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Suddarth's Textbook of Medical-Surgical Nursing, 13th Edition + Brunner & Suddarth's Textbook of Medical-Surgical Nursing Study Guide, T13th Edition
Chapters 25, 31, 51
exam 1 nursing 3
updated 4 years ago by kyrasjade
Subjects:
diabetes mellitus, assessment and management of patients with hypertension, medical, nursing the 1 last update 12 Jul 2020 , , medical & surgical
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1

After being sick for 3 days, a client with a history of diabetes mellitus is admitted to the hospital with diabetic ketoacidosis (DKA). The nurse should evaluate which diagnostic test results to prevent arrhythmias?

for 1 last update 12 Jul 2020

Serum potassium level

The nurse should monitor the client''t monitored closely. Hypokalemia places the client at risk for cardiac arrhythmias such as ventricular tachycardia. DKA has a lesser effect on serum calcium, sodium, and chloride levels. Changes in these levels don''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''s impotent and says he''s care, the most appropriate intervention would be to:

suggest referral to a sex counselor or other appropriate professional

.Explanation: The nurse should refer this client to a sex counselor or other professional. Making appropriate referrals is a valid part of planning the client''t normally provide sex counseling.

reverses diabetes type 2 young age complications (🔥 symptoms women) | reverses diabetes type 2 diagnostic procedureshow to reverses diabetes type 2 for Chapter 51: Assessment and Management of Patients With Diabetes - Page 1454

8

A client with type 1 diabetes mellitus is receiving short-acting insulin to maintain control of blood glucose levels. In providing glucometer instructions, the nurse would instruct the client to use which site for most accurate findings?

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Explanation: Even though the fingertips have a higher number of nerve endings, this site provides the most accurate blood sugar reading. Alternate sites, such as upper arm, forearm, and thighs are regarded as lagging test sites and are not an option for people who require tight glucose control.

Chapter 51: Assessment and Management of Patients With Diabetes - Page 1426

9

A client with diabetes comes to the clinic for a follow-up visit. The nurse reviews the client’s glycosylated hemoglobin test results. Which result would indicate to the nurse that the client’s blood glucose level has been well controlled?

6.5%

Explanation: Normally, the level of glycosylated hemoglobin is less than 7%. Thus, a level of 6.5% would indicate that the client’s blood glucose level is well controlled. According to the American Diabetes Association, a glycosylated hemoglobin of 7% is equivalent to an average blood glucose level of 150 mg/dl. Thus, a level of 7.5% would indicate less control. Amount of 8% or greater indicate that control of the client’s blood glucose level has been inadequate during the previous 2 to 3 months.

Chapter 51: Assessment and Management of Patients With Diabetes - Page 1421

10

A nurse is providing dietary instructions to a client with hypoglycemia. To control hypoglycemic episodes, the nurse should recommend?

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consuming a low-carbohydrate, high-protein diet and avoiding fasting.

Explanation: To control hypoglycemic episodes, the nurse should instruct the client to consume a low-carbohydrate, high-protein diet, avoid fasting, and avoid simple sugars. Increasing saturated fat intake and increasing vitamin supplementation wouldn''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''t need to discard intermediate-acting insulin if it''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''s just been diagnosed with type 1 diabetes. When the child''s crying and anxious to talk about her son''s best response is:

"I''ll be happy the 1 last update 12 Jul 2020 to talk with you."I''ll be happy to talk with you."

Explanation: Attending to the mother''s needs. By informing the mother that she''s needs as legitimate. She provides a reasonable response while attending to the priority of administering insulin as soon as possible. Telling the mother that she can''s fear and anxiety. The nurse shouldn''t know that everything will be fine.

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20

A client with diabetes mellitus is receiving an oral antidiabetic agent. Which of the following aspects should the nurse observe when caring for this client?

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Explanation: The nurse should observe the client receiving an oral antidiabetic agent for the signs of hypoglycemia. The time when the reaction might occur is not predictable and could be from 30 to 60 minutes to several hours after the drug is ingested. Observe the client receiving an oral antidiabetic agent for signs of hypoglycemia.

