Chapter 32 Hypertension

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Chapter 32  Hypertension

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

1.
Mr. Jones, an 80-year-old male with newly diagnosed primary hypertension, has just been started on a beta-blocker. In addition to teaching Mr. Jones about his medication, ie, side effects, purpose, and schedule, the nurse should also focus her teaching on:
A)
Increasing fluids to avoid extracellular volume depletion from the diuretic effect of the beta-blocker
B)
Maintaining a diet high in dairy to increase protein necessary to prevent organ damage
C)
Use of supportive devices such as handrails and walkers to prevent falls stemming from postural hypotension
D)
Limiting exercise to avoid injury that can be caused by postural hypotension

2.
A patient with primary hypertension who returns for follow-up care reveals that he has been experiencing a change in vision, ie, blurring and decreased visual acuity. The nurse is aware that these symptoms could be indicative of:
A)
Retinal blood vessel damage
C)
Impending stroke
B)
Chronic kidney disease
D)
Hypertensive emergency

3.
The nurse doing patient education with a 55-year-old male recently diagnosed with primary hypertension who has no signs or symptoms of the disease is aware that an estimated 50% of patients discontinue their antihypertensive medications within one year of beginning them. Keeping this in mind, the nurse recommends which of the following to this patient:
A)
Self-monitoring of blood pressure
B)
Monthly visits to the physician to monitor blood pressure
C)
Adherence to the treatment plan regardless of symptoms
D)
Monitoring of symptoms of complications of hypertension and taking medications if symptoms are present

4.
A nurse is performing blood pressure screenings. While obtaining subjective assessment data from a patient with hypertension, the nurse notes that a modifiable risk factor is:
A)
Hyperlipidemia
B)
Excessive alcohol intake
C)
Family history of hypertension
D)
Stricter compliance with medical regime

5.
A patient is admitted to the emergency room in hypertensive crisis. The nurse is aware that hypertensive urgency differs from hypertensive emergency in that:
A)
The BP is always higher in a hypertensive emergency.
B)
Extremely close hemodynamic monitoring is required during treatment of hypertensive emergencies.
C)
Hypertensive urgency is treated with rest and tranquilizers to lower BP.
D)
Hypertensive emergencies are associated with evidence of target organ damage.

 

Answer Key

1.
C
2.
A
3.
A
4.
B
5.
D

 

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