NURS460 Chapter - Hypertension

Exam Study Guide

Target blood pressure - Answer 140/90 or lower, 130/80 or lower, 120/70 or lower,

145/95 or lower

Monitoring blood pressure at home - Answer Forearm well supported above heart level,

sit quietly for 5 minutes prior

24-hour urine - Answer Determines if hypertension is related to dysfunction of adrenal,

thyroid, pituitary, or thymus gland

Minimizing orthostatic hypotension - Answer Avoid alcohol and straining at stool, eat

low-protein snack at night, wear elastic stockings, change positions slowly

Safety precaution for elderly client with hypertension - Answer Changing positions

slowly to avoid hypotension

Elevation of systolic BP in older clients - Answer Loss of arterial elasticity

Secondary hypertension - Answer Hypertension caused by kidney disease

Hypertension called the 'silent killer' - Answer Hypertension often causes no symptoms

Accurate measurement of blood pressure - Answer Cuff that is too small gives false low

blood pressure, cuff that is too large gives false high blood pressure

Complication of chronic hypertension - Answer Stroke

Client education on antihypertensive medication - Answer Avoid over-the-counter cold

and sinus medications, do not discontinue medication once blood pressure is normal

Type of hypertension in healthy, well-nourished young adult - Answer Essential

(primary) hypertension

Objective for hypertension patient care - Answer Lower and control blood pressure

without adverse effects and undue cost

Question to ask client taking three hypertension medications - Answer Are you still

taking the medication

Difference between hypertensive urgency and hypertensive emergency - Answer

Hypertensive emergencies are associated with evidence of target organ damage

Relieving emotional stress for clients with hypertension - Answer Decreases the

production of neurotransmitters that constrict peripheral arterioles

Monitoring laboratory studies for hypertension medications - Answer Potassium level