Chapter 31: Assessment and Management
of Patients With Hypertension
- Postural hypertension and resulting injury
A blood pressure (BP) of 140/90 mm Hg is considered to be - hypertension.
A client is admitted to the intensive care unit (ICU) with a diagnosis of hypertension
emergency/crisis. The client's blood pressure (BP) is 200/130 mm Hg. The nurse is preparing to
administer IV nitroprusside. Upon assessment, which finding requires immediate intervention by
the nurse? - Numbness and weakness in the left arm
A client is being seen at the clinic for a routine physical when the nurse notes the client's blood
pressure is 150/97. The client is considered to be a healthy, well-nourished young adult. What
type of hypertension does this client have? - Essential (primary)
A client is brought to the emergency department with reports of a bad headache and an
increase in blood pressure. The blood pressure reading obtained by the nurse is 260/180 mm
Hg. What is the therapeutic goal for reduction of the mean blood pressure? - Reduce the blood
pressure by 20% to 25% within the first hour of treatment.
A client is taking 50 mg of oral spironolactone twice a day to assist with blood pressure control.
While the nurse is performing the morning assessment, the client reports nausea, general
muscle cramps, and weakness. The ECG strip shows a peaked, narrow T-wave, which is a
change. What electrolyte imbalance does the nurse suspect? - Hyperkalemia
A client with high blood pressure is receiving an antihypertensive drug. When developing a
client teaching plan to minimize orthostatic hypotension, which instruction should the nurse
include? - "Flex your calf muscles, avoid alcohol, and change positions slowly."
, A client with newly diagnosed hypertension asks what to do to decrease the risk for related
cardiovascular problems. Which risk factor is not modifiable by the client? - Dyslipidemia ////AGE
A nurse is educating a client about monitoring blood pressure readings at home. What will the
nurse be sure to emphasize? - "Sit quietly for 5 minutes prior to taking blood pressure."
A nurse is providing education about hypertension to a community group. What are possible
consequences of untreated hypertension? Select all that apply. - stroke
myocardial infarction
coronary artery disease
A nurse is teaching a client who is newly diagnosed with hypertension and diabetes mellitus.
What will the nurse specify about this client's target blood pressure? - 130/80 or lower
A nurse is teaching a client with newly diagnosed hypertension who asks if there is any harm in
stopping antihypertensive medication. What is the nurse's best response? - "Rebound
hypertension can occur."
A nurse providing education about hypertension to a community group is discussing the high
risk for cardiovascular complications. What are risk factors for cardiovascular problems in clients
with hypertension? Select all that apply. - Smoking
Diabetes mellitus
Physical inactivity
of Patients With Hypertension
- Postural hypertension and resulting injury
A blood pressure (BP) of 140/90 mm Hg is considered to be - hypertension.
A client is admitted to the intensive care unit (ICU) with a diagnosis of hypertension
emergency/crisis. The client's blood pressure (BP) is 200/130 mm Hg. The nurse is preparing to
administer IV nitroprusside. Upon assessment, which finding requires immediate intervention by
the nurse? - Numbness and weakness in the left arm
A client is being seen at the clinic for a routine physical when the nurse notes the client's blood
pressure is 150/97. The client is considered to be a healthy, well-nourished young adult. What
type of hypertension does this client have? - Essential (primary)
A client is brought to the emergency department with reports of a bad headache and an
increase in blood pressure. The blood pressure reading obtained by the nurse is 260/180 mm
Hg. What is the therapeutic goal for reduction of the mean blood pressure? - Reduce the blood
pressure by 20% to 25% within the first hour of treatment.
A client is taking 50 mg of oral spironolactone twice a day to assist with blood pressure control.
While the nurse is performing the morning assessment, the client reports nausea, general
muscle cramps, and weakness. The ECG strip shows a peaked, narrow T-wave, which is a
change. What electrolyte imbalance does the nurse suspect? - Hyperkalemia
A client with high blood pressure is receiving an antihypertensive drug. When developing a
client teaching plan to minimize orthostatic hypotension, which instruction should the nurse
include? - "Flex your calf muscles, avoid alcohol, and change positions slowly."
, A client with newly diagnosed hypertension asks what to do to decrease the risk for related
cardiovascular problems. Which risk factor is not modifiable by the client? - Dyslipidemia ////AGE
A nurse is educating a client about monitoring blood pressure readings at home. What will the
nurse be sure to emphasize? - "Sit quietly for 5 minutes prior to taking blood pressure."
A nurse is providing education about hypertension to a community group. What are possible
consequences of untreated hypertension? Select all that apply. - stroke
myocardial infarction
coronary artery disease
A nurse is teaching a client who is newly diagnosed with hypertension and diabetes mellitus.
What will the nurse specify about this client's target blood pressure? - 130/80 or lower
A nurse is teaching a client with newly diagnosed hypertension who asks if there is any harm in
stopping antihypertensive medication. What is the nurse's best response? - "Rebound
hypertension can occur."
A nurse providing education about hypertension to a community group is discussing the high
risk for cardiovascular complications. What are risk factors for cardiovascular problems in clients
with hypertension? Select all that apply. - Smoking
Diabetes mellitus
Physical inactivity
