Nursing5336 FNP Exam 1 2025/26 I!% I!% I!% I !%
Modifiable Risk Factors: CVDs & Stroke -- Above 115/75, what increase in mmHg I!% I!% I!% I!% I!% I!% I!% I!% I!% I!% I!% I!%
increases the risk of major CV and stroke events? By what chance does it increase SBP
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- 20 mmHg
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DBP - 10 mmHg I!% I!% I!% I!%
Doubles
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What percentage of patients have their BP under control? 52.5%
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Brainpower I!%
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What two demographics have the highest rates of uncontrolled BP? Black
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males
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Hispanic males
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Enhanced renal sodium reabsorption occurs in 57% of ____ compared with 27% in I!% I!% I!% I!% I!% I!% I!% I!% I!% I!% I!% I!%
other groups. African Americans
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In Terms of gender, what is the prevalence of HTN (hypertension)?
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Men - Greater up to age 45 I!% I!% I!% I!% I!% I!% I!%
Men & Women - Similar rate age 45-65 I!% I!% I!% I!% I!% I!% I!% I!%
Women - Greater after age 65
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DBP (diastolic blood pressure) is a _____ potent CV risk factor than SBP (systolic blood
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pressure) until age _____.
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More I!%
50
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After age 50, _____ blood pressure if more important than ____ blood pressure as it
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continues to rise.
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Systolic I!%
Diastolic
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A reduction of 2 mmHg give a ____% of reduction in stroke, a ____% of reduction in
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CHD, and a ___% of reductions in total mortality
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-6 I!%
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-3
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A reduction of 3 mmHg give a ____% of reduction in stroke, a ____% of reduction in
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CHD, and a ___% of reductions in total mortality
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-8 I!%
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-4
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, A reduction of 5 mmHg give a ____% of reduction in stroke, a ____% of reduction in
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CHD, and a ___% of reductions in total mortality
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-14 I!%
-9 I!%
-7
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Blood pressure is approximately ___% lower at night I!% I!% I!% I!% I!% I!% I!% I!%
15%
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Less than ___% of the population do not experience nocturnal BP dipping (lowering)
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10%
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A non-dipper have a higher risk of ___
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CVD and renal disease
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What intervention can be done to help restore the dip and achieve better BP control?
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Shifting BP medications to evening administration
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T/F: HTN (hypertension) is the most common problem in primary care True
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What can be the implications if HTN is not well managed?
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Morbidity and Mortality
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Farmington showed that the risk of heart failure was increased ____ for women with I!% I!% I!% I!% I!% I!% I!% I!% I!% I!% I!% I!% I!%
HTN.
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3 Times
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What should a patient avoid within 30 minutes of a BP reading?
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Tobacco I!%
Eating I!%
Caffeine I!%
Alcohol
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In a new patient, what should be done when measuring BP?
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Measure in both arms I!% I!% I!% I!%
Take subsequent BPs in higher arm
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How should a patient sit when BP is measured?
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Back supported
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Support arm passively at heart level for 5 minutes prior to taking BP I!% I!% I!% I!% I!% I!% I!% I!% I!% I!% I!% I!% I!%
Cuff should cover ___% of arm circumference
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80%
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Lower margin of cuff should be ___ above antecubital space I!% I!% I!% I!% I!% I!% I!% I!% I!% I!%
2.5 cm
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Middle of the cuff should be over the ___. I!% I!% I!% I!% I!% I!% I!% I!% I!%
Brachial artery
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How should a patient measure their BP when monitoring for HTN at home?
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Use standardized log to record I!% I!% I!% I!% I!%
2-3 measures in early AM and PM each day for 7 days
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What should the provider keep in mind when assessing the BP log of a patient?
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Ignore all day 1 measures and 1st reading of each set I!% I!% I!% I!% I!% I!% I!% I!% I!% I!% I!%