Which term is refers to hypertension in which blood pressure that is controlled with therapy becomes uncontrolled (abnormally high) when the therapy is discontinued? Show Rebound Explanation: A nurse is discussing with a nursing student how to accurately measure blood pressure. What statement by the student indicates an understanding of the education? A cuff that is too small will give a false high blood pressure. Explanation: A nurse providing education about hypertension to a community group is discussing the high risk for cardiovascular complications. What are risk factors for cardiovascular problems in clients with hypertension? Select all that apply. Smoking Explanation: A client is being seen at the clinic for a routine physical when the nurse notes the client's blood pressure is 150/97. The client is considered to be a healthy, well-nourished young adult. What type of hypertension does this client have? Essential (primary) Explanation: Which of the following would be inconsistent with a hypertensive urgency? Intracranial hemorrhage Explanation: The nurse is creating a community teaching demonstration focusing on the cause of blood pressure. When completing the visual aid, which body structures represent the mechanism of blood pressure? Heart and blood vessels Explanation: Which of the following client scenarios would be correct for the nurse to identify as a client with secondary hypertension? A client diagnosed with kidney disease Explanation: The nurse is caring for a patient with systolic blood pressure of 135 mm Hg. This finding would be classified as prehypertension. Explanation: Which statements are true when the nurse is measuring blood pressure (BP)? Select all that apply. Using a BP cuff that is too small
will give a higher BP measurement. Explanation: An older adult client has newly diagnosed stage 2 hypertension. The health care provider has prescribed the client hydrochlorothiazide and enalapril. What will the nurse be sure to include in educating this client? Change positions (lying or sitting to standing) slowly. Explanation: Which term describes high blood pressure from an identified cause, such as renal disease? Secondary hypertension Explanation: Which diagnostic method is recommended to determine whether left ventricular hypertrophy has occurred? Echocardiography Explanation: A blood pressure (BP) of 140/90 mm Hg is considered to be hypertension. Explanation: An older adult client has newly diagnosed stage 2 hypertension. The health care provider has prescribed Chlorothiazide and Benazepril. What will the nurse monitor this client for? Postural hypotension and resulting injury Explanation: A nurse is educating a client about monitoring blood pressure readings at home. What will the nurse be sure to emphasize? "Sit quietly for 5 minutes prior to taking blood pressure." Explanation: A client, newly prescribed a low-sodium diet due to hypertension, is asking for help with meal choices. The client provides four meal choices, which are favorites. Which selection would be best? Green pepper stuffed with diced tomatoes and chicken Explanation: When measuring the blood pressure in each arm of a healthy adult client, the nurse recognizes that which statement is true? Pressures should not differ more than 5 mm Hg between arms. Explanation: A 66-year-old client presents to the emergency department reporting severe headache and mild nausea for the past 6 hours. Upon assessment, the client's BP is 210/120 mm Hg. The client has a history of hypertension and takes 1.0 mg clonidine twice daily. Which question is most important for the nurse to ask the client next? "Have you taken your prescribed clonidine today?" Explanation: A client is admitted to the intensive care unit (ICU) with a diagnosis of hypertension emergency/crisis. The client's blood pressure (BP) is 200/130 mm Hg. The nurse is preparing to administer IV nitroprusside. Upon assessment, which finding requires immediate intervention by the nurse? Numbness and weakness in the left arm Explanation: The nurse is caring for a client with a blood pressure of 210/100 mm Hg in the emergency room. What is the most appropriate route of administration for antihypertensive agents? continuous IV infusion Explanation: Nurses should implement measures to relieve emotional stress for clients with hypertension because the reduction of stress decreases the production of neurotransmitters that constrict peripheral arterioles. Explanation: Which diuretic medication conserves potassium? Spironolactone Explanation: Which describes a situation in which blood pressure is severely elevated and there is evidence of actual or probable target organ damage? Hypertensive emergency Explanation: The nurse is caring for an older adult client who has come to the clinic for a yearly physical. When assessing the client, the nurse notes the blood pressure (BP) is 140/93. The nurse knows that in older clients what happens that may elevate the systolic BP? Loss of arterial elasticity Explanation: A client who is newly diagnosed with hypertension is going to be starting antihypertensive medicine. What is one of the main things the client and the client's spouse should watch for? dizziness Explanation: Which ethnic background would the nurse screen for hypertension at an early age? African population Explanation: The nurse understands that client education related to antihypertensive medication should include which of the following? inform client to avoid over-the-counter