NSG 123 Med-Surg Exam 3 Questions with 100% Correct Answers | Verified | Latest Update

NSG 123 Med-Surg Exam 3 Questions
with 100% Correct Answers | Verified |
Latest Update

Whatiisihypertension?i-iCorrectiAnswer-highibloodipressure


WhatiareiHTNiclinicalimanifestation?i-iCorrectiAnswer-
"Silentikiller"i(noiwarningioris/s)
Butiwhenitheyidoishowiit's:
1.iRetinaliChangesisuchiasihemorrhagesi
Exudatesi(fluidiaccumulation)
i


Cottoniwoolispotsi(smalliinfarction)
Papilledemai(swellingiofitheiopticidisciinisevereiHTN)
i


2.iCoronaryiarteryidiseaseiwithianginaiandimyocardialiinfractioni
3.iLVH
4.iCerebralivascularidisease


WhatiareitheistagesiofiHTN?i-iCorrectiAnswer-Normal:i<120i&i<80
Prehypertension:i120-129i&i<80
Stagei1:i130-139i&i80-89
Stagei2:i140-159i&i90-99
HTNiCRISIS:igreaterioriequalitoi180iandigreaterioriequalitoi120idiastole.

,NursingiInterventioniforiNormaliB/Pi-iCorrectiAnswer-
AfterihavingitheiBPimeasureditoiscreeniforihypertension,iaipatientinotip
reviouslyidiagnosediwithihypertensioniandiwithiainormaliBPi(i.e.,iSBPile
ssithani120immiHgiandiDBPilessithani80immiHg)icanibeiadviseditoihaveit
heiBPireevaluatediini1iyear.


PrehypertensioniNursingiInterventioni-iCorrectiAnswer-
AipatientiwithoutiaiprioridiagnosisiofihypertensioniwithianielevatediBPi(
i.e.,iSBPi120itoi129immiHgiandiDBPilessithani80immiHg)ishouldibeiadvise
ditoifollowiupiwithiadditionaliBPireadingsiwithini3itoi6imonths.


HypertensioniNursingiInterventioni-iCorrectiAnswer-
AipatientiwithiaiBPithaticouldibeiconsistentiwithihypertension;ithatiis,iw
ithianiSBPigreaterithanioriequalitoi130immiHgioriaiDBPigreaterithaniorieq
ualitoi80immiHgishouldifollow-
upiwithiadditionaliBPireadingsiwithini1imonth'sitimeitoieithericonfirmior
iruleioutitheidiagnosis




WhatiB/Pimeasurementsiareiuseditoiaccuratelyidiagnoseisomeoneiwithi
HTN?iAndiwhy?i-iCorrectiAnswer-
HomeiBloodiPressureiMeasurementsi(HBPM)
AmbulatoryiBloodiPressureiMeasurementsi(ABPM)i
Becauseiofimaskedihypertensioniandiwhiteicoatihypertension.

, WhatipatientsishouldinotitoibeiinstructeditoiaifollowiupiB/Pimeasureme
nts?i-iCorrectiAnswer-
PatientsinotiinstructeditoifollowiupiwithiadditionaliBPireadingsitoiconfir
miaidiagnosisiofihypertensioniareipatientsiwithiaverageiBPireadingsigre
aterithanioriequalitoi160/100immiHgionioneioccasion;itheseipatientsiarei
diagnosediwithihypertensioniandibeginitreatmentiwithiantihypertensiv
eimedications


SleepiapneaiandiHypertensioni-iCorrectiAnswer-
Havingiobstructiveisleepiapneaiincreasesiyouririskiofihighibloodipressur
ei(hypertension).iObstructiveisleepiapneaimightialsoiincreaseiyouririskio
firecurrentiheartiattack,istrokeiandiabnormaliheartbeats,isuchiasiatrialifi
brillation.i(Googleisearched)


Primaryihypertensioni-iCorrectiAnswer-
Highibloodipressure,itheicauseiofiwhichiisiunknown;ialsoiknowniasiesse
ntialihypertension


Secondaryihypertensioni-iCorrectiAnswer-
highibloodipressureicausedibyitheieffectsiofianotheridisease


PrimaryihypertensioniNursingiManagementi-iCorrectiAnswer-
combinationiofilifestyleichanges:iweightilossiinioverweightipersons;iincr
easediphysicaliactivity;imoderationiofialcoholiintake;iandiconsumptioni
ofiaidietithatiisihigheriinifruits,ivegetables,iandilow-
fatidairyiproductsiandiloweriinisodiumicontentioritheiDASHidiet.