Chapter 51: Assessment and Management of Patients With Diabetes - Page 1459

21

A nurse is caring for a diabetic patient with a diagnosis of nephropathy. What would the nurse expect the urinalysis report to indicate?

the 1 last update 12 Jul 2020

Albumin

Explanation: Albumin is one of the most important blood proteins that leak into the urine. Although small amounts may leak undetected for years, its leakage into the urine is among the earliest signs that can be detected. Clinical nephropathy eventually develops in more than 85% of people with microalbuminuria but in fewer than 5% of people without microalbuminuria (Chart 51-10). The urine should be checked annually for the presence of microalbumin.

Chapter 51: Assessment and Management of Patients With Diabetes - Page 1451

22

Which of the following for 1 last update 12 Jul 2020 should be included in the teaching plan for a patient receiving glargine (Lantus),"peakless" basal insulin? Which of the following should be included in the teaching plan for a patient receiving glargine (Lantus),"peakless" basal insulin?

Do not mix with other insulins

Explanation: Because glargine is in a suspension with a pH of 4, it cannot be mixed with other insulins because this would cause precipitation. When administering glargine (Lantus) insulin it is very important to read the label carefully and to avoid mistaking Lantus insulin for Lente insulin and vice versa. Glargine is absorbed very slowly over a 24-hour period and can be given once a day. Glargine is a "peakless" basal insulin that is absorbed very slowly over a 24-hour period.

Chapter 51: Assessment the 1 last update 12 Jul 2020 and Management of Patients With Diabetes - Page 1429Chapter 51: Assessment and Management of Patients With Diabetes - Page 1429

23

reverses diabetes type 2 edema (☑ onset) | reverses diabetes type 2 normal range charthow to reverses diabetes type 2 for A client with type 2 diabetes asks the nurse why he can''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''s blood glucose levels hourly and watch for which early signs and symptoms associated with hypoglycemia?

Sweating, tremors, and tachycardia

Explanation: Sweating, tremors, and tachycardia, thirst, and anxiety are early signs of hypoglycemia. Dry skin, bradycardia, and somnolence are signs and symptoms associated with hypothyroidism. Polyuria, polydipsia, and polyphagia are signs and symptoms of diabetes mellitus

Chapter 51: Assessment and Management of Patients With Diabetes - Page 1441

29

The nurse is administering lispro (Humalog) insulin. Based on the onset of action, how soon should the nurse administer the injection prior to breakfast?

10 to 15 minutes

Explanation:The onset of action of rapid-acting Humalog is within 10 to 15 minutes. It is used for rapid reduction of glucose level.

Chapter 51: Assessment and Management of Patients With Diabetes - Page 1428

30

A 53-year-old client is brought to the ED, via squad, where you practice nursing. He is demonstrating fast, deep, labored breathing and has a fruity odor to his breath. He has a history of type 1 diabetes. What could be the cause of his current serious condition?

Ketoacidosis

Explanation: Kussmaul respirations (fast, deep, labored breathing) are common in ketoacidosis. Acetone, which is volatile, can be detected on the breath by its characteristic fruity odor. If treatment is not initiated, the outcome of ketoacidosis is circulatory collapse, renal shutdown, and death. Ketoacidosis is more common in people with diabetes who no longer produce insulin, such as those with type 1 diabetes. The most likely cause is ketoacidosis. People with type 2 diabetes are more likely to develop hyperosmolar hyperglycemic nonketotic syndrome because with limited insulin, they can use enough glucose to prevent ketosis but not enough to maintain a normal blood glucose level. The most likely cause is ketoacidosis.

