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Ch 31 Brunner and Suddarth Medical Surgical NursingP
h h h h h h h h
ractice Questions h
Med Surg 2 (Marymount University)
h h h h
StuDocuhishnothsponsoredhorhendorsedhbyhanyhcollegehorhuniversity
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BRUNNERhANDhSUDDARTHShTEXTBOOKhOFhMEDICAL SU RGICALhNURSINGh14THhEDITIONhHINKLEhTES
ThBANK
TesthBankh-hBrunnerh&hSuddarth'shTextbookhofhMedical-SurgicalhNursingh14eh(Hinkleh2017) 602
Chapter 31: Assessment and Management of Patients With Hypertension
h h h h h h h h
1. Anholderhadulthishnewlyhdiagnosedhwithhprimaryhhypertensionhandhhashjusthbeenhstartedhonhahbeta-
blocker.hThehnurseshhealthheducationhshouldhincludehwhichhofhthehfollowing?
A) Increasinghfluidshtohavoidhextracellularhvolumehdepletionhfromhthehdiureticheffecthofhthehbeta-
hblocker
B) Maintaininghahdiethhighhinhdairyhtohincreasehproteinhnecessaryhtohpreventhorganhdamage
C) Usehofhstrategieshtohpreventhfallshstemminghfromhposturalhhypotension
D) Limitinghexercisehtohavoidhinjuryhthathcanhbehcausedhbyhincreasedhintracranialhpressureh
Ans: C
Feedback:
Elderlyhpeoplehhavehimpairedhcardiovascularhreflexeshandharehmorehsensitivehtohposturalhhypotension.h
Thehnursehteacheshpatientshtohchangehpositionshslowlyhwhenhmovinghfromhlyinghorhsittinghpositionshtohahs
tandinghposition,handhcounselshelderlyhpatientshtohusehsupportivehdeviceshashnecessaryhtohpreventhfallshtha
thcouldhresulthfromhdizziness.hLifestylehchanges,hsuchhashregularhphysicalhactivity/exercise,handhahdiethrichh
inhfruits,hvegetables,handhlow-
fathdairyhproducts,hishstronglyhrecommended.hIncreasinghfluidshinhelderlyhpatientshmayhbehcontraindicat
edhduehtohcardiovascularhdisease.hIncreasedhintracranialhpressurehishnothahriskhandhactivityhshouldhnothnor
mallyhbehlimited.
2. Ahpatienthwithhprimaryhhypertensionhcomeshtohthehclinichcomplaininghofhahgradualhonsethofhblurryhvisionh
andhdecreasedhvisualhacuityhoverhthehpasthseveralhweeks.hThehnursehishawarehthaththesehsymptomshcouldh
behindicativehofhwhat?
A) Retinalhbloodhvesselhdamage
B) Glaucoma
C) Cranialhnervehdamage
D) Hypertensiveh emergency
Ans: A
Feedback:
Blurredhvision,hspotshinhfronthofhtheheyes,handhdiminishedhvisualhacuityhcanhmeanhretinalhbloodhvesselhdama
gehindicativehofhdamagehelsewherehinhthehvascularhsystemhashahresulthofhhypertension.hGlaucoma
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, l OMoARc PSD| 9722375 hhhhhhhhhh
BRUNNERhANDhSUDDARTHShTEXTBOOKhOFhMEDICAL SU RGICALhNURSINGh14THhEDITIONhHINKLEhTES
ThBANK
TesthBankh-hBrunnerh&hSuddarth'shTextbookhofhMedical-SurgicalhNursingh14eh(Hinkleh2017) 603
andhcranialhnervehdamagehdohnothnormallyhcausehthesehsymptoms.hAhhypertensivehemergencyhwouldhhav
ehahmorehrapidhonset.
3. Ahnursehishperforminghbloodhpressurehscreeningshathahlocalhhealthhfair.hWhilehobtaininghsubjectivehasses
smenthdatahfromhahpatienthwithhhypertension,hthehnursehlearnshthaththehpatienthhashahfamilyhhistoryhofhhyper
tensionhandhshehherselfhhashhighhcholesterolhandhlipidhlevels.hThehpatienthsayshshehsmokeshonehpackhofhcig
aretteshdailyhandhdrinkshabouthahpackhofhbeerheveryhday.hThehnursehnoteshwhathnonmodifiablehriskhfactor
hforhhypertension?
