NUR 242 MED SURG EXAM 4 LATEST ACTUAL EXAM latest solutions

Normal BP - ans ----Systolic <120 / Diastolic <80 Pre-HTN - ans ----Systolic =120-139 / Diastolic=80-89 Stage 1 HTN - ans ----Systolic=140-159 / Diastolic=90-99 Stage 2 HTN - ans ----Systolic=>160 / Diastolic=>100 Malignant HTN - ans ----Extremely high BP >180/110 S/S of Malignant HTN - ans ----initially asymptomatic, headache upon awakening, blurred vision, dizziness, chest pain, difficult breathing, numbness in face and legs, tinnitus, flushed face, epistaxis HTN Crisis - ans ----acute and life threatening; accelerated HTN requires ER treatment because organ damage can occur quickly Pharmacological interventions for HTN - ans ----ACE Inhibitors, Diuretics, Calcium Channel Blockers, ARBs, and Beta Blockers What symptom should you report right away with ACE Inhibitors? - ans ----Dry nagging cough- discontinue immediately and teach about orthostatic HTN in elderly What is an example of an ACE inhibitor drug? - ans ----Lisinopril, Enalapril What is an example of a Calcium Channel Blocker? - ans ----Verapamil, Amlodopine What is an example of an ARB? - ans ----Losartan, Valsartan What is an example of a Beta Blocker? - ans ----Metoprolol, Atenolol Pt. teaching for Raynauds disease - ans ----Stop smoking, avoid cold and stress, wear warm clothing, take vasodilators as prescribed