Chapter 51: Assessment and Management of Patients With Diabetes - Page 1419

31

reverses diabetes type 2 lipid (👍 quality of life) | reverses diabetes type 2 permanentlyhow to reverses diabetes type 2 for A client with long-standing type 1 diabetes is admitted to the hospital with unstable angina pectoris. After the client''def tmce-no-space nopad-lists''unmarked-card''s health practices related to diabetes management, the nursing diagnosis of Health-seeking behaviors isn''vs-card''term''set-num''term-text tmce-no-space nopad-lists''s glycosylated hemoglobin test results. Which result would indicate to the nurse that the client''def tmce-no-space nopad-lists''unmarked-card''s blood glucose level is well-controlled. According to the American Diabetes Association, a glycosylated hemoglobin of 7% is equivalent to an average blood glucose level of 150 mg/dL. Thus, a level of 7.5% would indicate less control. Amount of 8% or greater indicate that control of the client''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''t require a fasting period before blood is drawn. The nurse can''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''s consumption of carbohydrates

Explanation: While assessing a client, it is important to note the client''s mental and emotional status, history of tests involving iodine, and exercise routine can be part of data collection, they are not as important to information related to the client''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''t effective in type 1 diabetes. Pregnant and lactating women aren''t effective in type 1 diabetes. Pregnant and lactating women aren''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''s blood glucose level is 45 mg/dl. The nurse should be alert for which signs and symptoms?

a) Polyuria, polydipsia, polyphagia, and weight loss
b) Coma, anxiety, confusion, headache, and cool, moist skin
c) Kussmaul''def tmce-no-space nopad-lists''unmarked-card''s respirations, dry skin, hypotension, and bradycardia are signs of diabetic ketoacidosis. Excessive thirst, hunger, hypotension, and hypernatremia are symptoms of diabetes insipidus. Polyuria, polydipsia, polyphagia, and weight loss are classic signs and symptoms of diabetes mellitus.

Chapter 51: Assessment and Management for 1 last update 12 Jul 2020 of Patients With Diabetes - Page 1441Chapter 51: Assessment and Management of Patients With Diabetes - Page 1441

50

Which statement indicates that a client with diabetes mellitus understands proper foot care?

reverses diabetes type 2 qualify for fmla (👍 lecture) | reverses diabetes type 2 juvenilehow to reverses diabetes type 2 for "I''ll wear cotton socks with well-fitting shoes because cotton socks wick moisture away from the skin, h ... (more) The client demonstrates understanding of proper foot care if he states that he''t a common sign of foot problems; however, a tingling sensation in the feet indicates neurovascular changes. Injecting insulin into the foot may lead to infection. The client shouldn''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''t need to discard intermediate-acting insulin if it''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''ll lower my blood pressure."
b) "I should eliminate caffeine from my diet to lower my blood pressure."
c) "Limiting my salt intake to 2 grams per day will improve my blood pressure."
d) "A glass of red wine each day will lower my blood pressure."

reverses diabetes type 2 natural history (☑ cause hypertension) | reverses diabetes type 2 virushow to reverses diabetes type 2 for "Limiting my salt intake to 2 grams per day will improve my blood pressure."

Explanation: To lower blood pressure, a client should limit daily salt intake to 2 g or less. Alcohol intake is associated with a higher incidence of hypertension, poor compliance with treatmen ... (more) To lower blood pressure, a client should limit daily salt intake to 2 g or less. Alcohol intake is associated with a higher incidence of hypertension, poor compliance with treatment, and refractory hypertension. Chronic, moderate caffeine intake and fat intake don''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''s ability to eject blood.
c) increases the heart rate, constricts arterioles, and increases the heart''s ability to eject blood.

the 1 last update 12 Jul 2020

increases the heart rate, constricts arterioles, and reduces the heart''s ability to eject blood. ... (more) The nurse recommends smoking cessation for patients with hypertension because nicotine raises the heart rate, constricts arterioles, and reduces the heart''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''s dose?

reverses diabetes type 2 long term effects (👍 cause high blood pressure) | reverses diabetes type 2 untreatedhow to reverses diabetes type 2 for 4.8 mL

reverses diabetes type 2 quality of life (☑ rise) | reverses diabetes type 2 paperhow to reverses diabetes type 2 for Explanation:The formula is as follows: 24Kg X 2 mg = 48 mg total dose 48 mg / 10mg/mL = 4.8 mL amount to be drawn up

Chapter 31: Assessment and Management of Patients With Hypertension - Page 867

75

A 77-year-old client has newly diagnosed stage 2 hypertension. The physician has prescribed a thiazide and an angio-converting enzyme inhibitor. About what is the nurse most concerned?

