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Terms in this set (57)
Normal Blood Pressure
less than 120/80
120-129/80-89. Follow up in 1 year. Encourage lifestyle modifications
Stage 1 hypertension
140-15-/90-99. Follow up in 2 months. Lifestyle modifications, medications
Stage 2 hypertension
160/100 or higher. Follow up in 1 month. If 180/110 or higher, seek treatment immediately, then follow up in one week or as needed. Treatment-2 drug combination
determined by cardiac output, peripheral vascular resistance, blood viscosity, and amount of circulating blood volume. Decreased stretching of blood vessels, increased blood viscosity, increased blood volume may cause an increase in blood pressure
Primary (Essential) hypertension
chronic elevation of blood pressure from an unknown cause
has a known cause. It is a sign of another problem, such as a kidney abnormality
Isolated systolic hypertension
systolic pressure of 140 or greater with diastolic pressure of 90 or less. Occurs mostly in the elderly but can occur at any age. Lifestyle modifications are usually tried first if the systolic elevation is not too severe
Signs and symptoms of hypertension
Often there are no symptoms other than elevated blood pressure, which is why hypertension is sometimes referred to as the 'silent killer,'
Non-modifiable risk factors
Family history of hypertension, age, race and ethnicity, diabetes mellitus
modifiable risk factors
weight, salt intake, caffeine intake, balanced potassium and magnesium,balanced calcium, alcohol intake, regular exercise, smoking
Complications of hypertension
coronary artery disease, atherosclerosis, myocardial infarction, heart failure, stroke, kidney and eye damage
increased size of left ventricle due to high blood pressure levels
180/120 or higher blood pressure, with risk for organ dysfunction
elevated blood pressure of 180/120 with no imminent risk for organ dysfunction
Which does the nurse understand is a cause of primary hypertension when planning care for a patient with hypertension?
The cause of primary hypertension is unknown.
Which is the most important lifestyle modification for the hypertensive patient who is obese?
Which does the nurse understand is often the only sign of hypertension?
Elevated blood pressure
Which instructions would be included in dietary education for a patient with high blood pressure?
Choose fresh or frozen fruits and vegetables, read food labels, watch for potassium in salt substitute
For which blood pressure reading would a 1 year follow up visit be recommended?
During a health screening, a patient's blood pressure is confirmed by 2 nurses to be 210/120. Which intervention is recommended?
The patient should rest quietly while the nurse calls 911 and requests an ambulance.
Which would the nurse expect to find in a patient experiencing heart failure from hypertension?
Distended jugular veins in semi-fowler's position
What instruction should the nurse give to a patient receiving a diuretic?
Change positions slowly
At a follow up visit for a patient with hypertension, which data best indicates that the patient's blood pressure therapy has been successful?
Blood pressure is less than 120/80
Most common form of arteriosclerosis, in which fats are deposited on arterial walls
Peripheral vascular resistance
opposition to blood flow through the vessels
Normal blood pressure
Isolated systolic hypertension
systolic blood pressure of 140 mm Hg or greater and diastolic blood pressure of 90 mm Hg or lower
abnormally elevated blood pressure
Diastolic blood pressure
the pressure exerted against the walls of the arteries while the ventricles are at rest. bottom #
the amount of blood pumped by the heart per minute
systolic blood pressure
Blood pressure during heart contraction. Top number
high blood pressure caused by the effects of another disease (e.g. kidney disease)
High blood pressure, the cause of which is unknown; also known as essential hypertension
deposits of fatty material in the arteries
Can constant stress cause hypertension?
There is a link between a high fat diet, obesity, and hypertension
Are people who are not active on a regular basis at risk for hypertension?
Inadequate sleep of less than 5 hours is a risk for hypertension
What is the recommended follow up for a systolic blood pressure of 120-139 mm Hg?
What is the recommended follow up for a systolic pressure of less than 120?
What is the recommended follow up for a systolic pressure of 180 or higher?
What is the recommended follow up for a systolic blood pressure of 160-179?
What is the recommended follow up for a systolic pressure of 140-159?
What is the follow up for a diastolic pressure of 90-99?
What is the follow up rule for a diastolic blood pressure of more than 110?
Follow up for a diastolic pressure of 100-109
Follow up for diastolic pressure of 80-89
If the systolic pressure is elevated and the diastolic pressure is normal, the nurse recognizes the patient most likely has what type of hypertension?
Isolated systolic hypertension
The nurse understands that a patient with blood pressure readings of 164/102 and 176/100 on two separate occassions would be classified in which hypertension category?
The nurse is developing a teaching plan for a patient. Which is a modifiable risk factor for the development of hypertension?
high cholesterol, smoking, sedentary lifestyle
The patient asks the nurse, "How is hypertension defined?" What is the best response?
It is blood pressure above 140/90 on 2 occassions.
Which information should the nurse include when counseling a patient about smoking and its effect on blood pressure?
Smoking is associated with Stages 1 and 2 hypertension.
In which group of people would the nurse recognize that kidney failure as a complication of hypertension is most likely to develop?
For most patients with hypertension what is the initial drug therapy that is given?
An 80 year old patient is being given an annual physical exam. The patient reports no medical problems. On assessment, the blood pressure is 190/80. Which action would the nurse take?
Inform the primary care provider
Normal lab values
Magnesium- 1.6 to 2.6 mg/dL
Calcium- 8.2 to 10.2 mg/dL
Potassium- 3.5 to 5 mEq/L
Sodium-135 to 145 mEq/L
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