NU 372 Exam 3 Content Questions with
correct answers
primRisk |factors |for |Hypertension |- |VERIFIED |ANSWER✔✔-modifiable: |high |sodium, |obesity, |diabetes,
|sedentary |lifestyle, |smoking, |alcohol |excess, |depression
non |modifiable: |genetic |factors, |age, |family |history, |race
manifestations |of |hypertension |- |VERIFIED |ANSWER✔✔-"silent |killer", |fatigue, |headache |in |the |back |
of |the |head |and |neck, |malaise, |and |dizziness
primary |vs |secondary |hypertension |- |VERIFIED |ANSWER✔✔-1. |Primary |(Essential/Idiopathic)- |no |
known |cause, |90-95% |
2. |Secondary- |identifiable |causes
renal |disease, |endocrine |disorders, |neurological |disorders, |sleep |apnea, |medications, |pregnancy
hypertension |classifications |- |VERIFIED |ANSWER✔✔-
hypertension |nursing |considerations |- |VERIFIED |ANSWER✔✔--late |symptoms |related |to |organ |
damage: |retinal |and |eye |changes, |renal |damage, |MI, |cardiac |hypertrophy, |stroke
-checking |BUN |(>25) |and |creatinine |(>1.5)
hypertensive |emergency |- |VERIFIED |ANSWER✔✔--blood |pressure |>180/120
-clinical |manifestations: |blurred |vision, |headache, |confusion, |motor |sensory |deficits, |targeted |organ |
damage |(kidneys)
-treatment: |IV |vasodilators |(nitroprusside, |nitroglycerin, |etc)
-interventions: |reduce |BP |20 |to |25% |in |the |first |hour. |reduce |160/100 |over |6 |hours. |Reducing |BP |too |
quickly |can |cause |CVA |or |MI
hypertensive |urgency |- |VERIFIED |ANSWER✔✔--blood |pressure |very |elevated |but |no |evidence |of |
immediate |or |progressive |target |organ |damage.
, -oral |agents |can |be |given |to |normalize |BP |within |24-48 |hours. |ex: |labetalol, |captopril, |clonidine
-assess |for |organ |damage
hypertension |meds |- |VERIFIED |ANSWER✔✔-adults: |diuretics, |beta |blockers, |alpha1 |blockers, |
vasodilators, |ACE |inhibitors, |ARBs, |calcium |channel |blockers, |dihydropyridine |and |direct |renin |
inhibitors
children: |ACE |inhibitors |or |calcium |channel |blockers
hypertension |non |med |treatment |- |VERIFIED |ANSWER✔✔--maintain |blood |pressure |<140/90 |mmHg |
and |<150/90 |mm |Hg |for |older |adult |
-weight |reduction |(<35 |in |in |women, |<40 |in |waist |circumference)
-DASH |diet
-30-40 |minutes |exercise |5-6 |days/week
-reduce |alcohol |and |smoking
risk |factors |pregnancy |induced |hypertension |- |VERIFIED |ANSWER✔✔--history/family |history |of |
preeclampsia
-chronic |htn
-kidney |disease
-diabetes
-coagulation |disorders
-obesity
->40 |years |old
-having |twins
-African |descent
manifestations |pregnancy |htn |- |VERIFIED |ANSWER✔✔--proteinuria
-BP> |or |equal |to |160/110 |mmHg
-persistent |headache
-epigastric |pain |
correct answers
primRisk |factors |for |Hypertension |- |VERIFIED |ANSWER✔✔-modifiable: |high |sodium, |obesity, |diabetes,
|sedentary |lifestyle, |smoking, |alcohol |excess, |depression
non |modifiable: |genetic |factors, |age, |family |history, |race
manifestations |of |hypertension |- |VERIFIED |ANSWER✔✔-"silent |killer", |fatigue, |headache |in |the |back |
of |the |head |and |neck, |malaise, |and |dizziness
primary |vs |secondary |hypertension |- |VERIFIED |ANSWER✔✔-1. |Primary |(Essential/Idiopathic)- |no |
known |cause, |90-95% |
2. |Secondary- |identifiable |causes
renal |disease, |endocrine |disorders, |neurological |disorders, |sleep |apnea, |medications, |pregnancy
hypertension |classifications |- |VERIFIED |ANSWER✔✔-
hypertension |nursing |considerations |- |VERIFIED |ANSWER✔✔--late |symptoms |related |to |organ |
damage: |retinal |and |eye |changes, |renal |damage, |MI, |cardiac |hypertrophy, |stroke
-checking |BUN |(>25) |and |creatinine |(>1.5)
hypertensive |emergency |- |VERIFIED |ANSWER✔✔--blood |pressure |>180/120
-clinical |manifestations: |blurred |vision, |headache, |confusion, |motor |sensory |deficits, |targeted |organ |
damage |(kidneys)
-treatment: |IV |vasodilators |(nitroprusside, |nitroglycerin, |etc)
-interventions: |reduce |BP |20 |to |25% |in |the |first |hour. |reduce |160/100 |over |6 |hours. |Reducing |BP |too |
quickly |can |cause |CVA |or |MI
hypertensive |urgency |- |VERIFIED |ANSWER✔✔--blood |pressure |very |elevated |but |no |evidence |of |
immediate |or |progressive |target |organ |damage.
, -oral |agents |can |be |given |to |normalize |BP |within |24-48 |hours. |ex: |labetalol, |captopril, |clonidine
-assess |for |organ |damage
hypertension |meds |- |VERIFIED |ANSWER✔✔-adults: |diuretics, |beta |blockers, |alpha1 |blockers, |
vasodilators, |ACE |inhibitors, |ARBs, |calcium |channel |blockers, |dihydropyridine |and |direct |renin |
inhibitors
children: |ACE |inhibitors |or |calcium |channel |blockers
hypertension |non |med |treatment |- |VERIFIED |ANSWER✔✔--maintain |blood |pressure |<140/90 |mmHg |
and |<150/90 |mm |Hg |for |older |adult |
-weight |reduction |(<35 |in |in |women, |<40 |in |waist |circumference)
-DASH |diet
-30-40 |minutes |exercise |5-6 |days/week
-reduce |alcohol |and |smoking
risk |factors |pregnancy |induced |hypertension |- |VERIFIED |ANSWER✔✔--history/family |history |of |
preeclampsia
-chronic |htn
-kidney |disease
-diabetes
-coagulation |disorders
-obesity
->40 |years |old
-having |twins
-African |descent
manifestations |pregnancy |htn |- |VERIFIED |ANSWER✔✔--proteinuria
-BP> |or |equal |to |160/110 |mmHg
-persistent |headache
-epigastric |pain |