Postural hypotension and resulting for 1 last update 12 Jul 2020 injury Postural hypotension and resulting injury

Explanation: Antihypertensive medication can cause hypotension, especially postural hypotension that may result in injury. Rebound hypertension occurs when antihypertensive medication is stoppe ... (more) Antihypertensive medication can cause hypotension, especially postural hypotension that may result in injury. Rebound hypertension occurs when antihypertensive medication is stopped abruptly. Sexual dysfunction may occur, especially with beta blockers, but other medications are available should this problem ensue. This is not immediately a priority concern. Antihypertensive medications do not usually cause postural hypertension.

Chapter 32: Assessment and Management of Patients With Hypertension, page 899.

76

According to the classification of hypertension diagnosed in the older adult, hypertension that can be attributed to an underlying cause is termed ?

secondary

Explanation: Secondary hypertension may be caused by a tumor of the adrenal gland (eg, pheochromocytoma). Primary hypertension has no known underlying cause. Essential hypertension has no known ... (more) Secondary hypertension may be caused by a tumor of the adrenal gland (eg, pheochromocytoma). Primary hypertension has no known underlying cause. Essential hypertension has no known underlying cause. Isolated systolic hypertension is demonstrated by readings in which the systolic pressure exceeds 140 mm Hg and the diastolic measurement is normal or near normal (less than 90 mm Hg

Chapter 31: Assessment and Management of Patients With Hypertension - Page 862

77

A client with newly diagnosed hypertension asks what she can do to decrease the risk for related cardiovascular problems. Which of the following risk factors is not modifiable by the client?

for 1 last update 12 Jul 2020 Age Age

Explanation: Age and family history for cardiovascular disease are risk factors that cannot be changed. Obesity, inactivity, and disylipidemia are risk factors that can be improved by the clien ... (more) Age and family history for cardiovascular disease are risk factors that cannot be changed. Obesity, inactivity, and disylipidemia are risk factors that can be improved by the client through dietary changes, exercise, and other healthy lifestyle choices.

Chapter 32: Assessment and Management of Patients With Hypertension, page 892.

78

A patient is admitted to the intensive care unit (ICU) with a diagnosis of hypertension emergency/crisis. The patient’s blood pressure (BP) is 200/130 mm Hg. The nurse is preparing to administer IV Nitropress (nitroprusside). Upon assessment, which of the following patient findings requires immediate intervention by the nurse?

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Left arm numbness and weakness

Explanation: Hypertensive emergencies are acute, life-threatening BP elevations that require prompt treatment in an intensive care setting because of the serious target organ damage that may oc ... (more) Hypertensive emergencies are acute, life-threatening BP elevations that require prompt treatment in an intensive care setting because of the serious target organ damage that may occur. The finding of left arm numbness and weakness may indicate the patient is experiencing neurological symptoms associated with an ischemic stroke because of the severely elevated BP and requires immediate interventions. A urine output of 40 mL/h is within normal limits. The other findings are likely caused by the hypertension and require intervention, but they do not require action as urgently as the neurologic changes

Chapter 31: Assessment and Management of Patients With the 1 last update 12 Jul 2020 Hypertension - Page 873Chapter 31: Assessment and Management of Patients With Hypertension - Page 873

79

An 87-year-old client was just recently diagnosed with prehypertension. She is to meet with a dietitian and return for a follow-up with her cardiologist in 6 months. As her nurse, what would you expect her treatment to include?

Nonpharmacological interventions

reverses diabetes type 2 mellitus with chronic kidney (☑ with weight loss) | reverses diabetes type 2 treatment aafphow to reverses diabetes type 2 for Explanation:Nonpharmacologic interventions are used for clients with prehypertension

