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Cardiovascular Nursing Recent Questions with
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Quiz: Blood pressures that indicate hypertension
Ans: Systolic pressure +140 mmHg
Diastolic pressure +90 mmHg
Quiz: What is called the "silent killer?"
Ans: Hypertension
Quiz: Percentage of people with "essential hypertension"?
Ans: 90%
Quiz: Types of hypertension
Ans: Essential HTN: no known cause
Secondary HTN: medical causes
Quiz: Percentage of people with secondary hypertension?
Ans: 10%
Quiz: What is considered to be the cornerstone for treatment of
hypertension?
Ans: Medications
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,Quiz: Changes in B/P that occur with age include:
Ans: - Atherosclerosis
- Decrease in the elasticity of vascular wall smooth muscle of major blood
vessels
Quiz: Define: stiffening of arteries
Ans: Decrease in the elasticity of vascular wall smooth muscle of major
blood vessels which decreases the ability of arterial system to expand and
contract.
Change that occurs with age.
Quiz: Clinical manifestations of hypertension
Ans: - usually just shows high BP
- retinal hemorrhages
- retinal exudates
- narrowed arterioles in the eye
- severe cases: papilledema
Quiz: Define: papilledema
Ans: Edema of the optic disc
Quiz: What happens when B/P remains high:
Ans: - Coronary artery disease (angina)
- Left ventricular hypertrophy
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,- Strokes & TIAs
- Pathologic kidney changes
Quiz: Percentage of strokes and TIAs caused by HTN:
Ans: 80%
Quiz: Pathologic kidney changes associated with high BP:
Ans: Nocturia: frequent urination at night
Azotemia: elevated BUN and creatinine
Quiz: Management of HTN - maintain B/P at what level?
Ans: Below 140/90
Quiz: Non-pharmacological management of HTN includes:
Ans: - weight reduction
- restriction of alcohol and tobacco
- exercise
- relaxation
Quiz: Nursing assessment for patient with HTN:
Ans: - Monitor B/P at frequent intervals, then at scheduled routine intervals.
- If starting an anti-hypertensive medication or changing dosage, take B/P
before and 45 minutes after giving medication.
- Document rate and character of radial and peripheral pulses, may be
bounding with high B/P.
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, Quiz: After administering medication for BP, when should you
reassess BP?
Ans: 45-minutes after administration
Quiz: In taking a history of the patient with HTN, include hx of:
Ans: - nosebleeds - especially bilateral
- anginal pain
- shortness of breath
- alteration in vision
- headaches
- nocturia
Quiz: Patient education for HTN includes:
Ans: - Anti-hypertensive medication - need to check BP
- Dietary restrictions of sodium and fat
- Weight control
- Lifestyle changes - eliminating ETOH, caffeine, smokes
- Exercise program
- Follow-up visits at regular intervals*** VERY IMPT
- Offer info on hypertensive clinics/support groups
Quiz: What is considered to be the biggest problem with patients
with HTN?
Ans: COMPLIANCE
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