types of htn
Your pt comes in to the clinic twice and their blood pressure reads 130/80 the first time and 135/78 the second time this is an indication of what type of HTN?
Stage 1
Your pt has a bmi of 30, a chronic smoker, and is a 70-year-old female with no previous heart conditions, has had two kids and appears overall healthy. what are her risk factors
A. age
B. has had kids
C. smoker
D. BMI
E. no previous heart conditions
A. age
C. smoker
D. BMI
Your pt is on metoprolol for hypertension what vital signs do you need to assess before administering this medication?
BP and HR because it decreases them
You see a nurse watching a cna taking a blood pressure and is taking the blood pressure over top of clothes and the cuff is too big, what should you teach the CNA about?
the cuff should be 2/3 of the arm, and it should be on the bare arm
Your pt is on a diuretic for a first line diuretic what electrolytes should you monitor?
sodium and potassium because these diuretics are potent and draw these out of the body
Your pt comes into the Emergency department and says they have taken their bp at home the past few days and their bp has been 130/80 every day but when you take their blood pressure at the ED is 120/80 what type of htn would you suspect/
masked where it is high outside of healthcare facility could be related to stress in the home
Your pt has a low BP this can cause them to also experience what other symptom?
headache
YOur pt is on lisinopril and is complaining of an irritating cough and dizziness what medication would you suggest to the provider as an alternative?
losartan which is an ARB which works like an ace inhibitor but does not have the nagging cough
A nurse should know that hypertension is only diagnosed after __ high readings?
2
As a nurse know that ____ in the diet helps decrease BP?
potassium
Your pt in the ICu was admitted for a hypertensive crisis what would you expect the blood pressure to be before medical management?
BP >180/120
Your pt is diagnosed with BP what are the late symptoms related to organ damage connected with BP? select all that apply
A. retinal eye changes
B. MI
C. diabetes
D. cramps
A. retinal eye changes
B. MI
Your pt with stage one hypertension is prescribed amiodipine what ahat vitals would you want to monitor?
blood pressure and heart rate
What is a major thing nurses need to try and teach their pts about when it comes to hypertension and medications?
compliance
What type of scans can be a diagnostic of HTN?
x-rAY OR ECG
Your pt is an african american man of age 55 and is diagnosed with HTN what classifies a person with hypertensive?
greater than or equal to 140 or greater than or equal to 90
Your pt is on an ACE inhibitor what is the most common side effect people complain of?
cough
Your pt is prescribe hydrochlorothiazide you know as a nurse that this can cause hypokalemia and hyponatremia what should you expect them to be on with this medication?
potassium supplement
YOur pt is on metoprolol what should the nurse assess with this pt post administration?
sedation and depression
Your pt with PMH of diabetes has to use what type of HTN Medication cautiously?
Beta blocker because it increases insulin resistance
Your pt is hypertensive related to pregnancy what classification of hypertension is this?
secondary: related to other disease like renal disease, pregnancy, sleep apnea
Your pt is hypertensive and is immobile, and a smoker, what should you teach this pt?
to stop smoking and exercise more
What is the difference between an ACE inhibitor and an ARB when looking at the RASS system?
ARB blocks effects of angiotensin and ACE blocks angiotensin 1 from converting to two
As a nurse that mainly works with geriatric pts what should you consider when treating them for HTN?
they are not good with compliance so should try monotherapy if possible
Hyperkalemia is a contraindication for an ___ ___ medication for HTN
ace inhibitor