Chapter 31: Assessment and Management of Patients With Hypertension - Page 861

80

A nurse is providing education about hypertension to a community group. One for 1 last update 12 Jul 2020 client reports that his doctor has diagnosed him with hypertension, but that he feels just fine. He asks, “What would happen if I did not treat my hypertension?” Which of the following are possible consequences of untreated hypertension? Choose all that apply A nurse is providing education about hypertension to a community group. One client reports that his doctor has diagnosed him with hypertension, but that he feels just fine. He asks, “What would happen if I did not treat my hypertension?” Which of the following are possible consequences of untreated hypertension? Choose all that apply

reverses diabetes type 2 treatment (🔴 good foods to eat) | reverses diabetes type 2 home remediehow to reverses diabetes type 2 for • Myocardial infarction
• Coronary artery disease
• Stroke
Explanation: People with hypertension may remain asymptomatic for many years. When specific signs and symptoms appear, however, they usually indicate vascular damage. Coronary artery disease wi ... (more) People with hypertension may remain asymptomatic for many years. When specific signs and symptoms appear, however, they usually indicate vascular damage. Coronary artery disease with angina and myocardial infarction are common consequences of hypertension. Cerebrovascular involvement may lead to a stroke. Tension pneumothorax and pancreatitis are not directly related to hypertension

Chapter 31: Assessment and Management of Patients With Hypertension - Page 863

81

The nurse is caring for an 82-year-old male 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?

a) Decrease in cardiac output
b) Decrease in blood volume
c) Loss of arterial elasticity
d) Increase in calcium intake

Loss the 1 last update 12 Jul 2020 of arterial elasticity Loss of arterial elasticity

Explanation: In older clients, systolic BP may be elevated because of loss of arterial elasticity (arteriosclerosis). Systolic BP would not become elevated by a decrease in blood volume, an inc ... (more) In older clients, systolic BP may be elevated because of loss of arterial elasticity (arteriosclerosis). Systolic BP would not become elevated by a decrease in blood volume, an increase in calcium intake, or a decrease in cardiac output

Chapter the 1 last update 12 Jul 2020 31: Assessment and Management of Patients With Hypertension - Page 863Chapter 31: Assessment and Management of Patients With Hypertension - Page 863

82

A nurse providing education about hypertension to a community group is discussing the high risk for cardiovascular complications. Which of the following are risk factors for cardiovascular problems in clients with hypertension? Choose all that apply.

a) Gallbladder disease
b) Frequent upper respiratory infections
c) Diabetes mellitus
d) Smoking
e) Physical inactivity

• Diabetes mellitus
• Smoking
• Physical inactivity

Explanation: Risk factors for cardiovascular problems in clients with hypertension include smoking, dyslipidemia, diabetes mellitus, impaired renal function, obesity, physical inactivity, age, ... (more) Risk factors for cardiovascular problems in clients with hypertension include smoking, dyslipidemia, diabetes mellitus, impaired renal function, obesity, physical inactivity, age, and for 1 last update 12 Jul 2020 family history Explanation: Risk factors for cardiovascular problems in clients with hypertension include smoking, dyslipidemia, diabetes mellitus, impaired renal function, obesity, physical inactivity, age, ... (more) Risk factors for cardiovascular problems in clients with hypertension include smoking, dyslipidemia, diabetes mellitus, impaired renal function, obesity, physical inactivity, age, and family history

Chapter 31: Assessment and Management of Patients With Hypertension - Page 864

83

A nurse is teaching a 38-year-old man with newly diagnosed hypertension who asks if there is any harm in stopping his antihypertensive medication if he decides to discontinue it. The correct reply addresses the consequence of stopping antihypertensive medications abruptly. Which of the following statements from the nurse would be appropriate?

a) "Rebound hypotension can occur."
b) "Rebound hypertension can occur."
c) "Postural hypotension can occur."
d) "Postural hypertension can occur."

"Rebound hypertension can the 1 last update 12 Jul 2020 occur." "Rebound hypertension can occur."

reverses diabetes type 2 lawsuit (🔥 kidney failure) | reverses diabetes type 2 glut4how to reverses diabetes type 2 for Explanation: Clients need to be informed that rebound hypertension can occur if they stop antihypertensive medications suddenly. This can be extremely dangerous and have serious consequences. H ... (more) Clients need to be informed that rebound hypertension can occur if they stop antihypertensive medications suddenly. This can the 1 last update 12 Jul 2020 be extremely dangerous and have serious consequences. Hypotension would not be a problem with discontinuation of antihyperstensive medications Explanation: Clients need to be informed that rebound hypertension can occur if they stop antihypertensive medications suddenly. This can be extremely dangerous and have serious consequences. H ... (more) Clients need to be informed that rebound hypertension can occur if they stop antihypertensive medications suddenly. This can be extremely dangerous and have serious consequences. Hypotension would not be a problem with discontinuation of antihyperstensive medications

