University of Scranton
Nursing 350
Nursing Care of the Hypertensive Patient Study Guide


1.    What is a major reason that people with hypertension find it difficult to follow a regimen in order to control their high blood pressure?
 

2.    What are the follow-up recommendations for individuals who have the following blood pressure readings the first time it is being measured by a health care provider?

    130/80
    132/86
    144/88
    166/98
    186/104
    214/120

 3.    Describe what should be done to maximize the accuracy of a patient's blood pressure reading in an out-patient clinic.
 

4.    What is the purpose of conducting a physical examination in a patient with hypertension who has no complaints?
 

5.    What should be included in the physical examination of someone with hypertension?
 

6.    What should be included in instructions about decreasing sodium in the diet?
 

7.    What are effective strategies for reducing serum cholesterol levels?
 

8.    What are specific recommendations for aerobic exercise in terms of achieving maximal heart rate?
 

9.    What instructions would you provide to a patient to deal with a hypotensive episode at home?
 

10.    What would be your recommendation to a patient who has an occasional hypotensive episode after taking medication?
 

11.    When would you recommend that a person with hypotensive episodes return to their health care provider?
 

12.    What foods should be included in the diet of a person who is taking a thiazide or loop diuretic?
 

13.    What might happen to the blood sugar of a person who is taking a beta-blocker?
 

14.    What would be your recommendation to a patient who complains of sexual dysfunction after being placed on antihypertensive medication and does not want to continue to take it?
 
 

15.    Identify four strategies that would facilitate a person's following their prescribed regimen for the control of hypertension.
 

16.    What would be the single most important thing to teach a patient in order to prevent an episode of malignant hypertension?
 

17.    What is the major treatment goal for a person who is being treated for malignant hypertension?

18. Mr. Smith, a busy executive who is 50 years old was just diagnosed with hypertension. he smokes three packs of cigarettes per day and occasionally does outside work on weekends. He is 5"10" and weighs 240 lbs. what are the key elements of a teaching plan to effect lifestyle changes.

19.  Mr. Smith is placed in hydrodiuril and Catapres (clonidine).  What should he be taught about taking these medications.
 

20.  What assessment should be done to see if Mr. Smith is experiencing circulatory changes as a result of his hypertension?
 

21.  Mr. Smith started on an exercise program at the local health club. He is complaining of orthostatic hypotension, particularly after he goes into the sauna upon completion of his workout.  Afterwards, he usually goes to a nearby bar for a quick hamburger and a beer with a friend before going home.  What would you recommend to decrease the episodes of orthostatic hypotension?

The Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure

Nursing Care of the Patient with Hypertension Quiz

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