Facts about hypertension
Side effects
Classifications
Nursing care
Random
100
What are the signs and symptoms of hypertension?
There are none, because it is the silent killer.
100
What is the 1st concern when starting a new hypertensive to a patient?
hypotension
100
What classification of anti-hypertensive drugs ends in lol?
Beta Blockers
100
Where should you apply transdermal patches?
Hairless, intact skin, on torso or upper arm
100

What would be an assessment finding upon auscultating the heart that would lead the nurse to believe the patient has left ventricular enlargement?

The point of maximum impulse is not heard at the 5th intercostal space @ the mid-clavicular line. 

200

What does your blood pressure reading have to be in order to be considered a stage 1 hypertensive?

130-139/ 90-99

200

What are the side effects of hypotension?

dizziness, lightheaded, and faint

200
State what ACE stands for
Angiotensin-converting enzyme
200
What should a patient do if they believe they no longer need to take their anti-hypertensive medication?
Contact their provider, and do not discontinue abruptly
200

Name some education material the nurse can give a patient diagnosed with stage 2 hypertension that is being discharged from the hospital. 

Check your blood pressure a couple of times a day, usually at the same time. If you experience things such as dizziness, headache, nosebleeds contact your provider. Take your blood pressure medications, if you cannot afford your medications please contact your provider. 

300

What can hypertension cause?

Heart attack, stroke, cardiovascular disease, other organ damage

300

What is a major side effect of ace inhibitors?

Cough (medication should be discontinued if this SE appears)

Angio edema- emergency

300
Name on Calcium Channel Blocker.(Generic or Brand name)
Nifedipine (adalat, procardia) Verapamil (calan) Diltiazem (cardizem) Amlodipine (Norvasc) Felodipine (Plendil) Nicrdipine (cardne, Cleviprex)
300

If a patient suddenly stops taking/refuses their blood pressure medication, what does the nurse need to look out for primarily?

Rebound hypertension. 

300

In the elderly population what are some simple things nurses need to keep in mind regarding medication compliance?

Can the patient afford the medication?

Can the patient open the medication bottle?

Can the patient read the medication label?

Can the patient swallow the medication or is the pill too large?


400
What are ways patients can lower their risk of getting hypertension?
Quitting smoking, exercising on a regular basis, low sodium diet, diet high in fruits and vegetables
400
Why do you need to be concerned with patients with asthma if they are put on beta blockers?
Beta blockers can cause bronchoconstriction
400
Beta Blockers (specifically propranolol) can mask what effect in patients?
hypoglycemia
400

A patient with no history of hypertension has a blood pressure reading of 165/97 in the providers office. Instead of recording that in the patients chart, what would the nurse do next? 

Give the patient sometime alone and come back to reassess the blood pressure as they may be experiencing white coat syndrome. 

400

What is the main difference between hypertensive urgency and hypertensive emergency?

Hypertensive urgency does NOT cause end organ damange. 

500

How many people in the U.S. have hypertension?

ALOTTTTTT especially in the South

500

What is the major difference in side effects between ARBS and ACE inhibitors?

ARBS do not cause a cough or hyperkalemia

500
Name 8 of the 10 classifications of anti-hypertensives
Thiazide diuretics ACE inhibitors Angiotensin II receptors blockers (ARBS) Aldosterone antagonists Direct renin inhibitors Calcum Channel blockeres Alpha adrenergic blockers Centrally acting alpha agonists Beta adrenergic blockers Vasodilators
500

For sustained/extended release tablets, what do you need to advise the patients to do?

Do not chew or crush the tablet

500

The treatment goal for hypertensive emergency is to lower the patients blood pressure by ___ within the first hour? 

25%

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