Lewis - MedSurg Ch. 33 Hypertension NCLEX
st st st st st st
Thestnursestteachesstastpatientstwithsthypertensionstthatstuncontrolledsthyperte
nsionstmaystdamagestorgansstinstthestbodystprimarilystbystwhichstmechanism?
A.stHypertensionstpromotesstatherosclerosisstandstdamagesttostthestwallsstofstth
estarteries.st
B.stHypertensionstcausesstdirectstpressurestonstorgans,stresultingstinstnecrosisst
andstreplacementstofstcellsstwithstscarsttissue.st
C.stHypertensionstcausesstthickeningstofstthestcapillarystmembranes,stleadingst
tosthypoxiastofstorganstsystems.st
D.stHypertensionstincreasesstbloodstviscosity,stwhichstcontributessttostintrava
scularstcoagulationstandsttissuestnecrosisstdistalsttostocclusions.st-
stcorrectstanswer✔ ✔
A.stHypertensionstpromotesstatherosclerosisstandstdamagesttostthestwallsstofst
thestarteries.st
Hypertensionstisstastmajorstriskstfactorstforstthestdevelopmentstofstatheroscleros
isstbystmechanismsstnotstyetstfullystknown.stHowever,stoncestatherosclerosisstd
evelops,stitstdamagesstthestwallsstofstarteriesstandstreducesstcirculationsttosttarge
tstorgansstandsttissues.
Whenstteachingstastpatientstaboutstdietarystmanagementstofststagest1sthypertens
ion,stwhichstinstructionstisstmoststappropriate?
, A.stRestrictstallstcaffeine.st
B.stRestrictstsodiumstintake.st
C.stIncreasestproteinstintake.st
D.stUsestcalciumstsupplements.st-stcorrectstanswer✔ ✔
B.stRestrictstsodiumstintake.st
Thestpatientstshouldstdecreasestintakestofstsodium.stThisstwillsthelpsttostcontrolst
hypertension,stwhichstcanstbestaggravatedstbystexcessivestsaltstintake,stwhichsti
nstturnstleadssttostfluidstretention.stCaffeinestandstproteinstintakestdostnotstaffectst
hypertension.stCalciumstsupplementsstarestnotstrecommendedsttostlowerstBP.
Instcaringstforstastpatientstadmittedstwithstpoorlystcontrolledsthypertension,stwh
ichstlaboratorystteststresultstshouldstthestnursestunderstandstasstindicatingstthestp
resencestofsttargetstorganstdamage?
A.stBUNstofst15stmg/dLst
B.stSerumsturicstacidstofst3.8stmg/dLst
C.stSerumstcreatininestofst2.6stmg/dLst
D.stSerumstpotassiumstofst3.5stmEq/Lst-stcorrectstanswer✔ ✔
C.stSerumstcreatininestofst2.6stmg/dLst
limits.
st st st st st st
Thestnursestteachesstastpatientstwithsthypertensionstthatstuncontrolledsthyperte
nsionstmaystdamagestorgansstinstthestbodystprimarilystbystwhichstmechanism?
A.stHypertensionstpromotesstatherosclerosisstandstdamagesttostthestwallsstofstth
estarteries.st
B.stHypertensionstcausesstdirectstpressurestonstorgans,stresultingstinstnecrosisst
andstreplacementstofstcellsstwithstscarsttissue.st
C.stHypertensionstcausesstthickeningstofstthestcapillarystmembranes,stleadingst
tosthypoxiastofstorganstsystems.st
D.stHypertensionstincreasesstbloodstviscosity,stwhichstcontributessttostintrava
scularstcoagulationstandsttissuestnecrosisstdistalsttostocclusions.st-
stcorrectstanswer✔ ✔
A.stHypertensionstpromotesstatherosclerosisstandstdamagesttostthestwallsstofst
thestarteries.st
Hypertensionstisstastmajorstriskstfactorstforstthestdevelopmentstofstatheroscleros
isstbystmechanismsstnotstyetstfullystknown.stHowever,stoncestatherosclerosisstd
evelops,stitstdamagesstthestwallsstofstarteriesstandstreducesstcirculationsttosttarge
tstorgansstandsttissues.
Whenstteachingstastpatientstaboutstdietarystmanagementstofststagest1sthypertens
ion,stwhichstinstructionstisstmoststappropriate?
, A.stRestrictstallstcaffeine.st
B.stRestrictstsodiumstintake.st
C.stIncreasestproteinstintake.st
D.stUsestcalciumstsupplements.st-stcorrectstanswer✔ ✔
B.stRestrictstsodiumstintake.st
Thestpatientstshouldstdecreasestintakestofstsodium.stThisstwillsthelpsttostcontrolst
hypertension,stwhichstcanstbestaggravatedstbystexcessivestsaltstintake,stwhichsti
nstturnstleadssttostfluidstretention.stCaffeinestandstproteinstintakestdostnotstaffectst
hypertension.stCalciumstsupplementsstarestnotstrecommendedsttostlowerstBP.
Instcaringstforstastpatientstadmittedstwithstpoorlystcontrolledsthypertension,stwh
ichstlaboratorystteststresultstshouldstthestnursestunderstandstasstindicatingstthestp
resencestofsttargetstorganstdamage?
A.stBUNstofst15stmg/dLst
B.stSerumsturicstacidstofst3.8stmg/dLst
C.stSerumstcreatininestofst2.6stmg/dLst
D.stSerumstpotassiumstofst3.5stmEq/Lst-stcorrectstanswer✔ ✔
C.stSerumstcreatininestofst2.6stmg/dLst
limits.
