NUR 233 EXAM 2 QUESTIONS
WITH CORRECT ANSWERS
LATEST UPDATE
HTN pathophysiology - •Increased sodium intake
•Renin-angiotensin-aldosterone system (R A A S) - excess angiotensin 2 cause
incread BP and increase aldosterone release
•Aldosterone - excess causes sodium and water retention increasing stroke
volume and blood pressure
•Sympathetic nervous system - increase SNS activity can increase BP and HR
elevated blood pressure levels - 120-129 and <80
Hypertension stage 1 - 130-139 0r 80-89
Hypertension stage 2 - 140 or higher or 90 or higher
primary hypertension - essential or idiopathic HTN, unknown cause w many
contributing factors including altered endothelial function, increased SNS
activity, increased sodium intake, overweight, DM, smoking, and excess alcohol
,secondary HTN occurs slowly/suddenly - suddenly
Medical management of hypertension - •Diuretics
•Antihypertensives
•Lifestyle Management
•Weight - obesisty associated w severe HTN
•Diet - high salt intake common. Person should follow DASH- high in fruit and
veggie low in sodium
•Alcohol consumption - lower alc consumption
•Exercise -
•Stress - bodys response to stress temporarily raises BP
HTN med complications - •Dilated cardiomyopathy
•Systolic dysfunction
•Renal failure - monitor renal function
•Stroke - due to vessel hemmorhange, 4th leading cause of death and leading
cause of diability
•Hypertensive crisis - acute sever elevations in BP
The nurse teaches a patient with peripheral arterial disease. The nurse
determines that further teaching is needed if the patient makes which statement?
a
"I should not use heating pads to warm my feet."
b
"I should cut back on my walks if it causes pain in my legs."
, c
"I will examine my feet every day for any sores or red areas."
d
"I can quit smoking if I use nicotine gum and a support group." - B- we don't
want patient to stop walking
A client with an upper respiratory infection asks the nurse why the health care
provider did not prescribe an antibiotic. Which response from the nurse would
be the best?
a
"I don't know; however, I will ask your health care provider for a prescription as
soon as possible."
b
"Antibiotics are used to treat viruses, and your cultures indicate the presence of
a bacterial infection."
c
"Antibiotics are ineffective for treating the bacteria that caused your upper
respiratory infections."
d
"Upper respiratory infections are generally caused by viruses and would not be
treated with antibiotics." - d
"Upper respiratory infections are generally caused by viruses and would not be
treated with antibiotics."
A client with pulmonary hypertension and right-sided heart failure has
conversational dyspnea and shortness of breath. What is the first action the
nurse should take?
WITH CORRECT ANSWERS
LATEST UPDATE
HTN pathophysiology - •Increased sodium intake
•Renin-angiotensin-aldosterone system (R A A S) - excess angiotensin 2 cause
incread BP and increase aldosterone release
•Aldosterone - excess causes sodium and water retention increasing stroke
volume and blood pressure
•Sympathetic nervous system - increase SNS activity can increase BP and HR
elevated blood pressure levels - 120-129 and <80
Hypertension stage 1 - 130-139 0r 80-89
Hypertension stage 2 - 140 or higher or 90 or higher
primary hypertension - essential or idiopathic HTN, unknown cause w many
contributing factors including altered endothelial function, increased SNS
activity, increased sodium intake, overweight, DM, smoking, and excess alcohol
,secondary HTN occurs slowly/suddenly - suddenly
Medical management of hypertension - •Diuretics
•Antihypertensives
•Lifestyle Management
•Weight - obesisty associated w severe HTN
•Diet - high salt intake common. Person should follow DASH- high in fruit and
veggie low in sodium
•Alcohol consumption - lower alc consumption
•Exercise -
•Stress - bodys response to stress temporarily raises BP
HTN med complications - •Dilated cardiomyopathy
•Systolic dysfunction
•Renal failure - monitor renal function
•Stroke - due to vessel hemmorhange, 4th leading cause of death and leading
cause of diability
•Hypertensive crisis - acute sever elevations in BP
The nurse teaches a patient with peripheral arterial disease. The nurse
determines that further teaching is needed if the patient makes which statement?
a
"I should not use heating pads to warm my feet."
b
"I should cut back on my walks if it causes pain in my legs."
, c
"I will examine my feet every day for any sores or red areas."
d
"I can quit smoking if I use nicotine gum and a support group." - B- we don't
want patient to stop walking
A client with an upper respiratory infection asks the nurse why the health care
provider did not prescribe an antibiotic. Which response from the nurse would
be the best?
a
"I don't know; however, I will ask your health care provider for a prescription as
soon as possible."
b
"Antibiotics are used to treat viruses, and your cultures indicate the presence of
a bacterial infection."
c
"Antibiotics are ineffective for treating the bacteria that caused your upper
respiratory infections."
d
"Upper respiratory infections are generally caused by viruses and would not be
treated with antibiotics." - d
"Upper respiratory infections are generally caused by viruses and would not be
treated with antibiotics."
A client with pulmonary hypertension and right-sided heart failure has
conversational dyspnea and shortness of breath. What is the first action the
nurse should take?
