Chapter 31: Assessment and Management of Patients With
Hypertension
1. An older adult is newly diagnosed with primary hypertension and has just
been started on a beta-blocker. The nurses health education should include
which of the following Ans: Use of strategies to prevent falls stemming from
postural hypotension
2. . A patient with primary hypertension comes to the clinic complaining of
a gradual onset of blurry vision and decreased visual acuity over the past
several weeks.The nurse is aware that these symptoms could be indicative of
what Ans: Retinal blood vessel damage
3. Aging Cardiovascular: Elderly people have impaired cardiovascular reflexes
and are more sensitive to postural hypotension.
4. A patient with primary hypertension comes to the clinic complaining of
a gradual onset of blurry vision and decreased visual acuity over the past
several weeks.The nurse is aware that these symptoms could be indicative of
what Ans: Retinal blood vessel damage
5. A nurse is performing blood pressure screenings at a local health fair. While
obtaining subjective assessment data from a patient with hypertension, the
nurse learns that the patient has a family history of hypertension and she
1/
22
,herself has high cholesterol and lipid levels. The patient says she smokes
one pack of cigarettes daily and drinks about a pack of beer every day. The
nurse notes what nonmodifiable risk factor for hypertension Ans: A family
history of hypertension
6. The staff educator is teaching ED nurses about hypertensive crisis. The
nurse educator should explain that hypertensive urgency differs from hyper-
tensive emergency in what way Ans: Hypertensive emergencies are associated
with evidence of target organ damage
7. Hypertensive emergencies: are acute, life-threatening BP elevations that re-
quire prompt treatment in an intensive care setting because of the serious target or-
gan damage that may occur. Blood pressures are extremely elevated in both urgency
and emergencies, Extremely close hemodynamic monitoring of the patients BP is
required in both situations. The medications of choice in hypertensive emergencies
are those with an immediate effect, such as IV vasodilators.
8. Treatment of Hypertensive Urgencies: Oral doses of fast-acting agents, such
as beta-adrenergic blocking agents, angiotensin-converting enzyme inhibitors, or
alpha-agonists, are recommended for the treatment of hypertensive urgencies.
There is no evidence of target organ damage in hypertensive urgency.
9. A group of student nurses are practicing taking blood pressure. A
2/
22
, 56-year-old male student has a blood pressure reading of 146/96 mm Hg.
Upon hearing the reading, he exclaims, My pressure has never been this
high. Do you think my doctor will prescribe medication to reduce it? Which
3/
22
Hypertension
1. An older adult is newly diagnosed with primary hypertension and has just
been started on a beta-blocker. The nurses health education should include
which of the following Ans: Use of strategies to prevent falls stemming from
postural hypotension
2. . A patient with primary hypertension comes to the clinic complaining of
a gradual onset of blurry vision and decreased visual acuity over the past
several weeks.The nurse is aware that these symptoms could be indicative of
what Ans: Retinal blood vessel damage
3. Aging Cardiovascular: Elderly people have impaired cardiovascular reflexes
and are more sensitive to postural hypotension.
4. A patient with primary hypertension comes to the clinic complaining of
a gradual onset of blurry vision and decreased visual acuity over the past
several weeks.The nurse is aware that these symptoms could be indicative of
what Ans: Retinal blood vessel damage
5. A nurse is performing blood pressure screenings at a local health fair. While
obtaining subjective assessment data from a patient with hypertension, the
nurse learns that the patient has a family history of hypertension and she
1/
22
,herself has high cholesterol and lipid levels. The patient says she smokes
one pack of cigarettes daily and drinks about a pack of beer every day. The
nurse notes what nonmodifiable risk factor for hypertension Ans: A family
history of hypertension
6. The staff educator is teaching ED nurses about hypertensive crisis. The
nurse educator should explain that hypertensive urgency differs from hyper-
tensive emergency in what way Ans: Hypertensive emergencies are associated
with evidence of target organ damage
7. Hypertensive emergencies: are acute, life-threatening BP elevations that re-
quire prompt treatment in an intensive care setting because of the serious target or-
gan damage that may occur. Blood pressures are extremely elevated in both urgency
and emergencies, Extremely close hemodynamic monitoring of the patients BP is
required in both situations. The medications of choice in hypertensive emergencies
are those with an immediate effect, such as IV vasodilators.
8. Treatment of Hypertensive Urgencies: Oral doses of fast-acting agents, such
as beta-adrenergic blocking agents, angiotensin-converting enzyme inhibitors, or
alpha-agonists, are recommended for the treatment of hypertensive urgencies.
There is no evidence of target organ damage in hypertensive urgency.
9. A group of student nurses are practicing taking blood pressure. A
2/
22
, 56-year-old male student has a blood pressure reading of 146/96 mm Hg.
Upon hearing the reading, he exclaims, My pressure has never been this
high. Do you think my doctor will prescribe medication to reduce it? Which
3/
22
