MSN 277: Ch 31 Workbook Questions With Complete Solutions

A patient being seen at the clinic on a monthly basis for assessment of BP. The patient has been checking her Bp at home as well and has reported a systolic pressure of 158 and a diastolic pressure of 64. What does the nurse suspect this patient is experiencing? A. isolated systolic hypertension B. secondary hypertension C. primary hypertension D. hypertensive urgency correct answer: A The nurse is assessing a patient with severe hypertension. When performing a focused assessment of the eyes, what does the nurse understand may be observed related to the hypertension? A. cataracts B. glaucoma C. retinal detachment D. papilledema correct answer: D A patient with hypertension is waking up several times a night to urinate. The nurse knows that what laboratory studies may indicate pathologic changes in the kidneys due to the hypertension? (Select all that apply) A. creatinine B. blood urea nitrogen (BUN) C. complete blood count (CBC) D. urine for culture and sensitivity E. AST and ALT correct answer: A, B A patient with long-standing hypertension is admitted to the hospital with hypertensive urgency. The physician orders a chest x-ray, which reveals an enlarged heart. What diagnostic test does the nurse anticipate preparing the patient for to determine left ventricular enlargement?