Chapter 18: Care of Patients with
Hypertension and Peripheral Vascular
Disease Exam and All Correct
Answers.
1. Hypertension is diagnosed by the finding of a blood pressure reading greater than:
a.
120/80 twice, 2 weeks apart.
b.
140/90 twice, 2 weeks apart.
c.
120/80 on 3 consecutive days.
d.
140/90 every day for a week.
ANS: B
A diagnosis of hypertension is made if the systolic pressure is equal to or greater than 140 mm
Hg and the diastolic pressure is equal to or greater than 90 mm Hg at least twice on two
different occasions 2 weeks apart.
DIF: Cognitive Level: Comprehension REF: 398 OBJ: 10 (theory)
TOP: Hypertension: Diagnosis KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance - Answer ANS: B
A diagnosis of hypertension is made if the systolic pressure is equal to or greater than 140 mm
Hg and the diastolic pressure is equal to or greater than 90 mm Hg at least twice on two
different occasions 2 weeks apart.
DIF: Cognitive Level: Comprehension REF: 398 OBJ: 10 (theory)
TOP: Hypertension: Diagnosis KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance
2. Because of reduced sensitivity of the baroreceptors in the older adult who is also on a
diuretic, the nurse instructs the patient to:
a.
walk for 20 minutes a day.
b.
, reduce sodium in the diet.
c.
sit on the side of the bed before standing.
d.
use a walker for all ambulation. - Answer ANS: C
Reduced sensitivity of the baroreceptors along with taking a diuretic predisposes the older adult
to orthostatic hypotension; therefore, the nurse should caution the patient to change postures
slowly to prevent becoming faint and falling.
3. The home health nurse is alarmed that the hypertensive patients blood pressure has risen to
200/160, but he denies any discomfort. The nurse interprets these assessments as being
indicative of:
a.
malignant hypertension.
b.
hypertensive crisis.
c.
essential hypertension.
d.
secondary hypertension. - Answer ANS: A
The diastolic pressure rising to readings between 140 and 170 and the patient being
asymptomatic indicate malignant hypertension.
4. The nurse adds an intervention to the care plan of a patient who has just been prescribed a
thiazide diuretic, which is to increase:
a.
intake of foods containing potassium.
b.
carbohydrates in the diet.
c.
foods high in sodium.
d.
fluid intake. - Answer ANS: A
The thiazide diuretics are potent diuretics that flush out water, sodium, and potassium quickly.
Potassium should be replaced, if not by prescription of oral potassium salts, then by modifying
the diet.
Hypertension and Peripheral Vascular
Disease Exam and All Correct
Answers.
1. Hypertension is diagnosed by the finding of a blood pressure reading greater than:
a.
120/80 twice, 2 weeks apart.
b.
140/90 twice, 2 weeks apart.
c.
120/80 on 3 consecutive days.
d.
140/90 every day for a week.
ANS: B
A diagnosis of hypertension is made if the systolic pressure is equal to or greater than 140 mm
Hg and the diastolic pressure is equal to or greater than 90 mm Hg at least twice on two
different occasions 2 weeks apart.
DIF: Cognitive Level: Comprehension REF: 398 OBJ: 10 (theory)
TOP: Hypertension: Diagnosis KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance - Answer ANS: B
A diagnosis of hypertension is made if the systolic pressure is equal to or greater than 140 mm
Hg and the diastolic pressure is equal to or greater than 90 mm Hg at least twice on two
different occasions 2 weeks apart.
DIF: Cognitive Level: Comprehension REF: 398 OBJ: 10 (theory)
TOP: Hypertension: Diagnosis KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance
2. Because of reduced sensitivity of the baroreceptors in the older adult who is also on a
diuretic, the nurse instructs the patient to:
a.
walk for 20 minutes a day.
b.
, reduce sodium in the diet.
c.
sit on the side of the bed before standing.
d.
use a walker for all ambulation. - Answer ANS: C
Reduced sensitivity of the baroreceptors along with taking a diuretic predisposes the older adult
to orthostatic hypotension; therefore, the nurse should caution the patient to change postures
slowly to prevent becoming faint and falling.
3. The home health nurse is alarmed that the hypertensive patients blood pressure has risen to
200/160, but he denies any discomfort. The nurse interprets these assessments as being
indicative of:
a.
malignant hypertension.
b.
hypertensive crisis.
c.
essential hypertension.
d.
secondary hypertension. - Answer ANS: A
The diastolic pressure rising to readings between 140 and 170 and the patient being
asymptomatic indicate malignant hypertension.
4. The nurse adds an intervention to the care plan of a patient who has just been prescribed a
thiazide diuretic, which is to increase:
a.
intake of foods containing potassium.
b.
carbohydrates in the diet.
c.
foods high in sodium.
d.
fluid intake. - Answer ANS: A
The thiazide diuretics are potent diuretics that flush out water, sodium, and potassium quickly.
Potassium should be replaced, if not by prescription of oral potassium salts, then by modifying
the diet.
