LEWIS’S MEDICAL-SURGICAL NURSING
HYPERTENSION HARDING: LEWIS’S MEDICAL-SURGICAL NURSING, 12TH EDITION EXAM
QUESTIONS AND ANSWERS LATEST TOP SCORE.
Which action would the nurse in the hypertension clinic take to obtain an
accurate baseline
blood pressure (BP) for a new patient?
A. Deflate the BP cuff at a rate of 5 to 10 mm Hg per second.
B. Have the patient sit in a chair with the feet flat on the floor.
C. Assist the patient to the supine position for BP measurement.
D. Obtain two BP readings in the dominant arm and average the results. Answer
>B
The patient should be seated with the feet flat on the floor. The BP is obtained in
both arms,
and the results of the two arms are not averaged. The patient does not need to be
in the supine
position. The cuff should be deflated at 2 to 3 mm Hg per second.
DIF: CognitiveLevel: Understand (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and
Maintenance
Which information about a patient newly diagnosed with elevated blood pressure
is most
important for the nurse to address with the patient?
a. Low dietary fiber intake
b. No regular physical exercise
c. Drinks a beer with dinner every night
,LEWIS’S MEDICAL-SURGICAL NURSING
d. Weight is 5 pounds above ideal weight Answer > B
The recommendations for preventing hypertension include exercising aerobically
for 30
minutes most days of the week. A weight that is 5 pounds over the ideal body
weight is not a
risk factor for hypertension. The Dietary Approaches to Stop Hypertension (DASH)
diet is
high in fiber but increasing fiber alone will not prevent hypertension from
developing. The
patient's alcohol intake is within guidelines and does not increase the
hypertension risk.
DIF: CognitiveLevel: Analyze (Analysis) MSC: NCLEX: Health Promotion and
Maintenance
TOP: Nursing Process: Planning
Which action would the nurse take when giving the first dose of oral labetalol to a
patient
hospitalized with hypertension?
A. Encourage the use of hard candy to prevent dry mouth.
B. Teach the patient that headaches often occur with this drug.
C. Instruct the patient to call for help if heart palpitations occur.
D. Ask the patient to request assistance before getting out of bed. Answer > D
Labetalol decreases sympathetic nervous system activity by blocking both an and
b adrenergic receptors, leading to vasodilation and a decrease in heart rate, which
can cause
severe orthostatic hypotension. Heart palpitations, dry mouth, dehydration, and
headaches are
, LEWIS’S MEDICAL-SURGICAL NURSING
possible side effects of other antihypertensive.
DIF: CognitiveLevel: Apply (Application)
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Intec
After the nurse teaches the patient with stage 1 hypertension about diet
modifications, which
diet choice indicates that the teaching has been effective?
A. The patient avoids eating nuts or nut butters.
B. The patient restricts intake of chicken and fish.
C. The patient drinks low-fat milk with each meal.
D. The patient has two cups of coffee in the morning. Answer > C
Increased levels of dietary potassium and calcium are associated with lower BP.
People with
hypertension should receive adequate intake of these from food sources such as
low-fat milk.
Plant based and Mediterranean diets with increased fruit, nut, vegetable,
legumes, and lean
proteins from fish and vegetables decreases BP and mortality rates from
cardiovascular
disease. Caffeine intake or restriction and decreased protein intake are not
recommendations.
DIF: CognitiveLevel: Apply (Application) TOP: Nursing Process: Evaluation
MSC: NCLEX: Physiological Integrity
Which information would the nurse teach the patient who has been prescribed
captopril?
HYPERTENSION HARDING: LEWIS’S MEDICAL-SURGICAL NURSING, 12TH EDITION EXAM
QUESTIONS AND ANSWERS LATEST TOP SCORE.
Which action would the nurse in the hypertension clinic take to obtain an
accurate baseline
blood pressure (BP) for a new patient?
A. Deflate the BP cuff at a rate of 5 to 10 mm Hg per second.
B. Have the patient sit in a chair with the feet flat on the floor.
C. Assist the patient to the supine position for BP measurement.
D. Obtain two BP readings in the dominant arm and average the results. Answer
>B
The patient should be seated with the feet flat on the floor. The BP is obtained in
both arms,
and the results of the two arms are not averaged. The patient does not need to be
in the supine
position. The cuff should be deflated at 2 to 3 mm Hg per second.
DIF: CognitiveLevel: Understand (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and
Maintenance
Which information about a patient newly diagnosed with elevated blood pressure
is most
important for the nurse to address with the patient?
a. Low dietary fiber intake
b. No regular physical exercise
c. Drinks a beer with dinner every night
,LEWIS’S MEDICAL-SURGICAL NURSING
d. Weight is 5 pounds above ideal weight Answer > B
The recommendations for preventing hypertension include exercising aerobically
for 30
minutes most days of the week. A weight that is 5 pounds over the ideal body
weight is not a
risk factor for hypertension. The Dietary Approaches to Stop Hypertension (DASH)
diet is
high in fiber but increasing fiber alone will not prevent hypertension from
developing. The
patient's alcohol intake is within guidelines and does not increase the
hypertension risk.
DIF: CognitiveLevel: Analyze (Analysis) MSC: NCLEX: Health Promotion and
Maintenance
TOP: Nursing Process: Planning
Which action would the nurse take when giving the first dose of oral labetalol to a
patient
hospitalized with hypertension?
A. Encourage the use of hard candy to prevent dry mouth.
B. Teach the patient that headaches often occur with this drug.
C. Instruct the patient to call for help if heart palpitations occur.
D. Ask the patient to request assistance before getting out of bed. Answer > D
Labetalol decreases sympathetic nervous system activity by blocking both an and
b adrenergic receptors, leading to vasodilation and a decrease in heart rate, which
can cause
severe orthostatic hypotension. Heart palpitations, dry mouth, dehydration, and
headaches are
, LEWIS’S MEDICAL-SURGICAL NURSING
possible side effects of other antihypertensive.
DIF: CognitiveLevel: Apply (Application)
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Intec
After the nurse teaches the patient with stage 1 hypertension about diet
modifications, which
diet choice indicates that the teaching has been effective?
A. The patient avoids eating nuts or nut butters.
B. The patient restricts intake of chicken and fish.
C. The patient drinks low-fat milk with each meal.
D. The patient has two cups of coffee in the morning. Answer > C
Increased levels of dietary potassium and calcium are associated with lower BP.
People with
hypertension should receive adequate intake of these from food sources such as
low-fat milk.
Plant based and Mediterranean diets with increased fruit, nut, vegetable,
legumes, and lean
proteins from fish and vegetables decreases BP and mortality rates from
cardiovascular
disease. Caffeine intake or restriction and decreased protein intake are not
recommendations.
DIF: CognitiveLevel: Apply (Application) TOP: Nursing Process: Evaluation
MSC: NCLEX: Physiological Integrity
Which information would the nurse teach the patient who has been prescribed
captopril?
