NUR 2502 Final Exam MDC 3 Final Exam – Cardiovascular and Hematology/A+ GRADE

NUR 2502 Final Exam MDC 3 Final Exam – Cardiovascular and Hematology/A+ GRADENUR 2502 Final Exam MDC 3 Final Exam – Cardiovascular and Hematology/A+ GRADE 1. A client with newly diagnosed hypertension asks what to do to decrease the risk for related cardiovascular problems. Which risk factor is not modifiable by the client? a.Age b.Obesity c.Inactivity d.Dyslipidemia: Ans- a.Age 2. A client with newly diagnosed hypertension asks how to decrease the risk for related cardiovascular problems. What risk factor is modifiable by the client? a. Age b. Impaired renal function c. Family history 1 / 36 d. Dyslipidemia: Ans- d. Dyslipidemia 3. Which of the following client scenarios would be correct for the nurse to identify as a client with secondary hypertension? a.A client experiencing depression b.A client diagnosed with kidney disease c.A client of advanced age d.A client with excessive alcohol intake: Ans- b.A client diagnosed with kidney disease 4. A client is brought to the emergency department with reports of a bad headache and an increase in blood pressure. The blood pressure reading obtained by the nurse is 260/180 mm Hg. What is the therapeutic goal for reduction of the mean blood pressure? a. Reduce the blood pressure by 20% to 25% within the first hour of treatment. b.Reduce the blood pressure to about 140/80 mm Hg. 2 / 36 c. Rapidly reduce the blood pressure so the client will not suffer a stroke. d. Reduce the blood pressure by 50% within the first hour of treatment.: Ans- a. Re- duce the blood pressure by 20% to 25% within the first hour of treatment. 5. An older adult client has newly diagnosed stage 2 hypertension. The health care provider has prescribed Chlorothiazide and Benazepril. What will the nurse monitor this client for? a. Postural hypertension and resulting injury b.Rebound hypertension c. Sexual dysfunction d. Postural hypotension and resulting injury: d.Postural hypotension and result- ing injury 6. The nurse is planning the care of a patient admitted to the hospital with hypertension. What objective will help to meet the needs of this patient? a. Lowering and controlling the blood pressure without adverse effects and without undue cost b. Making sure that the patient adheres to the therapeutic medication regimen c.Instructing the patient to enter a weight loss program and begin an exercise regimen d.Scheduling the patient for all follow-up visits and making phone calls to the home to ensure adherence: a.Lowering and controlling the blood pressure without adverse effects and without undue cost 7. Which describes a situation in which blood pressure is severely elevated and there is evidence of actual or probable target organ damage? a.Hypertensive emergency b. Hypertensive urgency c. Primary hypertension d. Secondary hypertension: a.Hypertensive emergency 8. The nurse is administering medications on a medical-surgical unit. A client is ordered to receive 40 mg oral nadolol for the treatment of hypertension. Before administering the medication, the nurse should the client's heart rate. the client's serum K+ level. the client's urine output. the client.: the client's heart rate. 9. Which diagnostic method is recommended to determine whether left ven- tricular hypertrophy has occurred? a. Echocardiography b.Electrocardiography c. Blood chemistry d. Blood urea nitrogen: a.Echocardiography 10. A nurse is educating about lifestyle modifications for a group of clients with newly diagnosed hypertension. While discussing dietary changes, which point would the nurse emphasize? a. It takes 2 to 3 months for the taste buds to adapt to decreased salt intake. b. The taste buds never adapt to decreased salt intake. c. There is usually no need to change alcohol consumption for clients with hypertension. d. A person with hypertension should never consume alcohol.: a.It takes 2 to 3 months for the taste buds to adapt to decreased salt intake. 11. A client is admitted to the intensive care unit (ICU) with a diagnosis of hy- pertension emergency/crisis. The client's blood pressure (BP) is 200/130 mm Hg. The nurse is preparing to administer IV nitroprusside. Upon assessment, which finding requires immediate intervention by the nurse?