True or False
General Info
Risk Factors
Random Facts
Nclex Questions
100
Hypertension is a risk factor for coronary heart disease and the single most important risk factor for strokes. it causes about 50% of ischemic strokes.
True
100
Blood pressure is a measurement of what?
force against the walls of your arteries as your heart pumps blood through your body
100
Eating too much (blank) can cause your body to retain fluid, which increases blood pressure?
sodium
100
What is the difference between essential and secondary hypertension?
Essential hypertension has no identifiable cause, but could be affected by your lifestyle such as diet and exercise. Secondary is caused by another problem such as your kidneys and certain medications.
100
Nurses can best help older clients prevent hypertension by teaching.... A- low fat and low cholesterol diets B- The importance of exercise C- How to handle stressful situations D- How to maintain a normal blood pressure
D
200
High blood pressure can be controlled with medicine and lifestyle changes.
True
200
What is the top number in a blood pressure reading called?
systolic
200
Which meal would you want to give a patient with hypertension? A-Chinese take out, B-instant chicken noodle soup, C- Grilled chicken with spinach, D- frozen pizza
C, the other answers are too high in sodium
200
Why is high blood pressure often called the silent killer?
it often has no warning signs or symptoms, and many people do not realize they have it.
200

While obtaining subjective assessment data from a patient with hypertension the nurse recognizes what modifiable risk factor? a. low calcium diet, b. Excess alcohol intake, c. A family history of hypertension, d. Consumption of a high protein diet.

B. Excess Alcohol intake

300
Being overweight does not increase your risk of having high blood pressure.
False.
300

Hypertension Stage 1 is defined as a BP between?

130-139 mm Hg

300
Name 3 risk factors of developing hypertension
overweight, diet high in sodium, lack of exercise, genetic, using tobacco, too little potassium in diet
300
How many people GLOBALLY have high blood pressure?
nearly 1 billion
300

A patient with newly discovered high BP has an average reading of 158/98mm Hg after 3 months of exercise and diet modification. Which management strategy will be a priority for this patient? a. Drug therapy will be needed because the BP is still not at goal, b. BP monitoring should continue for 3 months to confirm a diagnosis of hypertension, c. Lifestyle changes are not important since they were not effective and drugs will be started, D. More changes in the patient's lifestyle are needed for a longer time before starting drug therapy.

A.

Drug therapy will be needed because the BP is still not at goal

400

When doing a Nursing assessment, the Objective Data is considered to be part of the Functional Health Pattern assessment?

False

Functional Health Patterns are: (not limited to)

Health perception

Nutritional-metabolic (salt & fat intake)

Activity and exercise, fatigue, dyspnea on exertion

Coping-stress

400

Orthostatic hypotension occurs when?

When the patient moves from a supine to standing position, and there is a decrease of 20 mm Hg or more in SBP and a decrease of 10 mmHg or more in DBP and or and increase the HR of 20 beats/min.

400

Drug Alert: What are 3 things you would teach you patient about Clonidine (Catapres)?

Teach patient to:

1.Change positions slowly to limit orthostatic hypotension

2. Avoid hazardous activities since the drug may cause drowsiness

3. Do not stop abruptly as this may cause rebound hypertension

400

Antihypertensive medication given IV have a rapid (within seconds or minutes) onset of action. Initially the nurse should assess the patients BP how often?

 a. every 6-12 minutes 

b. every 2-3 minutes

c. every  10-15 minutes if the look ok


B. Every 2-3 minutes



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400

What biomarkers are useful in the diagnosis if Acute Coronary Syndrome (ACS)?

Troponin

Troponin 1 both specific to heart muscle

CKMB 

500

Does Hypertension speed up the process of atherosclerosis in the peripheral blood vessels.?

True

This leads to:

Peripheral Vascular Disease

Aortic Aneurysm and aortic dissection

500

What is the PMI, and what does it reflect? 

The Point of maximal impulse (PMI) also called the (Apical pulse) This reflects the pulsation of the apex of the heart. The PMI lies medial to the midclavicular line in the 4th or 5th ICS


500

What are Cardiac Biomarkers?

Injured cells release their contents including enzymes and other proteins

500

What are a few of the Direct Vasodilator medications?

Fenoldopam (Corlopam)

Hydralazine

Nitroglycerin

Sodium nitroprusside

500

When you are teaching you patient about their new medication Labetalol what are some important DRUG ALEARTS you would tell the patient? 

Check BP regularly

Do not take NSAIDs can stop medication from working properly

Abrupt cessation or may precipitate angina or HF

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