cold and sinus medications Explanation: The nurse is administering medications on a medical-surgical unit. A client is ordered to receive 40 mg oral nadolol for the treatment of hypertension. Before administering the medication, the nurse should check the client's heart rate. Explanation: The nurse is caring for a client newly diagnosed with hypertension. Which statement by the client indicates the need for further teaching? "If I take my blood pressure and it is normal, I don't have to take my blood pressure pills." Explanation: A client is brought to the emergency department with reports of a bad headache and an increase in blood pressure. The blood pressure reading obtained by the nurse is 260/180 mm Hg. What is the therapeutic goal for reduction of the mean blood pressure? Reduce the blood pressure by 20% to 25% within the first hour of treatment. Explanation: A client with high blood pressure is receiving an antihypertensive drug. When developing a client teaching plan to minimize orthostatic hypotension, which instruction should the nurse include? "Flex your calf muscles, avoid alcohol, and change positions slowly." Explanation: Which client statement indicates a good understanding of the nutritional modifications needed to manage hypertension? "Limiting my salt intake to 2 grams per day will improve my blood pressure." Explanation: According to the DASH diet, how many servings of vegetables should a person consume each day? 4 or 5 Explanation: A client is taking 50 mg of oral spironolactone twice a day to assist with blood pressure control. While the nurse is performing the morning assessment, the client reports nausea, general muscle cramps, and weakness. The ECG strip shows a peaked, narrow T-wave, which is a change. What electrolyte imbalance does the nurse suspect? Hyperkalemia Explanation: The nurse is instructing a client who is newly prescribed an antihypertensive medication. Which nursing instruction is emphasized to maintain client safety? Sit on the edge of the chair and rise slowly. Explanation: The nurse is working on a busy cardiac unit caring for four hypertensive clients. Which client description would the nurse assess first because the client is at an increased risk for malignant hypertension? A client with anorexia and history of no healthcare insurance Explanation: The nurse is caring for a client with hypertension. The nurse is correct to realize that a 24-hour urine is ordered to determine if the cause of hypertension is related to the dysfunction of which of the following? The adrenal gland Explanation: Which finding indicates that hypertension is progressing to target organ damage? Retinal blood vessel damage Explanation: A client is taking amiloride and lisinopril for the treatment of hypertension. What laboratory studies should the nurse monitor while the client is taking these two medications together? Potassium level Explanation: The nurse is teaching a client about chronic untreated hypertension. What complication will the nurse explain to the client? stroke Explanation: Approximately what percentage of adults in the United States have hypertension? 30 Explanation: A nurse is teaching a client who is newly diagnosed with hypertension and diabetes mellitus. What will the nurse specify about this client's target blood pressure? 130/80 or lower Explanation: When measuring blood pressure in each arm of a healthy adult, the nurse recognizes that the pressures differ no more than 5 mm Hg between arms. Explanation: The nurse is performing an assessment on a patient to determine the effects of hypertension on the heart and blood vessels. What specific assessment data will assist in determining this complication? (Select all that apply.) Heart rate Explanation: Which of the following client scenarios would be correct for the nurse to identify as a client with secondary hypertension? A client diagnosed with kidney disease Explanation: Papilledema is a fairly common symptom of elevated blood pressure. The best way to detect this condition is through: ophthalmic examination. Explanation: A systolic blood pressure of 135 mm Hg would be classified as prehypertension. Explanation: How is left ventricular hypertrophy diagnosed?How's LVH diagnosed? Because LVH can develop silently over several years without symptoms, it can be difficult to diagnose. However, a routine electrocardiogram or echocardiogram can usually diagnose LVH, even before symptoms become noticeable. MRI imaging of the heart can also diagnose LVH.
How do you diagnose hypertrophy?An echocardiogram is commonly used to diagnose hypertrophic cardiomyopathy. This test uses sound waves (ultrasound) to see if the heart's muscle is unusually thick. It also shows how well the heart's chambers and valves are pumping blood. Electrocardiogram (ECG or EKG).
Can ECG detect ventricular hypertrophy?Abstract. Left ventricular hypertrophy (LVH) detected by electrocardiography (ECG) and, more recently, by echocardiography has been shown to be an extremely strong predictor of morbidity and mortality in patients with essential hypertension and in members of the general population.
How is ventricular hypertrophy measured?Left Ventricular Hypertrophy (LVH). There are numerous voltage criteria for diagnosing LVH, summarised below.. The most commonly used are the Sokolov-Lyon criteria: S wave depth in V1 + tallest R wave height in V5-V6 > 35 mm.. Voltage criteria must be accompanied by non-voltage criteria to be considered diagnostic of LVH.. |