chapter 37 - Chapter 37: Hypertension MULTIPLE CHOICE 1. A...

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Chapter 37: Hypertension MULTIPLE CHOICE 1. A patient inquires if his blood pressure is normal. The nurse responds that normal blood pressure is defined as less than: 1. 160/70 mm Hg. 2. 128/60 mm Hg. 3. 139/89 mm Hg. 4. 130/85 mm Hg. ANS: 4 Normal blood pressure is defined as a systolic pressure of less than 130 mm Hg and a dia- stolic pressure of less than 85 mm Hg. PTS: 1 DIF: Cognitive Level: Knowledge REF: 715 OBJ: 1 TOP: Normal Blood Pressure KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance 2. A black man who is obese and smokes would have a hypertension staging of: 1. A. 2. B. 3. C. 4. D. ANS: 2 Grade B criteria are that the patient has more than one risk factor (black, obese, smoker), with no target organ damage and no clinical cardiovascular problems. PTS: 1 DIF: Cognitive Level: Knowledge REF: 715 OBJ: 3 TOP: Staging of Hypertension KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance 3. The nurse explains that hypertension in older adults is: 1. age-related. 2. unavoidable. 3. progressively crippling. 4. improves with treatment. ANS: 4 Older adults with hypertension have good results with therapy, even though the age-related changes cannot be avoided. PTS: 1 DIF: Cognitive Level: Comprehension REF: 717 OBJ: 3 TOP: Hypertension and Older Adults KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity
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4. When teaching a 48-year-old patient about the risk factors for hypertension, the nurse would identify a modifiable risk factor as: 1. weight. 2. gender. 3. age. 4. family history. ANS: 1 Weight is the only modifiable risk in these options. PTS: 1 DIF: Cognitive Level: Application REF: 717 OBJ: 3 TOP: Risk Factors for Hypertension KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance 5. The nurse questions the patient with hypertension about the symptoms of headache because hypertension headaches characteristically occur as: 1. frontal in the afternoon. 2. temporal on exertion. 3. occipital on arising. 4. frontal at night. ANS: 3 Hypertension occipital headaches occur on awakening. PTS: 1 DIF: Cognitive Level: Application REF: 717 OBJ: 3 TOP: Symptoms of Hypertension KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance 6. A patient has hypertension and reports no symptoms. To encourage medication compliance, the nurse cautions the patient that uncontrolled hypertension can lead to sudden alterations in health, such as: 1. stroke. 2. blindness. 3. renal failure. 4. epistaxis. ANS: 1 Long-term uncontrolled hypertension can damage vessels. The most common abrupt health alteration is stroke. Blindness and renal failure do not occur suddenly. Epistaxis is not a health alteration. PTS: 1 DIF: Cognitive Level: Application REF: 717 OBJ: 7 TOP: Pathophysiology of Hypertension KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance 7. The nurse explains that treatment of secondary hypertension primarily focuses on:
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1. a smoking cessation program.
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chapter 37 - Chapter 37: Hypertension MULTIPLE CHOICE 1. A...

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