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The patient has a history of HTN, their chart shows a baseline of 140/80. Their BP
reading today is 142/80, and they are currently taking hydrochlorothiazide and
captopril. What does the nurse expect the provider to do?
a. increase the dose
b. add an additional anti-hypertensive
c. maintain current regimen
d. replace with an ARB - 🧠 ANSWER ✔✔c. maintain current regimen
For HTN, the goal for treatment is to get the patient to their baseline BP reading.
Your 70 year old patient presents to the clinic for an annual wellness exam. They
complain of frequent headaches, originating in the back of their head. Their BP
reading at their last visit was 150/70 and today it is 148/70. What type of HTN is
,this? What stage? Is treatment necessary? - 🧠 ANSWER ✔✔Isolated systolic HTN
is often seen in the geriatric population (>60 years old) where we see an elevated
systolic pressure over a normal diastolic pressure.
A reading of 150/70 is stage 2 HTN.
Yes we will treat.
1. Lifestyle modifications
2. Thiazides, ACE-I, ARBs, CCBs
3. Beta blockers
Which of the patients below are at the highest risk for HTN?
a. 45 year old male, African American with sleep apnea
b. 45 year old female, African American with sleep apnea
c. 70 year old male, Caucasian, no significant medical hx
d. 35 year old female with a BMI of 40 - 🧠 ANSWER ✔✔a. 45 year old African
American male with sleep apnea
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,Men are at a greater risk (compared to women) for HTN when under 65 years old.
This answer also includes the additional risk factors, African American and sleep
apnea.
The patient has a BMI of 35, smokes cigarettes and lives a sedentary lifestyle.
Their average BP reading is 124/74. They report general wellness and deny any
symptoms. What does the nurse expect for treatment?
a. bumex
b. losartan
c. lifestyle modifications
d. lasix - 🧠 ANSWER ✔✔c. lifestyle modifications
The patient has an elevated BP reading at 124/74 and reports general wellness. We
should first try lifestyle modifications such as 90-150 aerobic exercise, lose weight,
DASH diet, <2gm of sodium/day.
The patient presents to the clinic with two repeat readings of 160/110. Lifestyle
modifications have already been implemented. What does the nurse expect the
provider to order?
a. lifestyle modifications
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, b. lasix
c. metoprolol
d. valsartan - 🧠 ANSWER ✔✔d. valsartan
Since the patient has stage 2 HTN, the nurse should expect the provider to order
first-line HTN treatment meds - thiazide diuretics (NOT LOOP), ACE-I, ARBs,
CCBs.
The echocardiogram shows hypertrophy of the left ventricle with an EF of 60%.
The patient has an O2 saturation of 78% and the nurse hears crackles on
auscultation.
What should the nurse expect the cardiac output to be?
a. 7L
b. 3L
c. 5L
d. 6L - 🧠 ANSWER ✔✔3L
We expect decreased cardiac output in heart failure, normal CO is 5-7L.
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