HTN NGN Case Study(Correct answers)
Hx and physical correct answers48 year old African American male was directly admitted from
his physician's office to the ICU after his BP was 210/114, and the client reported dizziness,
headache, and fatigue. The client takes antihypertensives but lost his insurance and was unable to
afford refills. He states his symptoms start3ed two days ago after his last dose of clonidine. Prior
to this episode, the client reported that his htn was well controlled with his medications. The
client has a medical history of HTN, hyperlipidemia, and overflow urinary incontinence. Current
medications include clonidine, hydrochloriothiazide, tamsulosin, and atorvastatin.
Nurses Note correct answersClient arrived at ICU oriented to room. The client is alert and
completely oriented. Glasgow Coma Scale 15. He reports dizziness that is worse when he moves.
Normal peripheral pulses were palpable. S1/S2 heart tones auscultated. 2+ lower extremity
edema. Clear lung sounds. Reports a generalized headache that was descried as throbbing and
rated as a 8 on a scale 0-10. Vital signs were obtained.
Vitals correct answersBP: 209/111
Temp: 98
Heart Rate: 90
RR: 17
O2 96
Select 4 findings from the nurses notes and vitals signs that require follow-up correct answers1.
BP
2. Dizziness
3. Generalized headache
4. Lower extremity edema
The nurse is concerned about the client's symptomatic hypertension. Which factor is most likely
causing this condition? correct answersNonadherance to medications
The nurse understands that this client is most likely experiencing? correct answersHTN crisis
Indicate which is indicated and which is not indicated....
1. Place patient in a supine position
2. Establish peripheral vascular access
3. Obtain a prescription for IV antihypertensives
4. Prepare the client for percutaneous coronary intervention
5. Monitor the BP every 5-15 minutes correct answers1. Not indicated
2. Indicated
3. Indicated
4. Not indicated
5. Indicated
Which orders are a priority? correct answers1. Initiate peripheral vascular device
Hx and physical correct answers48 year old African American male was directly admitted from
his physician's office to the ICU after his BP was 210/114, and the client reported dizziness,
headache, and fatigue. The client takes antihypertensives but lost his insurance and was unable to
afford refills. He states his symptoms start3ed two days ago after his last dose of clonidine. Prior
to this episode, the client reported that his htn was well controlled with his medications. The
client has a medical history of HTN, hyperlipidemia, and overflow urinary incontinence. Current
medications include clonidine, hydrochloriothiazide, tamsulosin, and atorvastatin.
Nurses Note correct answersClient arrived at ICU oriented to room. The client is alert and
completely oriented. Glasgow Coma Scale 15. He reports dizziness that is worse when he moves.
Normal peripheral pulses were palpable. S1/S2 heart tones auscultated. 2+ lower extremity
edema. Clear lung sounds. Reports a generalized headache that was descried as throbbing and
rated as a 8 on a scale 0-10. Vital signs were obtained.
Vitals correct answersBP: 209/111
Temp: 98
Heart Rate: 90
RR: 17
O2 96
Select 4 findings from the nurses notes and vitals signs that require follow-up correct answers1.
BP
2. Dizziness
3. Generalized headache
4. Lower extremity edema
The nurse is concerned about the client's symptomatic hypertension. Which factor is most likely
causing this condition? correct answersNonadherance to medications
The nurse understands that this client is most likely experiencing? correct answersHTN crisis
Indicate which is indicated and which is not indicated....
1. Place patient in a supine position
2. Establish peripheral vascular access
3. Obtain a prescription for IV antihypertensives
4. Prepare the client for percutaneous coronary intervention
5. Monitor the BP every 5-15 minutes correct answers1. Not indicated
2. Indicated
3. Indicated
4. Not indicated
5. Indicated
Which orders are a priority? correct answers1. Initiate peripheral vascular device
