Chapter 36: Hypertension
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. An 87-year-old patient is taking furosemide (Lasix) for elevated blood pressure: What
should the nurse know that older patients are at risk for?
a. Falls
b. Hypokalemia
c. Reflex tachycardia
d. Neutropenia
ANS: B
Older adults are at greater risk for side effects, especially hypokalemia:
DIF: Cognitive Level: Comprehension REF: p: 684 OBJ: 4
TOP: Drug Therapy in Hypertension KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
2. A nurse is providing patient education regarding a low-sodium diet: In addition to the use
of spices, what should the nurse recommend to help decrease sodium in the diet?
a. Catsup
b. Garlic
c. Soy sauce
d. Cheese
ANS: B
Spices, garlic, and onions are good substitutes for sodium as flavorings: Catsup, soy
sauce, and cheese all have large amounts of sodium:
DIF: Cognitive Level: Comprehension REF: p: 688 OBJ: 4
TOP: Sodium-Free Seasoning KEY: Nursing Process Step:
Implementation
, MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
3. Which lifestyle change has the greatest effect on reducing hypertension?
a. Sodium restriction
b. Reduction in alcohol consumption
c. Daily aerobic exercise
d. Weight reduction
ANS: D
Weight reduction has the greatest effect on reducing hypertension:
DIF: Cognitive Level: Comprehension REF: p: 681 OBJ: 3
TOP: Blood Pressure Screening KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
4. A nurse is educating a group of patients regarding Dietary Approaches to Stop
Hypertension (DASH) diet: What recommendation should the nurse include as a source
of protein and fat?
a. Lean red meat
b. Whole grains
c. Low fiber
d. Sugar
ANS: B
The DASH diet uses whole grains as a source of protein and fat:
DIF: Cognitive Level: Comprehension REF: p: 687 OBJ: 6
TOP: DASH Diet KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
5. Which antihypertensive medication is contraindicated in patients who have chronic
obstructive pulmonary disease (COPD) and asthma?
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. An 87-year-old patient is taking furosemide (Lasix) for elevated blood pressure: What
should the nurse know that older patients are at risk for?
a. Falls
b. Hypokalemia
c. Reflex tachycardia
d. Neutropenia
ANS: B
Older adults are at greater risk for side effects, especially hypokalemia:
DIF: Cognitive Level: Comprehension REF: p: 684 OBJ: 4
TOP: Drug Therapy in Hypertension KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
2. A nurse is providing patient education regarding a low-sodium diet: In addition to the use
of spices, what should the nurse recommend to help decrease sodium in the diet?
a. Catsup
b. Garlic
c. Soy sauce
d. Cheese
ANS: B
Spices, garlic, and onions are good substitutes for sodium as flavorings: Catsup, soy
sauce, and cheese all have large amounts of sodium:
DIF: Cognitive Level: Comprehension REF: p: 688 OBJ: 4
TOP: Sodium-Free Seasoning KEY: Nursing Process Step:
Implementation
, MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
3. Which lifestyle change has the greatest effect on reducing hypertension?
a. Sodium restriction
b. Reduction in alcohol consumption
c. Daily aerobic exercise
d. Weight reduction
ANS: D
Weight reduction has the greatest effect on reducing hypertension:
DIF: Cognitive Level: Comprehension REF: p: 681 OBJ: 3
TOP: Blood Pressure Screening KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
4. A nurse is educating a group of patients regarding Dietary Approaches to Stop
Hypertension (DASH) diet: What recommendation should the nurse include as a source
of protein and fat?
a. Lean red meat
b. Whole grains
c. Low fiber
d. Sugar
ANS: B
The DASH diet uses whole grains as a source of protein and fat:
DIF: Cognitive Level: Comprehension REF: p: 687 OBJ: 6
TOP: DASH Diet KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
5. Which antihypertensive medication is contraindicated in patients who have chronic
obstructive pulmonary disease (COPD) and asthma?
