend and is an emancipated minor. She has a statement from the court for
verification. Which intervention is most appropriate?
A. witness the permit after consent is obtained by the surgeon
B. call a parent or legal guardian to sign the permit, since the patient is under 18
C. obtain verbal consent, since written consent is not necessary for emancipated minors
D. investigate your state's nurse practice act related to emancipated minors and
informed consent ✅A
A priority nursing intervention to assist a preoperative patient in coping w/ fear of
postoperative pain would be to
A. inform the patient that pain med will be available
B. teach the patient to use guided imagery to help manage pain
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