iHuman hypertension case EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

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Exam Solution uy




Ch. 32 Hypertension 2026 A+ GRADE ASSURED COMPLE
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TE SOLUTIONS AND VERIFIED ANSWERS (84E71)
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QUESTION 1 uy




A female patient with chronic hypertension is admitted to the emergency department w
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ith a sudden rise in BP. Which question is the priority for the nurse to ask the patient?
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ANSWER

A) "Do you have a headache or confusion?"
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QUESTION 2 uy




A patient is given an α1-
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adrenergic agonist and experiences a reflex bradycardia. What normal mechanism of BP
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control is stimulated in this situation?
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ANSWER

The vasoconstriction caused by the α1-
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adrenergic agent raises the BP, stimulating the baroreceptors. The baroreceptors send impulses to the
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sympathetic vasomotor center in the brainstem, which inhibits the sympathetic nervous system, resulti
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ng in a decreased heart rate (HR), decreased force of contraction, and vasodilation.
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QUESTION 3 uy




A patient uses a mixed β-
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adrenergic blocking drug for treatment of migraine headaches. What effect may this dru
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g have on BP and why?
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ANSWER

The drug will lower BP because of decreased stroke volume and decreased HR, both of which decrease
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CO.
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QUESTION 4 uy

, What are nonmodifiable risk factors for primary hypertension (select all that apply)?
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a. Age uy



b. Obesity
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c. Genderuy



d. Ethnicity
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e. Genetic link
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ANSWER

a. Age
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c. Gender
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d. Ethnicity
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e. Genetic link Hypertension progresses with increasing age. It is more prevalent in men before early
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middle age and above the age of 64 years in women. Blacks have a higher incidence of hypertension th
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an do whites. Children and siblings of patients with hypertension should be screened and taught about
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healthy lifestyles.
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QUESTION 5 uy




What early manifestation(s) is the patient with primary hypertension likely to report?
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a. No symptoms
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b. Cardiac palpitations
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c. Dyspnea on exertion
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d. Dizziness and vertigo
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ANSWER

a. No symptoms Hypertension is often asymptomatic, especially if it is mild or moderate, and has been
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called the "silent killer." The absence of symptoms often leads to noncompliance with medical treatme
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nt and a lack of concern about the disease in patients. With severe hypertension, symptoms may includ
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e fatigue, palpitations, angina, dyspnea, and dizziness.
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QUESTION 6 uy




What causes most organ damage in hypertension?
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a. Increased fluid pressure exerted against organ tissue
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b. Atherosclerotic changes in vessels that supply the organs
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c. Erosion and thinning of blood vessels in organs from constant pressure
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d. Increased hydrostatic pressure causing leakage of plasma into organ interstitial spac
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es
ANSWER

b. Atherosclerotic changes in vessels that supply the organs Elevated BP causes endothelial damage, w
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hich causes the inner lining of arterioles to become thickened and stiffened and affects coronary circul
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ation, cerebral circulation, peripheral vessels, and renal and retinal blood vessels. The narrowed vessel
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s lead to ischemia and ultimately to damage of these organs.
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