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What is hypertension? - CORRECT ANSWERS high blood pressure
What are HTN clinical manifesta!on? - CORRECT ANSWERS "Silent killer" (no warning or s/s)
But when they do show it's:
1. Re!nal Changes such as hemorrhages
Exudates (fluid accumula!on)
Co/on wool spots (small infarc!on)
Papilledema (swelling of the op!c disc in severe HTN)
2. Coronary artery disease with angina and myocardial infrac!on
3. LVH
4. Cerebral vascular disease
What are the stages of HTN? - CORRECT ANSWERS 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 Interven!on for Normal B/P - CORRECT ANSWERS A?er having the BP measured to
screen for hypertension, a pa!ent 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 Interven!on - CORRECT ANSWERS A pa!ent 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 addi!onal BP readings within 3 to 6 months.
Hypertension Nursing Interven!on - CORRECT ANSWERS A pa!ent 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 addi!onal BP readings within 1
month's !me to either confirm or rule out the diagnosis
What B/P measurements are used to accurately diagnose someone with HTN? And why? -
CORRECT ANSWERS Home Blood Pressure Measurements (HBPM)
Ambulatory Blood Pressure Measurements (ABPM)
Because of masked hypertension and white coat hypertension.
What pa!ents should not to be instructed to a follow up B/P measurements? - CORRECT
ANSWERS Pa!ents not instructed to follow up with addi!onal BP readings to confirm a
diagnosis of hypertension are pa!ents with average BP readings greater than or equal to
160/100 mm Hg on one occasion; these pa!ents are diagnosed with hypertension and begin
treatment with an!hypertensive medica!ons
Sleep apnea and Hypertension - CORRECT ANSWERS Having obstruc!ve sleep apnea increases
your risk of high blood pressure (hypertension). Obstruc!ve sleep apnea might also increase
your risk of recurrent heart a/ack, stroke and abnormal heartbeats, such as atrial fibrilla!on.
(Google searched)
Primary hypertension - CORRECT ANSWERS High blood pressure, the cause of which is
unknown; also known as essen!al hypertension
Secondary hypertension - CORRECT ANSWERS high blood pressure caused by the effects of
another disease