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Week 9 CON 246
Week 9 CON 246 Nursing Management of Hypertension
| Question | Answer |
|---|---|
| At Mr. Landon’s follow-up visit, the nurse notes a blood pressure of 208/92 mm Hg in his right arm. Which action should the nurse take next? | Assess BP in the left arm - When an abnormal BP is assessed, the nurse should reassess in the opposite arm for comparison. |
| When developing a long-term care plan for Mr. Landon, which goals should the nurse include in the treatment plan? | The patient will accurately assess blood pressure at home. - The patient will restrict dietary sodium when selecting meals. - The patient will verbalize understanding about the importance of medication compliance. |
| When developing a risk modification plan for Mr. Landon, which sociodemographic data require further assessment by the nurse? | Patient is a widower who lives alone - Patient works as the manager of a local bank - Patient has a 28-pack-year history of cigarette smoking - Patient drinks 1-2 six packs of alcoholic beverages per week |
| A patient calls the nurse from home after taking a blood pressure of 145/97 mm Hg. Which explanation should the nurse make about the BP reading? | Another measurement is needed to get an accurate blood pressure reading. |
| The nurse is educating a newly diagnosed hypertensive patient regarding management of the disease. Which statement made by the patient indicates the need for further teaching? | “I’m glad the pills I’ve been prescribed will cure my hypertension.” |
| The nurse is providing discharge teaching for a patient with hypertension. Which statements made by the patient would need further follow-up? | “I take my pills every other day to make them last longer.” - “I can just take some of my spouse’s (or partner’s) BP medication; it’s the same as mine.” - “I’ve been arguing frequently with my partner (or spouse), but I can’t afford marriage counseling.” |
| A patient with hypertension reports taking antihypertensive medications every other day. Which action should the nurse take first? | Verify the patient's prescription. |
| A new graduate nurse is obtaining a blood pressure reading on an adult patient. Which of the following actions by the new graduate nurse would require intervention? | Using a pediatric blood pressure cuff to take a blood pressure |
| A patient, who reports feeling light-headed after standing up, asks to use the restroom. Which action should the nurse take? | Provide assistance when getting out of bed - have patient sit up slowly and dangle legs on the side of the bed before standing. |
| The nurse is educating a patient with hypertension about symptoms to report after discharge. Which statement made by the patient indicates teaching was effective? | “I will call my health care provider if I have any headaches or blurred vision.” |
| A patient, who is newly diagnosed with hypertension, expresses concern about the condition and relates family history of strokes. Which information should the nurse provide to this patient? | Home blood pressure checks are important. - Risk for stroke decreases with healthy lifestyle. - Hypertension cannot be cured but can be controlled. |
| A patient, who was recently prescribed with a new antihypertensive medication, reports having frequent syncopal episodes. Which question should the nurse ask the patient first? | “How often do you take your medication?” |
Created by:
Brandi Sizemore
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