Lewis Chapter 32:
Hypertension/Medical-Surgical Nursing,
10th Edition
A 44-year-old man is recognized with hypertension and receives a prescription for benazepril
(Lotensin). After the nurse teaches him about the medicine, which declaration via the affected
person shows his accurate expertise?
A "If I take this medicine, I will now not need to observe a special eating regimen."
B "It is normal to have a few swelling in my face while taking this medicine."
C "I will need to consume meals together with bananas and potatoes that are high in
potassium."
D "If I broaden a dry cough whilst taking this remedy, I ought to notify my doctor." - ANS-D "If I
develop a dry cough at the same time as taking this remedy, I must notify my doctor."
Benazepril is an angiotensin-changing enzyme inhibitor. The medicinal drug inhibits breakdown
of bradykinin, which might also motive a dry, hacking cough. Other unfavourable effects consist
of hyperkalemia. Swelling in the face could imply angioedema and have to be suggested
straight away to the prescriber. Patients taking drug therapy for hypertension have to
additionally strive way of life adjustments to lower blood pressure including a discounted-sodium
diet.
A fifty six-yr-antique affected person who has no previous records of hypertension or other
fitness issues all of sudden develops a blood pressure (BP) of 198/a hundred and ten mm Hg.
After reconfirming the BP, it's far appropriate for the nurse to inform the patient that
a. A BP recheck should be scheduled in a few weeks.
B. Nutritional sodium and fat content need to be decreased.
C. Diagnosis, treatment, and ongoing monitoring might be wanted.
D. There may be a right away hazard of a stroke, requiring hospitalization. - ANS-ANS: C
A unexpected increase in BP in a affected person older than age 50 years with no previous
hypertension records or danger factors shows that the high blood pressure may be secondary to
some different problem. The BP will want remedy and ongoing tracking. If the patient has no
other danger elements, a stroke inside the instant destiny is not going. There is not any
indication that nutritional salt or fats consumption have contributed to this unexpected increase
in BP, and reducing consumption of salt and fat alone will not be ok to reduce this BP to an
appropriate stage.
DIF: Cognitive Level: Apply (application)
A 67-12 months-vintage lady with a history of coronary artery disease and earlier myocardial
infarction is admitted to the emergency branch with a blood strain of 234/148 mm Hg and
, started on IV nitroprusside (Nitropress). What ought to the nurse decide as an appropriate
intention for the first hour of treatment?
A Mean arterial pressure lower than 70 mm Hg
B Mean arterial strain no greater than a hundred and twenty mm Hg
C Mean arterial strain no lower than 133 mm Hg
D Mean arterial stress among 70 and one hundred ten mm Hg - ANS-C Mean arterial pressure
no lower than 133 mm Hg
The initial treatment intention is to lower mean arterial strain through no extra than 25% within
mins to 1 hour. If the patient is strong, the intention for BP is a hundred and sixty/a hundred to
110 mm Hg over the following 2 to 6 hours. Lowering the blood strain an excessive amount of
can also decrease cerebral, coronary, or renal perfusion and could precipitate a stroke,
myocardial infarction, or renal failure. Additional slow discounts in the direction of a regular
blood strain must be implemented over the subsequent 24 to 48 hours if the affected person is
clinically solid.
A fundamental attention within the control of the alternative grownup with high blood pressure is
to:
a. Save you number one high blood pressure from converting to secondary hypertension
b. Understand that the older grownup is much less possibly to stick to the drug remedy routine
than a younger grownup
c. Make sure that the patient gets larger preliminary doses of antihypertensive capsules
because of impaired absorption
d. Use careful technique in assessing the BP of the affected person because of the viable
presence of ab auscultatory gap - ANS-d. Use cautious approach in assessing the BP of the
patient because of the feasible presence of ab auscultatory gap
A patient has simply been identified with high blood pressure and has been started out on
captopril . Which data is maximum essential to include when coaching the patient about this
drug?
A. Include excessive-potassium foods such as bananas in the weight loss plan.
B. Increase fluid intake if dryness of the mouth is a hassle.
C. Change function slowly to help prevent dizziness and falls.
D. Check blood strain (BP) in each hands before taking the drug. - ANS-ANS: C
The angiotensin-changing enzyme (ACE) inhibitors often reason orthostatic hypotension, and
patients ought to gain knowledge of to alternate role slowly to permit the vascular machine time
to make amends for the placement alternate. Increasing fluid consumption may counteract the
effect of the drug, and the affected person is taught to apply gum or difficult candy to relieve dry
mouth. The BP ought to be taken within the nondominant arm through newly recognized
patients inside the morning, earlier than taking the drug, and within the nighttime. Because ACE
inhibitors reason potassium retention, expanded intake of high-potassium meals is irrelevant.
