Hypertension Study Questions Assignment Essay

Hypertension Study Questions Assignment

The number of the question corresponds to the same-numbered
outcome at the beginning of the chapter.
1. Which BP-regulating mechanism(s) can result in the development
of hypertension if defective (select all that apply)?
a. Release of norepinephrine
b. Secretion of prostaglandins
c. Stimulation of the sympathetic nervous system
d. Stimulation of the parasympathetic nervous system
e. Activation of the renin-angiotensin-aldosterone system
2. While obtaining subjective assessment data from a patient with
hypertension, the nurse recognizes that a modifiable risk factor
for the development of hypertension is
a. a low-calcium diet.
b. excessive alcohol consumption.
c. a family history of hypertension.
d. consumption of a high-protein diet.
3. In teaching a patient with hypertension about controlling the condition, the nurse recognizes that
a. all patients with elevated BP require medication.
b. obese persons must achieve a normal weight to lower BP.
c. it is not necessary to limit salt in the diet if taking a diuretic.
d. lifestyle modifications are indicated for all persons with elevated BP.
4. A major consideration in the management of the older adult with
hypertension is to
a. prevent primary hypertension from converting to secondary
hypertension.
b. recognize that the older adult is less likely to adhere to the drug
therapy regimen than a younger adult.
c. ensure that the patient receives larger initial doses of antihypertensive drugs because of impaired absorption.
d. use careful technique in assessing the BP of the patient because
of the possible presence of an auscultatory gap

5. A patient with newly discovered high BP has an average reading of
158/98 mm Hg after 3 months of exercise and diet modifications.
Which management strategy will be a priority for this patient?
a. Medication will be required because the BP is still not at goal.
b. BP monitoring should continue for another 3 months to confirm
a diagnosis of hypertension.
c. Lifestyle changes are less important, since they were not effective, and medications will be started.
d. More vigorous changes in the patient’s lifestyle are needed for a
longer time before starting medications.
6. A patient is admitted to the hospital in hypertensive emergency (BP
244/142 mm Hg). Sodium nitroprusside is started to treat the elevated BP. Which management strategy(ies) would be appropriate
for this patient (select all that apply)?
a. Measuring hourly urine output
b. Decreasing the MAP by 50% within the first hour
c. Continuous BP monitoring with an intraarterial line
d. Maintaining bed rest and providing tranquilizers to lower
the BP
e. Assessing the patient for signs and symptoms of heart failure and
changes in mental status
For rationales to these answers and even more NCLEX review questions, visit http://evolve.elsevier.com/Lewis/medsurg.

Hypertension Study Questions Assignment Essay

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