Vocabulary
Everything Ireland
Hypertension-1
Ireland
Nursing Care
100
Medication therapy with a single medication?
What is Monotherapy
100
In what location is it rumored that leprechauns bury their pot of gold?
What is at the end of the rainbow
100
Name two risk factors that can lead to hypertension
What is dyslipidemia, smoking, obesity, diabetes, sedentary lifestyle, impaired renal function, age, family history of cardiovascular disease
100
What weed is often called "The Irish Daisy" and children rub under their chins to get a yellow color?
What is a Dandelion
100
Name two things the nurse would do or ask during the assessment phase with a patient with hypertension
What is a health history, signs and symptoms experiencing, vital signs, rate, rhythm, and character of the apical and peripheral pulses, personal or financial factors
200
Blood pressure that is controlled with medication and becomes uncontrolled with the abrupt discontinuation of medication
What is rebound hypertension
200
A popular Irish dish that is shredded cabbage, minced onions, mashed potatoes and melted butter is known as
What is Colcannon
200
What happens in hypertensive urgency? (2 answers)
What is blood pressure is severely elevated but there is no evidence of target organ damage
200
The first St. Patrick's Day parade/celebration in the United States was in this city?
What is Boston in 1737
200
List three symptoms a patient with hypertension would report
What is angina, SOB, alterations in speech, vision changes, epistaxsis, headaches, dizziness, nocturia
300
High blood pressure from an unidentified cause
What is primary hypertension or essential hypertension
300
A leprechaun is really an Irish?
What is a shoemaker
300
Name two clinical manifestations of hypertension
What is asymptomatic, retinal changes, retinal hemorrhages, cotton-wool spots, CAD, MI's, HF, CVA, TIA's, renal failure
300
A shillelagh is:
What is a big walking stick
300
Name 5 things the nurse would include in patient teaching with a patient diagnosed with hypertension.
What is Understand the disease process, lifestyle changes, medications and report side effects, teach how to take blood pressure or pulse if need to, DASH diet, physical activity, support groups (weight loss, smoking cessation, stress reduction) read food labels, understand portion size, reading materials, Follow-up care: Keep appointments, Emphasize control rather than cure
400
A condition most commonly seen in the older adult in which the systolic pressure is greater than 140 mm Hg and the diastolic pressure is within normal limits
What is isolated systolic hypertension
400
Why does a leprechaun wear green?
What is a form of camouflage/blend in with nature and hide better
400
Name three lifestyle modifications to prevent and manage hypertension
What is weight reduction, DASH diet, dietary sodium restriction physical activity, moderation of alcohol consumption
400
The Irish are said to have brought this breakfast food to America?
What is oatmeal
400
Name two considerations for the elderly patient and name two interventions/things the nurse can do to help the patient with compliance.
What is Medication regimen may be difficulty to remember, expensive, can they make follow-up appointments, cognitive or physical impairments-keep them from opening bottles, can they get prescription filled. Interventions: Include family Understanding of therapeutic regimen -Reading instructions: keep it simple, labels big enough -Monotherapy
500
A situation in which blood pressure is severely elevated and there is evidence of actual or probable target organ damage
What is hypertensive emergency
500
Which style of ring is often considered the "Wedding Ring?"
What is the Claddagh
500
What would a patient's blood pressure be during stage 1 hypertension? (systolic and diastolic)
What is systolic bp 140-159 and diastolic bp 90-99
500
"Erin go Bragh" means this in Irish:
What is Ireland Forever
500
List two expected patient outcomes and two goals for each
What is: (1) reports knowledge of disease management sufficient to maintain adequate tissue perfusion (Maintains bp at less than 140/90 or less than 130/80 for people with diabetes or chronic kidney disease with lifestyle modifications. Demonstrates no symptoms of angina, palpitations, or vision changes, stable BUN and serum creatinine levels, has palpable peripheral pulses.) (2) Adheres to the self-care program. (Adheres to the dietary regimen, reduces calories, sodium, and fat intake, increases fruit and vegetable intake, exercises regularly, takes prescribed medications and reports side effects, measures bp routinely, abstains from tobacco and excessive alcohol intake, keeps f/u appt.) (3) Has no complications. (reports no changes in vision, no retinal damage on vision testing, vital signs wnl, no dyspnea/edema, no motor, speech, sensory deficits, headaches, dizziness, weakness, changes in gait, falls, renal function test wnl, u/o consistent with intake
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