DIF: Cognitive Level: Apply (application)
Hypertension/Medical-Surgical Nursing,
10th Edition
A 44-year-old man is recognized with hypertension and receives a prescription for benazepril
(Lotensin). After the nurse teaches him about the medicine, which declaration via the affected
person shows his accurate expertise?
A "If I take this medicine, I will now not need to observe a special eating regimen."
B "It is normal to have a few swelling in my face while taking this medicine."
C "I will need to consume meals together with bananas and potatoes that are high in
potassium."
D "If I broaden a dry cough whilst taking this remedy, I ought to notify my doctor." - ANS-D "If I
develop a dry cough at the same time as taking this remedy, I must notify my doctor."
Benazepril is an angiotensin-changing enzyme inhibitor. The medicinal drug inhibits breakdown
of bradykinin, which might also motive a dry, hacking cough. Other unfavourable effects consist
of hyperkalemia. Swelling in the face could imply angioedema and have to be suggested
straight away to the prescriber. Patients taking drug therapy for hypertension have to
additionally strive way of life adjustments to lower blood pressure including a discounted-sodium
diet.
A fifty six-yr-antique affected person who has no previous records of hypertension or other
fitness issues all of sudden develops a blood pressure (BP) of 198/a hundred and ten mm Hg.
After reconfirming the BP, it's far appropriate for the nurse to inform the patient that
a. A BP recheck should be scheduled in a few weeks.
B. Nutritional sodium and fat content need to be decreased.
C. Diagnosis, treatment, and ongoing monitoring might be wanted.
D. There may be a right away hazard of a stroke, requiring hospitalization. - ANS-ANS: C
A unexpected increase in BP in a affected person older than age 50 years with no previous
hypertension records or danger factors shows that the high blood pressure may be secondary to
some different problem. The BP will want remedy and ongoing tracking. If the patient has no
other danger elements, a stroke inside the instant destiny is not going. There is not any
indication that nutritional salt or fats consumption have contributed to this unexpected increase
in BP, and reducing consumption of salt and fat alone will not be ok to reduce this BP to an
appropriate stage.
DIF: Cognitive Level: Apply (application)
A 67-12 months-vintage lady with a history of coronary artery disease and earlier myocardial
infarction is admitted to the emergency branch with a blood strain of 234/148 mm Hg and
, started on IV nitroprusside (Nitropress). What ought to the nurse decide as an appropriate
intention for the first hour of treatment?
A Mean arterial pressure lower than 70 mm Hg
B Mean arterial strain no greater than a hundred and twenty mm Hg
C Mean arterial strain no lower than 133 mm Hg
D Mean arterial stress among 70 and one hundred ten mm Hg - ANS-C Mean arterial pressure
no lower than 133 mm Hg
The initial treatment intention is to lower mean arterial strain through no extra than 25% within
mins to 1 hour. If the patient is strong, the intention for BP is a hundred and sixty/a hundred to
110 mm Hg over the following 2 to 6 hours. Lowering the blood strain an excessive amount of
can also decrease cerebral, coronary, or renal perfusion and could precipitate a stroke,
myocardial infarction, or renal failure. Additional slow discounts in the direction of a regular
blood strain must be implemented over the subsequent 24 to 48 hours if the affected person is
clinically solid.
A fundamental attention within the control of the alternative grownup with high blood pressure is
to:
a. Save you number one high blood pressure from converting to secondary hypertension
b. Understand that the older grownup is much less possibly to stick to the drug remedy routine
than a younger grownup
c. Make sure that the patient gets larger preliminary doses of antihypertensive capsules
because of impaired absorption
d. Use careful technique in assessing the BP of the affected person because of the viable
presence of ab auscultatory gap - ANS-d. Use cautious approach in assessing the BP of the
patient because of the feasible presence of ab auscultatory gap
A patient has simply been identified with high blood pressure and has been started out on
captopril . Which data is maximum essential to include when coaching the patient about this
drug?
A. Include excessive-potassium foods such as bananas in the weight loss plan.
B. Increase fluid intake if dryness of the mouth is a hassle.
C. Change function slowly to help prevent dizziness and falls.
D. Check blood strain (BP) in each hands before taking the drug. - ANS-ANS: C
The angiotensin-changing enzyme (ACE) inhibitors often reason orthostatic hypotension, and
patients ought to gain knowledge of to alternate role slowly to permit the vascular machine time
to make amends for the placement alternate. Increasing fluid consumption may counteract the
effect of the drug, and the affected person is taught to apply gum or difficult candy to relieve dry
mouth. The BP ought to be taken within the nondominant arm through newly recognized
patients inside the morning, earlier than taking the drug, and within the nighttime. Because ACE
inhibitors reason potassium retention, expanded intake of high-potassium meals is irrelevant.
DIF: Cognitive Level: Apply (application)
