Nursing Test 4 - Hypertension Questions and Answers Solved Correctly Rated 100%
Blood Pressure - Answers What is cardiac output (CO) x peripheral vascular resistance (PVR)?
Cardiac Output (CO) - Answers What is the amount of blood being pumped by the heart in one minute?
Stroke Volume - Answers What is the amount of blood being pumped out in each heart beat?
Release of Renin - Answers What leads to the formation of angiotension I which converts to
angiotension II?
Angiotension II - Answers What is the most powerful vasoconstrictor in the body?
Aldosterone - Answers What product from the adrenal cortex does ACE inhibitors effect?
150/90 mmHg - Answers What is the goal BP in patients 60yrs or older who does not have diabetes or
chronic kidney disease?
<140/90mm Hg - Answers In patients 60yrs or older who have diabetes, chronic kidney disease, or both
conditions what is the goal BP?
Thiazide-type diuretics
Calcium Channel Blockers
ACE Inhibitors
ARB's - Answers What are the four classes of first-line and later-line medications to treat hypertension?
Arteriosclerosis - Answers What disease causes hardening of the arteries; thickening of the
fibromuscular walls of small arteries and arterioles?
Atherosclerosis - Answers What disease causes a narrowing of the arterial lumen, from a accumulation
of cholesterol, calcium, and other minerals?
Peripheral Artery Disease (PAD) - Answers What disease is a blockage of the arteries in the legs which
causes a lack of oxygen and blood supply?
Smoking and/or Diabetes - Answers What factors increases your chance of developing PAD?
Ankle-brachial Index (ABI) - Answers What test is done to diagnose PAD by taking a blood pressure in the
arm compared to a blood pressure in the ankle?
Lower than 0.9 - Answers What will the result of a ABI show in a person with suspected PAD?
Doppler - Answers What is the best way to assess peripheral pulses in a patient with PAD?
loss of hair on legs and feet, thick toenails, pale skin - Answers What integumentary system changes can
you expect to see in a paient with PAD?
, PAD - Answers Which disease can display decreased or absent peripheral pulses, feet cool to touch,
bruits over pulse sites?
Intermittent Claudication (IC) - Answers What is the most common symptom of PAD?
Intermittent Claudication (IC) - Answers What is the condition when a patient has discomfort or pain in
their legs that happens when they walk and goes away when they rest?
walking uphill or up flights of stairs - Answers When does IC often occurs?
Arteriogram - Answers What x-ray procedure is done pre-op under fluoroscopy after injecting the artery
with a radiopaque contrast?
not above heart level or sitting upright to sleep - Answers If a patient is suspected to have PAD how
should the nurse position the legs at rest?
Trental (pentoxifylline) - Answers Which PAD drug increases the flexibility of RBCs and inhibits platelet
aggregation and decreases fibrinogen and may take up to 6-8 weeks for effects to show and should be
taken with meals to decrease nausea and vomiting?
Persanine (dipyridamole) - Answers What PAD medication decreases platelet aggregation by inhibiting
the enzyme phosphodiesterase and should be taking one hour before meals for optimal absorption?
Statins - Answers What drugs are recommended for a patient with PAD?
caffeine and/or nicotine - Answers What two stimulants should a PAD patient try to avoid?
keep extremities warm, socks/insulated shoes at all time - Answers What are some non-invasive
interventions the RN can do to promote vasodilation in a PAD patient?
severe pain on rest/claudication, pain interfere with work, there is a threaten to life or limb - Answers
When is invasive/surgical procedures indicated for a patient with PAD?
statins - Answers Which drug class are used to lower a patient cholesterol?
Lipitor (atorvastatin) - Answers What is one of the most common used statins that is used to lower LDL
cholesterol and triglycerides and slightly increase HDL cholesterol?
LDL - Answers What has a strong correlation with CAD?
HDL - Answers What has been associated with decreasing the risk of CAD?
triglycerides - Answers What is linked to progressing CAD?
ASA(aspirin), Plavix, Ticlid - Answers What are some anti-platelet drugs used to treat PAD?
