Med Surg test questions
Health Education and
Promotion BEST RATED
SOLUTION FOR 2023/2024
normal blood pressure - correct answers--<120/<80 mmHg
,elevated blood pressure - correct answers--120-129/<80 mmHg
stage I HTN - correct answers--130-139/80-89
stage II HTN - correct answers-->=140/>=90 mmHg
modifiable risk factors - correct answers--contributors of a noncommunicable disease
that can be altered by changing one's behavior or environment
modifiable risk factors for HTN - correct answers---high sodium diet
-obesity
-sedentary lifestyle
-DM
-smoking
nonmodifiable risk factors - correct answers--nonchangeable or noncontrollable
nonmodifiable risk factors of HTN - correct answers---genetics
-family hx
-age
-race
secondary hypertension - correct answers--results from another disease or is the side
effect of medications, ex:
-renal disease!!!!
-obstructive sleep apnea!!!!
-endocrine disorders
-hormone therapy, steroids, !!!!immunosuppressants
consequences of uncontrolled HTN - correct answers--end organ damage! want to
prevent this from occurring!!!!!!!
-kidneys: renal damage (failure, proteinuria)!
-vasculature: peripheral vascular disease
-eyes: retinopathy
-brain: hemorrhage, stroke
-heart: LVH, CHD, CHF
Million Hearts Campaign - correct answers--Hypertension Control Change Package
(HCCP)
-used to improve HTN control
-how? ABCs
million hearts campaign ABCs - correct answers---Aspirin for high risk patients
-Blood pressure control
-Cholesterol management
, -Smoking cessation
Affordable Care Act and HTN - correct answers---annual wellness visits
-eRecords for improved monitoring
-no co-pay for preventative health services
treatment of HTN - correct answers---lifestyle changes: lose weight, eat fruits and
veggies, reduce salt intake (CDC and AHA recommends), become active, moderate
alcohol intake
-pharmacotherapy
reduced salt - correct answers--CDC reccommends no more than 2300mg/day
AHA ideally less than 1500mg/day
DASH diet - correct answers--Dietary Approaches to Stop Hypertension,
-high in grains, high in fruits, low in fats!!
increasing activity levels for HTN tx - correct answers--150min/week!!!!!!!!!!!!!!
-exercising 10 MINUTES at a time 3 TIMES A DAY, 5 DAYS A WEEK can help lower
BP
-or 30 minutes a day, 5 days a week
does lifestyle modification work? - correct answers--yes!!!!! can make a significant
difference in pt's BP
goals for individuals w HTN (important) - correct answers--<130/80!!!!!!!! (in the elevated
BP range)
-may be able to complete w lifestyle modifications alone
-but may also need medications
first-line treatments for HTN - correct answers--need to know
-thiazide-type diuretics
-calcium channel blockers
-angiotensin converting enzyme (ACE) inhibitors
-angiotensin receptor blockers (ARBs)
thiazide-type diuretics - correct answers--decrease sodium reabsorption which
increases fluid loss in urine, which in turn decreases extracellular fluid and plasma
volume, reducing cardiac output and lowering BP
-also cause potassium loss while retaining calcium.
-initial therapy for african americans
-not given if renal disease!!!!
calcium channel blockers - correct answers--inhibit the entry of calcium ions into heart
muscle cells, causing a slowing of the heart rate, a lessening of the demand for oxygen