ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 27 : Caring for Clients With Hypertension Questions
Question 1 of 5
The nurse is screening a client at a health fair for hypertension. Which assessment data, provided by the client, would prompt the nurse to stress physician involvement? Select all that apply.
Correct Answer: A,C,D,F
Rationale: When assessing the client for symptoms of hypertension, the nurse should recognize that the client may note fatigue, headache, insomnia, and blurred vision. Other symptoms include dizziness, nervousness, nosebleeds, angina, and dyspnea. Constipation and dysuria are not signs of hypertension.
Question 2 of 5
The nurse is volunteering at a community blood pressure screening. A client, never diagnosed with hypertension, presents with a blood pressure of $158 / 90 \mathrm{~mm} \mathrm{Hg}$. Which assessment question(s) is appropriate for the nurse to ask? Select all that apply.
Correct Answer: A,C
Rationale: At a community blood pressure clinic, the nurse would assess for common factors for a blood pressure to be elevated. Factors that can affect blood pressures readings include smoking or drinking coffee within 30 minutes of the reading. One beer after work should not affect the blood pressure reading, and some individuals may find it relaxing. Social situations are difficult to assess in a community blood pressure clinic.
Question 3 of 5
The nurse is caring for a client with malignant hypertension. What would be an appropriate nursing intervention for this client?
Correct Answer: B
Rationale: The nurse applies an automatic BP recording machine to the arm to measure the BP every few minutes. The nurse also keeps emergency equipment and drugs ready in case complications develop. Monitoring the client's mental and emotional status, blood sugar, or temperature every few minutes will not reflect the sudden rise in BP of a client with malignant hypertension.
Question 4 of 5
An older adult client visits the clinic for a blood pressure (BP) check. The client's hypertension is not well controlled, and a new blood pressure medicine is prescribed. What is important for the nurse to teach this client about the blood pressure medicine?
Correct Answer: B
Rationale: A possible adverse effect of all antihypertensive drugs is postural hypotension, which can lead to falls. Teaching should include tips for managing syncope and dizziness. The nurse would not teach the client to take the medicine on an empty stomach.
Question 5 of 5
What is blood pressure?
Correct Answer: A
Rationale: Blood pressure (BP) is the force produced by the volume of blood in arterial walls. It is represented by the formula: $\mathrm{BP}=\mathrm{CO}$ (cardiac output) PR (peripheral resistance). This makes the other options incorrect.