HESI case study - Hypertension - George Thomas Test Questions With Correct Answers

HESI case study - Hypertension - George Thomas Test Questions With Correct Answers George's blood pressure reading is 189/110 mmHg. His LDL cholesterol reading is 200 mg/dL. He asks the student nurse if he should be concerned about his blood pressure. How should the student nurse respond? - ANSWER Please sit here quietly for a few minutes. I need to recheck your blood pressure. George's blood pressure is high but may be temporarily elevated due to activity or stress. The blood pressure should be rechecked after the client rests for a few minutes. What significant risk factors for hypertension does the student nurse identify for George, according to this health history? Select all that apply What significant risk factors for hypertension does the student nurse identify for George, according to this health history? Family history of diabetes. Alcohol consumption. Smoking. Stress. Caffeine intake. - ANSWER Alcohol consumption. Excessive alcohol intake is strongly associated with hypertension. Smoking. Tobacco use is a risk factor for hypertension. Stress. High levels of stress can lead to an increase in blood pressure. According to the assessment of this client, which recommendation is most important for the student nurse to provide to George? - ANSWER See his HCP as soon as possible within the next week for a BP recheck. George's blood pressure is significantly elevated. Since these BP readings were obtained on the same day, George needs to see his HCP soon for a second BP measurement so that a diagnosis can be determined and treatment initiated. Which is the best response the student nurse can give to the George about the urgent need to see his HCP? - ANSWER While often there are no symptoms, high blood pressure does cause damage to many organs. Often clients with hypertension have no symptoms, and organ damage may occur before the client becomes symptomatic. A week later, George has an appointment with his HCP. After the exam, the HCP explains to George that he has stage 2, primary (essential) hypertension. Which information obtained during the assessment supports this diagnosis? - ANSWER Blood pressure of 184/98 mmHg. Stage 2 hypertension is described as a systolic blood pressure of greater than or equal to 160 mmHg or a diastolic blood pressure of greater than or equal to 100 mmHg. How should the nurse respond to George's question? - ANSWER "90 to 95% of all cases of hypertension are without an identified cause, so unless there is some indicator in your health history, the HCP does not look for one." Primary (essential) hypertension has no identifiable cause, even though there are several known contributing factors.