A) Hyperlipidemia
B) Excessivehalcoholhintake
C) Ahfamilyhhistoryhofhhypertension
D) Closerhadherencehtohmedicalhregimenh
Ans: C
Feedback:
Unlikehcholesterolhlevels,halcoholhintakehandhadherencehtohtreatment,hfamilyhhistoryhishnothmodifiable.
4. ThehstaffheducatorhishteachinghEDhnurseshabouthhypertensivehcrisis.hThehnurseheducatorhshouldhexplainht
hathhypertensivehurgencyhdiffershfromhhypertensivehemergencyhinhwhathway?
A) ThehBPhishalwayshhigherhinhahhypertensivehemergency.
B) Vigilanthhemodynamichmonitoringhishrequiredhduringhtreatmenthofhhypertensivehemergencies.
C) HypertensivehurgencyhishtreatedhwithhresthandhbenzodiazepineshtohlowerhBP.
D) Hypertensivehemergenciesharehassociatedhwithhevidencehofhtargethorganhdamage.
Ans: D
Feedback:
Hypertensivehemergenciesharehacute,hlife-
threateninghBPhelevationshthathrequirehprompthtreatmenthinhanhintensivehcarehsettinghbecausehofhthehserio
ushtargethorganhdamagehthathmayhoccur.hBloodhpressuresharehextremelyhelevatedhinhbothhurgencyhandhem
ergencies,hbuththerehishnohevidencehofhtargethorganhdamagehinhhypertensivehurgency.hExtremelyhclosehhem
odynamichmonitoringhofhthehpatientshBPhishrequiredhinhbothhsituations.hThehmedicationshofhchoicehinhhyp
ertensivehemergenciesharehthosehwithhanhimmediateheffect,hsuchhashIVhvasodilators.hOralhdoseshofhfast-
actinghagents,hsuchhashbeta-adrenergichblockinghagents,hangiotensin-
convertinghenzymehinhibitors,horhalpha-
agonists,harehrecommendedhforhthehtreatmenthofhhypertensivehurgencies.
DownloadedhbyhAN
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Ch 31 Brunner and Suddarth Medical Surgical NursingP
h h h h h h h h
ractice Questions h
Med Surg 2 (Marymount University)
h h h h
StuDocuhishnothsponsoredhorhendorsedhbyhanyhcollegehorhuniversity
DownloadedhbyhAshleehMionh()
, l OMoARc PSD| 9722375 hhhhhhhhhh
BRUNNERhANDhSUDDARTHShTEXTBOOKhOFhMEDICAL SU RGICALhNURSINGh14THhEDITIONhHINKLEhTES
ThBANK
TesthBankh-hBrunnerh&hSuddarth'shTextbookhofhMedical-SurgicalhNursingh14eh(Hinkleh2017) 602
Chapter 31: Assessment and Management of Patients With Hypertension
h h h h h h h h
1. Anholderhadulthishnewlyhdiagnosedhwithhprimaryhhypertensionhandhhashjusthbeenhstartedhonhahbeta-
blocker.hThehnurseshhealthheducationhshouldhincludehwhichhofhthehfollowing?
A) Increasinghfluidshtohavoidhextracellularhvolumehdepletionhfromhthehdiureticheffecthofhthehbeta-
hblocker
B) Maintaininghahdiethhighhinhdairyhtohincreasehproteinhnecessaryhtohpreventhorganhdamage
C) Usehofhstrategieshtohpreventhfallshstemminghfromhposturalhhypotension
D) Limitinghexercisehtohavoidhinjuryhthathcanhbehcausedhbyhincreasedhintracranialhpressureh
Ans: C
Feedback:
Elderlyhpeoplehhavehimpairedhcardiovascularhreflexeshandharehmorehsensitivehtohposturalhhypotension.h
Thehnursehteacheshpatientshtohchangehpositionshslowlyhwhenhmovinghfromhlyinghorhsittinghpositionshtohahs
tandinghposition,handhcounselshelderlyhpatientshtohusehsupportivehdeviceshashnecessaryhtohpreventhfallshtha
thcouldhresulthfromhdizziness.hLifestylehchanges,hsuchhashregularhphysicalhactivity/exercise,handhahdiethrichh
inhfruits,hvegetables,handhlow-
fathdairyhproducts,hishstronglyhrecommended.hIncreasinghfluidshinhelderlyhpatientshmayhbehcontraindicat
edhduehtohcardiovascularhdisease.hIncreasedhintracranialhpressurehishnothahriskhandhactivityhshouldhnothnor
mallyhbehlimited.