Blood Pressure - Answers What is cardiac output (CO) x peripheral vascular resistance (PVR)?
Cardiac Output (CO) - Answers What is the amount of blood being pumped by the heart in one minute?
Stroke Volume - Answers What is the amount of blood being pumped out in each heart beat?
Release of Renin - Answers What leads to the formation of angiotension I which converts to
angiotension II?
Angiotension II - Answers What is the most powerful vasoconstrictor in the body?
Aldosterone - Answers What product from the adrenal cortex does ACE inhibitors effect?
150/90 mmHg - Answers What is the goal BP in patients 60yrs or older who does not have diabetes or
chronic kidney disease?
<140/90mm Hg - Answers In patients 60yrs or older who have diabetes, chronic kidney disease, or both
conditions what is the goal BP?
Thiazide-type diuretics
Calcium Channel Blockers
ACE Inhibitors
ARB's - Answers What are the four classes of first-line and later-line medications to treat hypertension?
Arteriosclerosis - Answers What disease causes hardening of the arteries; thickening of the
fibromuscular walls of small arteries and arterioles?
Atherosclerosis - Answers What disease causes a narrowing of the arterial lumen, from a accumulation
of cholesterol, calcium, and other minerals?
Peripheral Artery Disease (PAD) - Answers What disease is a blockage of the arteries in the legs which
causes a lack of oxygen and blood supply?
Smoking and/or Diabetes - Answers What factors increases your chance of developing PAD?
Ankle-brachial Index (ABI) - Answers What test is done to diagnose PAD by taking a blood pressure in the
arm compared to a blood pressure in the ankle?
Lower than 0.9 - Answers What will the result of a ABI show in a person with suspected PAD?
Doppler - Answers What is the best way to assess peripheral pulses in a patient with PAD?
loss of hair on legs and feet, thick toenails, pale skin - Answers What integumentary system changes can
you expect to see in a paient with PAD?
, PAD - Answers Which disease can display decreased or absent peripheral pulses, feet cool to touch,
bruits over pulse sites?
Intermittent Claudication (IC) - Answers What is the most common symptom of PAD?
Intermittent Claudication (IC) - Answers What is the condition when a patient has discomfort or pain in
their legs that happens when they walk and goes away when they rest?
walking uphill or up flights of stairs - Answers When does IC often occurs?
Arteriogram - Answers What x-ray procedure is done pre-op under fluoroscopy after injecting the artery
with a radiopaque contrast?
not above heart level or sitting upright to sleep - Answers If a patient is suspected to have PAD how
should the nurse position the legs at rest?
Trental (pentoxifylline) - Answers Which PAD drug increases the flexibility of RBCs and inhibits platelet
aggregation and decreases fibrinogen and may take up to 6-8 weeks for effects to show and should be
taken with meals to decrease nausea and vomiting?
Persanine (dipyridamole) - Answers What PAD medication decreases platelet aggregation by inhibiting
the enzyme phosphodiesterase and should be taking one hour before meals for optimal absorption?
Statins - Answers What drugs are recommended for a patient with PAD?
caffeine and/or nicotine - Answers What two stimulants should a PAD patient try to avoid?
keep extremities warm, socks/insulated shoes at all time - Answers What are some non-invasive
interventions the RN can do to promote vasodilation in a PAD patient?
severe pain on rest/claudication, pain interfere with work, there is a threaten to life or limb - Answers
When is invasive/surgical procedures indicated for a patient with PAD?
statins - Answers Which drug class are used to lower a patient cholesterol?
Lipitor (atorvastatin) - Answers What is one of the most common used statins that is used to lower LDL
cholesterol and triglycerides and slightly increase HDL cholesterol?
LDL - Answers What has a strong correlation with CAD?
HDL - Answers What has been associated with decreasing the risk of CAD?
triglycerides - Answers What is linked to progressing CAD?
ASA(aspirin), Plavix, Ticlid - Answers What are some anti-platelet drugs used to treat PAD?
