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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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STUVIA 2024/2025NUR 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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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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