Assessment
True or False: Most patients diagnosed with hypertension report a history of headaches.
What is False?
_____ hypertension is the term applied to hypertension related to genetic and environmental causes. _____hypertension is the term applied when hypertension results from multiple other conditions or causes, such as acute stress, excessive alcohol intake, sickle cell disease, female hormone therapy and nicotine use.
Primary (or essential); secondary
The most effective exercise for individuals with intermittent claudication?
What is walking (or ambulation)?
The nurse knows to tell her client who has orthostatic hypotension that she will take his BP...
What is lying, sitting, and standing?
What is the function of furosemide and what lab value needs to be monitored closely?
What is a Diuretic and potassium?
The nurse records a patient blood pressure of 140/92. The patient responds, "I've never had high blood pressure. Does this mean I will need to start taking medication?" What is the nurse's appropriate response?
What is "hypertension is diagnosed when taken at least twice and averaged on two different occasions 2 weeks apart". Persistent high readings may suggest the need for medication.
What are signs of target organ damage with hypertension and is this in the early stages or the later stages?
What are headache, dizziness, blurred vision, blackouts, irritability, angina, dyspnea, or fatigue and What is in the later stages?
A build up of fatty deposits in blood vessel walls causing narrowing of the passages for the movement of blood?
What is atherosclerosis?
The nurse knows that the number one preventive measure to stop the manifestations of Buerger Disease is...
What is stopping smoking?
This class of medications used to treat hypertension act by inhibiting the movement of calcium into vascular and smooth muscle, also known as your -pines.
What are Calcium channel blockers?
The nurse observes the nursing assistant checking a patient's blood pressure using a cuff that is clearly too small. The nurse understands that this will cause the blood pressure measurement to read falsely __________.
What is High?
Understanding this vital hormone network that raises blood pressure and fluid volume is essential to understanding how antihypertensive medications work
What is the RAAS (Renin-Angiotensin-Aldosterone) System?
Raynaud's phenomenon attacks are common after an exposure to what?
What is cold?
The nurse knows that a weak, balloon like bulge in the wall of the aorta is called...
What is an aortic aneurysm?
This class of antihypertensives often causes an unwanted side effect of a annoying dry cough.
What are ACE inhibitors?
How do Hypertensive Emergency and Hypertensive Urgency differ?
What is with Hypertensive Emergency, there is evidence of target organ damage; ICU admission and IV medication for immediate treatment will be required. With Hypertensive Urgency, there is no evidence of target organ damage; the patient may be treated in the Emergency Room with oral meds?
This ethnic group has the highest incidence of hypertension.
What are Non-Hispanic Black people?
The nurse knows that he most common and effective antiplatelet aggregration agent is:
What is aspirin?
What would be a contraindication of for your patient if they were prescribed HCTZ (hydrochlorothiazide)?
What is a sulfa allergy?
Name three non pharmacological interventions that are recommended to aid in lowering blood pressure.
Potential answers: What are smoking cessation, weight reduction, sodium restriction, alcohol restriction, exercise, a low-fat diet, and stress control?
This number is the focus of treatment in hypertensive clients because it reflects the amount of pressure being exerted against the vessel walls while the heart is at rest.
What is diastolic pressure?
These are the Six P's of Peripheral Artery Disease
What is Pain, Pallor, Pulselessness, Paresthesia, Paralysis, and Poikilothermia?
A patient admitted with hypertensive emergency begins to demonstrate confusion and vomiting. What 'worst possible complication' should the nurse be concerned about?
Hypertensive encephalopathy; cerebral edema
Which class of antihypertensive medications have hold parameters that note the BP and the HR, because they can affect both (and they make you laugh)?
What are Beta blockers?