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reverses diabetes type 2 quotes (🔴 diet plan) | reverses diabetes type 2 jardiancehow to reverses diabetes type 2 for The nurse is caring for a client newly diagnosed with secondary hypertension. Which of the following conditions contributes to the development of secondary hypertension?

a) Renal disease
b) Calcium deficit
c) Acid-based imbalance
d) Hepatic function

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Renal for 1 last update 12 Jul 2020 disease Renal disease

Explanation: Secondary hypertension occurs when a cause for the high blood pressure can be identified. These causes include renal parenchymal disease, narrowing the 1 last update 12 Jul 2020 of the renal arteries, hyperaldo ... (more) Secondary hypertension occurs when a cause for the high blood pressure can be identified. These causes include renal parenchymal disease, narrowing of the renal arteries, hyperaldo ... (more) Secondary hypertension occurs when a cause for the high blood pressure can be identified. These causes include renal parenchymal disease, narrowing of the renal arteries, hyperaldosteronism (mineralocorticoid hypertension), pheochromocytoma, certain medications (e.g., prednisone, epoietin alfa [Epogen]), and coarctation of the aorta. High blood pressure can also occur with pregnancy; women who experience high blood pressure during pregnancy are at increased risk of ischemic heart disease, heart attacks, strokes, kidney disease, diabetes, and death from heart attack. Calcium deficiency or acid-based imbalance does not contribute to hypertension.

Chapter 31: Assessment for 1 last update 12 Jul 2020 and Management of Patients With Hypertension - Page 862Chapter 31: Assessment and Management of Patients With Hypertension - Page 862

85

A patient is flying overseas for 1 week for business and packed antihypertensive medications in a suitcase. After arriving at the intended destination, the patient found that the luggage had been stolen. If the patient cannot take the medication, what condition becomes a concern?

a) Isolated systolic hypertension
b) Left ventricular hypertrophy
c) Rebound hypertension
d) Angina

Rebound hypertension

Explanation: Patients need to be informed that rebound hypertension can occur if antihypertensive for 1 last update 12 Jul 2020 medications are suddenly stopped. Thus, patients should be advised to have an adequate supply o ... (more) Patients need to be informed that rebound hypertension can occur if antihypertensive medications are suddenly stopped. Thus, patients should be advised to have an adequate supply o ... (more) Patients need to be informed that rebound hypertension can occur if antihypertensive medications are suddenly stopped. Thus, patients should be advised to have an adequate supply of medication, particularly when traveling and in case of emergencies such as natural disasters. If traveling by airplane, patients should pack the medication in their carry-on luggage

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When treating hypertensive emergencies, the nurse identifies the most appropriate route of administration for antihypertensive agents as being which of the following?

a) Oral
b) Sublingual
c) Continuous IV infusion
d) Intramuscular

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Continuous IV infusion

Explanation: The medications of choice in hypertensive emergencies are best managed through the continuous IV infusion of a short-acting titratable antihypertensive agent. The nurse avoids the ... (more) The medications of choice in hypertensive emergencies are best managed through the continuous IV infusion of a short-acting titratable antihypertensive agent. The nurse avoids the sublingual and IM routes as their absorption and dynamics are unpredictable. The oral route would not have as quick an onset as a continuous IV infusion

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87

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?

a) Toasted cheese sandwich on whole wheat toast with tomato soup
b) Hot dog with ketchup and relish on whole wheat bun
c) Creamed chipped beef over toast with mashed potatoes
d) Green pepper stuffed with diced tomatoes and chicken

