Chapter 27, Caring for Clients With Hypertension

1.A client has just been diagnosed with prehypertension. What would the nurse instruct this client to do to restore his blood pressure below hypertensive levels? A) Increase iodine intake. B) Decrease sodium intake. C) Increase fluid intake. D) Avoid over-the-counter decongestants. Ans: B Feedback: The nurse should instruct clients with prehypertension to avoid or decrease sodium and iodine intake. Increasing fluid intake raises circulating blood volume and systemic vascular resistance. Over-the-counter decongestants decrease pulmonary congestion and not hypertension. 2.The nurse is caring for a client with malignant hypertension. What would be an appropriate nursing intervention for this client? A) Monitor the client's mental and emotional status every hour. B) Monitor the blood pressure (BP) every few minutes by applying an automatic BP recording machine. C) Monitor the client's blood sugar every hour. D) Monitor the client's temperature every few minutes. Ans: B Feedback: The nurse applies an automatic BP recording machine to the arm to measure the BP every few minutes. The nurse also keeps emergency equipment and drugs ready in case complications develop. Monitoring the client's mental and emotional status, blood sugar, or temperature every few minutes will not reflect the sudden rise in BP of a client with malignant hypertension. 3.Which of the following diagnostic tests may reveal an enlarged left ventricle? A) Echocardiography B) Computed tomographic scan C) Fluorescein angiography D) Positron e