2. Ahpatienthwithhprimaryhhypertensionhcomeshtohthehclinichcomplaininghofhahgradualhonsethofhblurryhvisionh
andhdecreasedhvisualhacuityhoverhthehpasthseveralhweeks.hThehnursehishawarehthaththesehsymptomshcouldh
behindicativehofhwhat?
A) Retinalhbloodhvesselhdamage
B) Glaucoma
C) Cranialhnervehdamage
D) Hypertensiveh emergency
Ans: A
Feedback:
Blurredhvision,hspotshinhfronthofhtheheyes,handhdiminishedhvisualhacuityhcanhmeanhretinalhbloodhvesselhdama
gehindicativehofhdamagehelsewherehinhthehvascularhsystemhashahresulthofhhypertension.hGlaucoma
DownloadedhbyhAN
shUleR
eSMI
ioN
nh(G
amTmB2.8C
07O
)
, l OMoARc PSD| 9722375 hhhhhhhhhh
BRUNNERhANDhSUDDARTHShTEXTBOOKhOFhMEDICAL SU RGICALhNURSINGh14THhEDITIONhHINKLEhTES
ThBANK
TesthBankh-hBrunnerh&hSuddarth'shTextbookhofhMedical-SurgicalhNursingh14eh(Hinkleh2017) 603
andhcranialhnervehdamagehdohnothnormallyhcausehthesehsymptoms.hAhhypertensivehemergencyhwouldhhav
ehahmorehrapidhonset.
3. Ahnursehishperforminghbloodhpressurehscreeningshathahlocalhhealthhfair.hWhilehobtaininghsubjectivehasses
smenthdatahfromhahpatienthwithhhypertension,hthehnursehlearnshthaththehpatienthhashahfamilyhhistoryhofhhyper
tensionhandhshehherselfhhashhighhcholesterolhandhlipidhlevels.hThehpatienthsayshshehsmokeshonehpackhofhcig
aretteshdailyhandhdrinkshabouthahpackhofhbeerheveryhday.hThehnursehnoteshwhathnonmodifiablehriskhfactor
hforhhypertension?
A) Hyperlipidemia
B) Excessivehalcoholhintake
C) Ahfamilyhhistoryhofhhypertension
D) Closerhadherencehtohmedicalhregimenh
Ans: C
Feedback:
Unlikehcholesterolhlevels,halcoholhintakehandhadherencehtohtreatment,hfamilyhhistoryhishnothmodifiable.
4. ThehstaffheducatorhishteachinghEDhnurseshabouthhypertensivehcrisis.hThehnurseheducatorhshouldhexplainht
hathhypertensivehurgencyhdiffershfromhhypertensivehemergencyhinhwhathway?
A) ThehBPhishalwayshhigherhinhahhypertensivehemergency.
B) Vigilanthhemodynamichmonitoringhishrequiredhduringhtreatmenthofhhypertensivehemergencies.
C) HypertensivehurgencyhishtreatedhwithhresthandhbenzodiazepineshtohlowerhBP.
D) Hypertensivehemergenciesharehassociatedhwithhevidencehofhtargethorganhdamage.
Ans: D
Feedback:
Hypertensivehemergenciesharehacute,hlife-
threateninghBPhelevationshthathrequirehprompthtreatmenthinhanhintensivehcarehsettinghbecausehofhthehserio
ushtargethorganhdamagehthathmayhoccur.hBloodhpressuresharehextremelyhelevatedhinhbothhurgencyhandhem
ergencies,hbuththerehishnohevidencehofhtargethorganhdamagehinhhypertensivehurgency.hExtremelyhclosehhem
odynamichmonitoringhofhthehpatientshBPhishrequiredhinhbothhsituations.hThehmedicationshofhchoicehinhhyp
ertensivehemergenciesharehthosehwithhanhimmediateheffect,hsuchhashIVhvasodilators.hOralhdoseshofhfast-
actinghagents,hsuchhashbeta-adrenergichblockinghagents,hangiotensin-
convertinghenzymehinhibitors,horhalpha-
agonists,harehrecommendedhforhthehtreatmenthofhhypertensivehurgencies.
DownloadedhbyhAN
shUleR
eSMI
ioN
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amTmB2.8C
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