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BP Lesson #1
Week 3 BP
| Question | Answer |
|---|---|
| Which description would the nurse use when discussing stroke volume? | The amount of blood injected into the arterial system with each heartbeat |
| Which cues would the nurse observe in a patient with a blood pressure of 60/40 and shock? | Clammy skin, thready pulse, confusion |
| Which statements indicate the nurse understands possible errors in blood pressure assessment? | “A noisy environment can cause a false low reading.” “If pressure is released too slowly, a false high reading is possible.” “Reinflating the cuff bladder before it has completely deflated can cause a false high measurement.” |
| Which factor would the nurse suspect is causing the blood pressure to fall when a patient who experienced a myocardial infarction (heart attack) is becoming cool and clammy? | Decreased cardiac output |
| Match the type of hypertension to its description. | No known cause- Primary hypertension, Caused by a specific disease- Secondary hypertension, Systolic blood pressure over 140- Hypertension stage 2, Diastolic blood pressure 80–89 Hypertension stage 1 |
| Which action by the nurse when caring for a patient with a left mastectomy would cause the charge nurse to intervene? | Takes the blood pressure in the left arm |
| Which interventions would the nurse implement to help an obese adult patient who smokes cigarettes successfully manage hypertension? | Arranging for nutritional support Encouraging cessation of smoking Monitoring responses to prescribed antihypertensive medications |
| Which site would the nurse use to measure blood pressure when the patient’s upper body is severely burned? | Popliteal |
| Which adult patient’s blood pressure reading would the nurse realize is unexpected? | 96/64 to 118/74 |
| What is the patient’s pulse pressure (mm Hg) when the blood pressure is 130/70? Record your answer as a whole number. mm Hg | 60 |
| Which actions would the nurse take when manually measuring the patient’s brachial blood pressure? | Deflate cuff at a rate of 2 mm Hg/second. Inflate cuff 30 mm Hg above the previous systolic reading. Position cuff 2.5 cm (1 inch) above the antecubital fossa. |
| For which patients would the nurse measure blood pressure with an electronic device? | Has a regular heartbeat Has a previous systolic blood pressure reading of 140 mm Hg |
| Which patient cue would the nurse identify as relevant for blood pressure? | Reports blurred vision |
| Which information would the nurse share with a team member about the pathophysiology of hypertension? | Overstimulation of angiotensin and aldosterone causes the blood pressure to increase. |
| Place the adult patients in the order in which the nurse would prioritize their care from highest priority to lowest priority. | Patient with an occluded airway Patient who has a blood pressure of 76/40 Patient with chronic hypertension Patient with blood pressure of 110/64 |
| Which hypothesis would the nurse select for a patient with a blood pressure of 130/70 who when sitting up becomes dizzy and the blood pressure is 108/60? | Postural hypotension |
| Which actions would the nurse take for a patient with low blood pressure from decreased peripheral vascular resistance? | Administer prescribed intravenous (IV) fluids. Administer prescribed oxygen. Position supine with legs elevated. |
| Which factor would the nurse consider is likely causing hypertension in an older adult female who is 5’4”, weighs 100 lbs (45.4 kg), drinks an occasional glass of red wine before bed, and limits salt in her diet? | Age |
| Which finding would alert the nurse that a patient with a blood pressure of 80/40 is improving? | Skin becomes warm and dry. |
| Which actions would the nurse take for a patient with the following blood pressures: 119/74, 125/78, 130/83, and 135/88? | Measure oxygen saturation level. Reassess the circulatory system. Perform a head-to-toe assessment. Notify health care provider. |
Created by:
Jason Clark