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PNH301 TEST 2 - STROKE, OSTEOPOROSIS, AND NEUROLOGICAL INTERVENTIONS | 2026 UPDATE | QUESTIONS AND ANSWERS | WITH COMPLETE SOLUTION

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PNH301 TEST 2 - STROKE, OSTEOPOROSIS, AND NEUROLOGICAL INTERVENTIONS | 2026 UPDATE | QUESTIONS AND ANSWERS | WITH COMPLETE SOLUTION

Institution
PNH301
Course
PNH301

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PNH301 TEST 2 - STROKE, OSTEOPOROSIS, AND NEUROLOGICAL INTERVENTIONS | 2026
UPDATE | QUESTIONS AND ANSWERS | WITH COMPLETE SOLUTION




What is high blood pressure? - (ANSWER)140/90 mmHg



Primary HTN - (ANSWER)elevated BP in the absence of underlying disease



Secondary HTN - (ANSWER)high BP due to underlying pathophysiology (disease/disorder)



Diseases/Disorders that Contribute to HTN - (ANSWER)- kidney disease

- endocrine disorders

- pregnancy

- medications (steroids, contraceptives)

- neurological disorders

- congenital aortic disorders (coarctation or narrowing)



Diagnosing Hypertension (identifying if there's an underlying cause) - (ANSWER)- urinalysis

- blood chemistry (K+, Na, blood urea, and creatinine)

- fasting blood glucose

- fasting total cholesterol

- 12 lead EKG



Complications of HTN - (ANSWER)- coronary artery disease

- left ventricular hypertrophy

- heart failure

- cerebrovascular disease

- peripheral arterial disease

- nephrosclerosis

- retinal damage

- arterial vessels of lower extremities

,PNH301 TEST 2 - STROKE, OSTEOPOROSIS, AND NEUROLOGICAL INTERVENTIONS | 2026
UPDATE | QUESTIONS AND ANSWERS | WITH COMPLETE SOLUTION




Prevalence of HTN in specific groups - (ANSWER)- prevalence increases with age

- women with high BP have a greater risk for cardiovascular disease

- Indigenous people have a higher incidence of cardiovascular disease than non-indigenous people in
Canada

- more prevalent in older women than in older men



Secondary Symptom's of HTN - (ANSWER)- fatigue

- decreased activity tolerance

- palpitations

- angina

- dyspnea



Lifestyle Modifications (HTN) - (ANSWER)- nutrition

- weight reduction

- modification in alcohol consumption

- physical activity

- avoidance of tobacco products

- stress management



Goals of HTN Management - (ANSWER)- achieve and maintain target BP

- understand and implement therapeutic plan

- menial or no unpleasant adverse effects

- confidence of ability to manage and cope with condition



Age- Related Considerations (HTN) - (ANSWER)- loss of tissue elasticity

- increased collagen content and stiffness of the myocardium

, PNH301 TEST 2 - STROKE, OSTEOPOROSIS, AND NEUROLOGICAL INTERVENTIONS | 2026
UPDATE | QUESTIONS AND ANSWERS | WITH COMPLETE SOLUTION




- increased peripheral vascular resistance

- decreased B-adrenergic receptor sensitivity

- blunting of baroreceptor reflexes

- decreased kidney function

- decreased renin response to sodium and water depletion



What is a hypertensive crisis? - (ANSWER)- severe abrupt increases in DBP (defined as >120-130 mmHg)

- rate of increase in BP is more important than the absolute value

- often occurs in patients with a hisotry of HTN who have failed to adhere to their medication regimen or
who have been under medicated



(180/120)



Hypertensive Crisis: Clinical Manifestations - (ANSWER)- encephaopathy, cerebral hemorrhage

- acute renal failure

- MI

- acute left ventricular failure with pulmonary edema

- dissecting aortic aneurysm



Management of Hypertensive Crisis - (ANSWER)- IV

- Monitor cardiac/renal function

- ongoing regular assessment

- neurological checks

- determine cause

- education



The nurse providing dietary instructions to a patient with hypertension would advise cutting down on
the intake of which foods? Select all that apply. One, some, or all responses may be correct.

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