Cardiac Assess 1
Cardiac Assess 2
HTN Classification
HTN
HTN
100
What is considered a normal heart rate?

60-100bpm

100

What is considered a normal Blood Pressure?

SBP < 120

DBP < 80

100

A BP of 118/75 is classified as what?

Normal

100

Define White Coat Hypertension.

When a patient has high blood pressure in the office, but documented normal blood pressure readings at home.

100

How much sodium intake should someone with Hypertension aim to maintain?

Best would be 1500mg, but 2000mg is typically recommended

200

S1 and S2 are sounds of the heart. These sounds are produced by what?

Closing of the valves

200

True or false: The heart rhythm should be regular

True

200

A BP of 128/79 is classified as what?

Elevated

200

How is Hypertension diagnosed?

Two properly measured, high blood pressure readings, on two or more physician office visits.

200

Which organ is most commonly affected by long term untreated Hypertension?

The heart

300
Where is the Aortic Valve auscultated?

2nd intercostal space, R sternal border

300

Where do you auscultate the pulmonic valve?

2nd intercostal space, L sternal border

300

A BP of 150/91 is classified as what?

Stage 2 Hypertension

300

How is hypertension typically treated?

Lifestyle changes and medication regimen

300

What are 3 major complications of untreated Hypertension?

Kidney failure, Stroke, Heart failure, Hypertensive Crisis, Heart attack, Retinal damage/blindness

400

Where is the apical pulse located?

5th intercostal space, midclavicular line

400

Where do you auscultate the tricuspid valve?

4th intercostal space, L sternal border

400

A BP of 220/140 with symptoms of dizziness and headache is classified as what?

Hypertensive Emergency

400

List 3 lifestyle changes that can be implemented to help with Hypertension management.

Weight management, Diet alteration, Increased physical activity, Decrease alcohol intake

400

List 3 teaching points to consider including as nursing interventions.

Adherence to medication regimen, adherence to lifestyle changes, How to take a blood pressure, how to monitor and track blood pressure at home, signs and symptoms of TOD (complications), overall stress management/reduction techniques

500

This is the term for a swooshing/wooshing sound made by turbulent blood flow through a narrowed vessel or valve.

Heart murmur

500

Where do you auscultate the mitral valve?

5th intercostal space, midclavicular line

500

A BP of 135/86 is classified as what?

Stage 1 Hypertension
500

Describe symptoms of hypertension.

Typically there are no symptoms until Target Organ Damage is present. Then the symptoms would manifest according to the organs that are damaged.

500

What is the treatment goal of Hypertension management?

 To decrease blood pressure readings & minimize or prevent end-organ damage