Kaplan Hypertension Simulation: Initial Assessment and Management Questions With 100% Correct Answers.

Kaplan Hypertension Simulation:
Chart Assessment:
Correct Selections:

RIGHT
Initial Assessment Psychosocial Recent Stress:
missing work
Equivalents:
SELECTED
Initial Assessment Education/Discharge Planning Expectations/Concerns About Stay in Hospital:
financial concerns related to missed work; on hourly wage
Initial Assessment Psychosocial Financial Concerns:
loss of time at work
RIGHT
Initial Assessment Medications Current Medications diltiazem
diltiazem — XR 240 mg BID
Equivalents:
Medical Management Medications (Routine):

diltiazem CD 240 mg BID
RIGHT
Initial Assessment Nutritional Eating Problems: Nausea
Nausea — for 2 days; has not tolerated PO intake in 2 days

RIGHT
Medical Management Medications (As Needed):
Ondansetron 4 mg IVP before meals and at bedtime, PRN for nausea and
vomiting; switch to oral as tolerated
Equivalents:
SELECTED
Initial Assessment Medications Current Medications Comment:
Comment: — Two days ago was last time able to keep PO meds down
RIGHT
Initial Assessment Psychosocial Current Household:
self and girlfriend
Equivalents:

, SELECTED
Initial Assessment Education/Discharge Planning Has Family Who Can/Will Provide Assistance Post Discharge (Who)?
girlfriend

SELECTED
Initial Assessment Psychosocial Support System:
girlfriend, family not available
RIGHT
Initial Assessment Nutritional Diet Restrictions/Preferences:
Renal Diet 80 g protein, 2 g sodium
Equivalents:
SELECTED
Initial Assessment Nutritional Usual Food Intake:
Renal Diet--does not follow consistently; states that he likes "soul food."
Eats 3 meals a day with snacks.

SELECTED
Initial Assessment Education/Discharge Planning Information Requested About Illness:
indicates lack of knowledge about signs and symptoms of increasing BP and
how to handle illness episodes

SELECTED
Initial Assessment Education/Discharge Planning Understanding of Present Illness:
verbalizes understanding; does not consistently follow diet
Medical Management Active Medical Management: Checklist: Diet
80 g protein, 2 g Na Renal Diet; start with clear liquids and advance as
tolerated
RIGHT
Initial Assessment Medical History Major Medical Problems Kidney Problem
Kidney Problem — ESRD
Equivalents:
Medical Management Medical Diagnosis(es):

(1) hypertensive emergency, (2) ESRD, (3) Nausea, vomiting, diarrhea likely viral gastroenteritis

RIGHT
Initial Assessment Temperature/Skin Skin Color: Pale
Pale — palms and palpebral conjunctiva

RIGHT
Initial Assessment Gastrointestinal Symptoms: Cramping
Cramping

,Equivalents:
SELECTED
Initial Assessment Gastrointestinal Abdomen: Tender
Tender

SELECTED
Initial Assessment Neurological Pain:
abdominal cramping, aching

SELECTED
Initial Assessment Nutritional Eating Problems: Stomach Pains
Stomach Pains — intermittent abdominal cramping
RIGHT
Medical Management Medications (Routine):
benazepril 10 mg PO qhs
Equivalents:
SELECTED
Initial Assessment Medications Current Medications benazepril
benazepril — 10 mg PO qhs
RIGHT
Initial Assessment Admission Vital Signs BP:
240/190 mm Hg
Equivalents:
SELECTED
Initial Assessment Cardiovascular Cardiovascular Problems: High Blood Pressure
High Blood Pressure

SELECTED
Initial Assessment Medical History Major Medical Problems Hyper/Hypotension
Hyper/Hypotension — hypertension

SELECTED
Initial Assessment Medical History Previous Hospitalizations/Surgeries:
One month ago--HTN
RIGHT
Initial Assessment Medications Current Medications labetalol
labetalol — 400 mg BID
Equivalents:
Medical Management Medications (Routine):

, labetalol 400 mg BID
RIGHT
Initial Assessment Nutritional Other Comments:
complains of thirst

RIGHT
Initial Assessment Temperature/Skin Temperature: Dry
Dry
Equivalents:
SELECTED
Initial Assessment Temperature/Skin Turgor: Poor skin turgor
Poor skin turgor

SELECTED
Initial Assessment Temperature/Skin Factors that Might Lead to Skin Alterations: Dehydration
Dehydration
RIGHT
Initial Assessment Cardiovascular Family Cardiac History:
hypertension--maternal grandmother, maternal aunt

RIGHT
Initial Assessment Psychosocial Client is Feeling: Anxious
Anxious

RIGHT
Initial Assessment Renal/Urinary Last Voided:
One time today. Decreased urinary output x 1 week

RIGHT
Initial Assessment Admission Data Assistive Devices: Other
Other — Tenckhoff catheter abdomen RLQ
Equivalents:
SELECTED
Initial Assessment Medical History Previous Hospitalizations/Surgeries:
One month ago--HTN

SELECTED
Initial Assessment Temperature/Skin Problems and Description: Tubes/Appliances Present
Tubes/Appliances Present — Tenckhoff catheter RLQ

SELECTED
Initial Assessment Renal/Urinary Symptoms: Dialysis (Date of Last Dialysis/Access Site)