Which blood pressure(BP) finding by the nurse indicates that no changes in therapy are needed for a patient with stage 1 hypertension who has a history of diabetes mellitus?

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Question 1 of 4

Which blood pressure(BP) finding by the nurse indicates that no changes in therapy are needed for a patient with stage 1 hypertension who has a history of diabetes mellitus?

Correct Answer: B

Rationale: The goal for antihypertensive therapy for a patient with hypertension and diabetes mellitus is a BP<130/80 mm Hg. The BP of 102/60 may indicate overtreatment of the hypertension and an increased risk for adverse drug effects. The other two blood pressures indicate a need for modifications in the patient's treatment.

Question 2 of 4

The nurse is reviewing the medication administration record of a patient who takes a variety of medications for the treatment of hypertension. What is a key therapeutic benefit of antihypertensive medications that the nurse should identify?

Correct Answer: B

Rationale: The medications used for treating hypertension decrease peripheral resistance, blood volume, or the strength and rate of myocardial contraction. The original question was a multiple-answer type, but it has been restructured to a single-answer format focusing on a key benefit (decreased peripheral resistance). Antihypertensives do not increase venous return, blood viscosity, or myocardial oxygen demand.

Question 3 of 4

Features of the venous system include all of the following EXCEPT:

Correct Answer: D

Rationale: Valves are generally absent in the cerebral circulation compared to other venous systems.

Question 4 of 4

Heart rate is slowed by:

Correct Answer: D

Rationale: Increased activity of atrial stretch receptors slows heart rate via the Bainbridge reflex.

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