Nurs 620 Maryville Exam 2.pdf file:///C:/Users/HP/Desktop/New%20folder%20(4)/Nurs%20620%20
NURS 620 Maryville Exam 2
1. Risk factors for hypertension: 1. age & sex- women older than 55 & men older
than 45
2. Obesity
3. Excessive dietary intake of salt
4.cigarette smoking
5. chronic alcohol consumption
6. Family history of high blood pressure and/or cardiovascular disease
7. African American race
8.Stress
9.Sedentary lifestyle
2. Blood pressure goals for JNC8: Healthy patients over 60 years of age is okay if it
is below 150/90
Healthy patients less than 60 years of age the blood pressure is okay if less than
140/90
1 of 71 10/24/2024, 8:24
,Nurs 620 Maryville Exam 2.pdf file:///C:/Users/HP/Desktop/New%20folder%20(4)/Nurs%20620%20
Patients with dx of DM or CKD regardless of age, goal BP is less than 140/90
3. lifestyle modifications for: Weight reduction (BMI 18.5-24.9)
DASH diet
less than 2.4g a day of sodium
Increase Pysical activity to 30min most days of the week Stop
smoking
Alcohol less than 2 drinks a day
4. JNC8 preferred agents:: -general population:
thiazide
CCB
ACEI
ARB
-black: (without CKD)
CCB or thiazide
-DM:
thiazide
CCB
ACEI
2 of 71 10/24/2024, 8:24
,Nurs 620 Maryville Exam 2.pdf file:///C:/Users/HP/Desktop/New%20folder%20(4)/Nurs%20620%20
ARB
-CKD:
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,Nurs 620 Maryville Exam 2.pdf file:///C:/Users/HP/Desktop/New%20folder%20(4)/Nurs%20620%20
ACE
ARB
5. Which medications for HTN should not be used together: ACE and ARBS
6. HTN therapy for patients over 75years old with impaired kidney function: -
CCB
Thiazides
7. Classification of HTN per AHA: Normal BP: less than 120 Systolic, diastolic less
than 80
Elevated: 120-129 systolic, less than 80 diastolic Stage 1
HTN: 130-139/80-89
Stage 2 HTN: 140+/90+
Hypertensive crisis: 180+/120+
8. If goal not met for HTN in a month of treatment then what?: Increase the intital
dose of drug or add a second agent, if goal not achieved with 2 agents consider a 3rd
agent.
9. When HTN treatment is initiated or dose changed when should patient
follow up: 2-4 weeks, then once goal has achieved every 3-6 months.
10. Diagnostic workup for HTN: History- any symptoms?
Physical examination
4 of 71 10/24/2024, 8:24
NURS 620 Maryville Exam 2
1. Risk factors for hypertension: 1. age & sex- women older than 55 & men older
than 45
2. Obesity
3. Excessive dietary intake of salt
4.cigarette smoking
5. chronic alcohol consumption
6. Family history of high blood pressure and/or cardiovascular disease
7. African American race
8.Stress
9.Sedentary lifestyle
2. Blood pressure goals for JNC8: Healthy patients over 60 years of age is okay if it
is below 150/90
Healthy patients less than 60 years of age the blood pressure is okay if less than
140/90
1 of 71 10/24/2024, 8:24
,Nurs 620 Maryville Exam 2.pdf file:///C:/Users/HP/Desktop/New%20folder%20(4)/Nurs%20620%20
Patients with dx of DM or CKD regardless of age, goal BP is less than 140/90
3. lifestyle modifications for: Weight reduction (BMI 18.5-24.9)
DASH diet
less than 2.4g a day of sodium
Increase Pysical activity to 30min most days of the week Stop
smoking
Alcohol less than 2 drinks a day
4. JNC8 preferred agents:: -general population:
thiazide
CCB
ACEI
ARB
-black: (without CKD)
CCB or thiazide
-DM:
thiazide
CCB
ACEI
2 of 71 10/24/2024, 8:24
,Nurs 620 Maryville Exam 2.pdf file:///C:/Users/HP/Desktop/New%20folder%20(4)/Nurs%20620%20
ARB
-CKD:
3 of 71 10/24/2024, 8:24
,Nurs 620 Maryville Exam 2.pdf file:///C:/Users/HP/Desktop/New%20folder%20(4)/Nurs%20620%20
ACE
ARB
5. Which medications for HTN should not be used together: ACE and ARBS
6. HTN therapy for patients over 75years old with impaired kidney function: -
CCB
Thiazides
7. Classification of HTN per AHA: Normal BP: less than 120 Systolic, diastolic less
than 80
Elevated: 120-129 systolic, less than 80 diastolic Stage 1
HTN: 130-139/80-89
Stage 2 HTN: 140+/90+
Hypertensive crisis: 180+/120+
8. If goal not met for HTN in a month of treatment then what?: Increase the intital
dose of drug or add a second agent, if goal not achieved with 2 agents consider a 3rd
agent.
9. When HTN treatment is initiated or dose changed when should patient
follow up: 2-4 weeks, then once goal has achieved every 3-6 months.
10. Diagnostic workup for HTN: History- any symptoms?
Physical examination
4 of 71 10/24/2024, 8:24
