NSG 123 Med-Surg Exam 3 Questions and Answers 100%
Solved | Latest Update 2024
What is hypertension? - ✔✔high blood pressure
What are HTN clinical manifestations? - ✔✔"Silent killer" (no warning or s/s)
But when they do show it's:
1. Retinal Changes such as hemorrhages
Exudates (fluid accumulation)
Cotton wool spots (small infarction)
Papilledema (swelling of the optic disc in severe HTN)
2. Coronary artery disease with angina and myocardial infraction
3. LVH
4. Cerebral vascular disease
What are the stages of HTN? - ✔✔Normal: <120 & <80
Prehypertension: 120-129 & <80
Stage 1: 130-139 & 80-89
Stage 2: 140-159 & 90-99
HTN CRISIS: greater or equal to 180 and greater or equal to 120 diastole.
Nursing Intervention for Normal B/P - ✔✔After having the BP measured to screen for
hypertension, a patient not previously diagnosed with hypertension and with a normal
BP (i.e., SBP less than 120 mm Hg and DBP less than 80 mm Hg) can be advised to
have the BP reevaluated in 1 year.
Prehypertension Nursing Intervention - ✔✔A patient without a prior diagnosis of
hypertension with an elevated BP (i.e., SBP 120 to 129 mm Hg and DBP less than 80
mm Hg) should be advised to follow up with additional BP readings within 3 to 6
months.
Hypertension Nursing Intervention - ✔✔A patient with a BP that could be consistent with
hypertension; that is, with an SBP greater than or equal to 130 mm Hg or a DBP greater
, than or equal to 80 mm Hg should follow-up with additional BP readings within 1
month's time to either confirm or rule out the diagnosis
What B/P measurements are used to accurately diagnose someone with HTN? And
why? - ✔✔Home Blood Pressure Measurements (HBPM)
Ambulatory Blood Pressure Measurements (ABPM)
Because of masked hypertension and white coat hypertension.
What patients should not to be instructed to a follow up B/P measurements? -
✔✔Patients not instructed to follow up with additional BP readings to confirm a
diagnosis of hypertension are patients with average BP readings greater than or equal
to 160/100 mm Hg on one occasion; these patients are diagnosed with hypertension
and begin treatment with antihypertensive medications
Sleep apnea and Hypertension - ✔✔Having obstructive sleep apnea increases your risk
of high blood pressure (hypertension). Obstructive sleep apnea might also increase
your risk of recurrent heart attack, stroke and abnormal heartbeats, such as atrial
fibrillation. (Google searched)
Primary hypertension - ✔✔High blood pressure, the cause of which is unknown; also
known as essential hypertension
Secondary hypertension - ✔✔high blood pressure caused by the effects of another
disease
Primary hypertension Nursing Management - ✔✔combination of lifestyle changes:
weight loss in overweight persons; increased physical activity; moderation of alcohol
intake; and consumption of a diet that is higher in fruits, vegetables, and low-fat dairy
products and lower in sodium content or the DASH diet.
Secondary Hypertension Nursing intervention - ✔✔Patients suspected to have
secondary hypertension must be accurately screened and the disorder that caused the
high blood pressure must be properly treated in order to bring the patient's blood
pressure into normal parameters
Discuss what is Target Organ damage (TOD) and how you assess a pt with suspected
TOD - ✔✔Target organ damage is the consequences of hypertension. Long term
exposure to HTN that leads to different organs in your body becoming damaged
Solved | Latest Update 2024
What is hypertension? - ✔✔high blood pressure
What are HTN clinical manifestations? - ✔✔"Silent killer" (no warning or s/s)
But when they do show it's:
1. Retinal Changes such as hemorrhages
Exudates (fluid accumulation)
Cotton wool spots (small infarction)
Papilledema (swelling of the optic disc in severe HTN)
2. Coronary artery disease with angina and myocardial infraction
3. LVH
4. Cerebral vascular disease
What are the stages of HTN? - ✔✔Normal: <120 & <80
Prehypertension: 120-129 & <80
Stage 1: 130-139 & 80-89
Stage 2: 140-159 & 90-99
HTN CRISIS: greater or equal to 180 and greater or equal to 120 diastole.
Nursing Intervention for Normal B/P - ✔✔After having the BP measured to screen for
hypertension, a patient not previously diagnosed with hypertension and with a normal
BP (i.e., SBP less than 120 mm Hg and DBP less than 80 mm Hg) can be advised to
have the BP reevaluated in 1 year.
Prehypertension Nursing Intervention - ✔✔A patient without a prior diagnosis of
hypertension with an elevated BP (i.e., SBP 120 to 129 mm Hg and DBP less than 80
mm Hg) should be advised to follow up with additional BP readings within 3 to 6
months.
Hypertension Nursing Intervention - ✔✔A patient with a BP that could be consistent with
hypertension; that is, with an SBP greater than or equal to 130 mm Hg or a DBP greater
, than or equal to 80 mm Hg should follow-up with additional BP readings within 1
month's time to either confirm or rule out the diagnosis
What B/P measurements are used to accurately diagnose someone with HTN? And
why? - ✔✔Home Blood Pressure Measurements (HBPM)
Ambulatory Blood Pressure Measurements (ABPM)
Because of masked hypertension and white coat hypertension.
What patients should not to be instructed to a follow up B/P measurements? -
✔✔Patients not instructed to follow up with additional BP readings to confirm a
diagnosis of hypertension are patients with average BP readings greater than or equal
to 160/100 mm Hg on one occasion; these patients are diagnosed with hypertension
and begin treatment with antihypertensive medications
Sleep apnea and Hypertension - ✔✔Having obstructive sleep apnea increases your risk
of high blood pressure (hypertension). Obstructive sleep apnea might also increase
your risk of recurrent heart attack, stroke and abnormal heartbeats, such as atrial
fibrillation. (Google searched)
Primary hypertension - ✔✔High blood pressure, the cause of which is unknown; also
known as essential hypertension
Secondary hypertension - ✔✔high blood pressure caused by the effects of another
disease
Primary hypertension Nursing Management - ✔✔combination of lifestyle changes:
weight loss in overweight persons; increased physical activity; moderation of alcohol
intake; and consumption of a diet that is higher in fruits, vegetables, and low-fat dairy
products and lower in sodium content or the DASH diet.
Secondary Hypertension Nursing intervention - ✔✔Patients suspected to have
secondary hypertension must be accurately screened and the disorder that caused the
high blood pressure must be properly treated in order to bring the patient's blood
pressure into normal parameters
Discuss what is Target Organ damage (TOD) and how you assess a pt with suspected
TOD - ✔✔Target organ damage is the consequences of hypertension. Long term
exposure to HTN that leads to different organs in your body becoming damaged