Green pepper stuffed with diced tomatoes and chicken

Explanation: Fresh vegetables are low in sodium with the 1 last update 12 Jul 2020 diced tomatoes (fresh) and chicken is a good low-sodium, high vegetable and protein selection. Cheese and soup (tomato and creamed) are high ... (more) Fresh vegetables are low in sodium with diced tomatoes (fresh) and chicken is a good low-sodium, high vegetable and protein selection. Cheese and soup (tomato and creamed) are high in sodium. Processed meats such as a hot dog and condiments such as ketchup are high in sodium Explanation: Fresh vegetables are low in sodium with diced tomatoes (fresh) and chicken is a good low-sodium, high vegetable and protein selection. Cheese and soup (tomato and creamed) are high ... (more) Fresh vegetables are low in sodium with diced tomatoes (fresh) and chicken is a good low-sodium, high vegetable and protein selection. Cheese and soup (tomato and creamed) are high in sodium. Processed meats such as a hot dog and condiments such as ketchup are high in sodium

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88

A female client, aged 82, visits the clinic for a blood pressure (BP) check. Her hypertension is not well controlled, and a new blood pressure medicine is prescribed. What is important for the nurse to teach this client about her blood pressure medicine?

a) A possible adverse effect of blood pressure medicine is dizziness when you stand.
b) There are no adverse effects from blood pressure medicine.
c) Take the medicine on an empty stomach.
d) A severe drop in blood pressure is possible.

A possible adverse effect of blood pressure medicine is dizziness when you stand

Explanation: A possible adverse effect of all antihypertensive drugs is postural hypotension, which can lead to falls. Teaching should include tips for managing syncope and dizziness. You would ... (more) A possible adverse effect of all antihypertensive drugs is postural hypotension, which can lead to falls. Teaching should include tips for managing syncope and dizziness. You would not teach the client to take the medicine on an empty stomach

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89

reverses diabetes type 2 treatment diet (☑ patch) | reverses diabetes type 2 pathogenesishow to reverses diabetes type 2 for 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?

a) The thymus
b) The adrenal gland
c) The pituitary gland
d) The thyroid gland

the 1 last update 12 Jul 2020

The adrenal gland

Explanation: The 24-hour urine collection specimen is ordered to determine dysfunction of the adrenal gland. The 24-hour urine detects elevated catecholamines. The other options are not evaluat ... (more) The 24-hour urine collection specimen is ordered to determine dysfunction of the adrenal gland. The 24-hour urine detects elevated catecholamines. The other options are not evaluated by a 24-hour urine

reverses diabetes type 2 with mellitus (☑ natural medications) | reverses diabetes type 2 diet plan pdfhow to reverses diabetes type 2 for Chapter 31: Assessment and Management of Patients With Hypertension - Page 864

90

A nurse is teaching about lifestyle modifications to a group of clients with known hypertension. Which of the following statements would the nurse include in the education session?

a) Maintain a waist circumference of 45 (men) and 40 (women) inches or less.
b) Limit alcohol consumption to no more that 3 drinks per day.
c) Maintain a body mass index between 30 and 35.
d) Engage in aerobic activity at least 30 minutes/day most days of the week.

Engage in aerobic activity at least 30 minutes/day most days of the week.

Explanation: Recommended lifestyle modifications to prevent and manage hypertension include maintaining a normal body mass index (about 24; greater than 25 is considered overweight), maintaining a waist circumference of less than 40 inches for men and 35 inches for women, limiting alcohol intake to no more than 2 drinks for men and 1 drink for women per day, and engaging in aerobic activity at least 30 minutes per day most days of the week

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A patient with long-standing hypertension is admitted to the hospital with hypertensive urgency. The physician orders a chest x-ray, which reveals an enlarged heart. What diagnostic test does the nurse anticipate preparing the patient for to determine left ventricular enlargement?

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Echocardiography

Left ventricular hypertrophy can be assessed by echocardiography, but not by any of the other measures listed.

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A client, newly admitted to the nursing unit, has a primary diagnosis of renal failure. When assessing the client, the nurse notes a blood pressure (BP) of 180/100. The nurse knows that this is what kind of hypertension?

Secondary

Secondary hypertension is elevated BP that results from or is secondary to some other disorder. This type of hypertension is not primary, essential, or malignant.

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93

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?

reverses diabetes type 2 quick fix (⭐️ virus) | reverses diabetes type 2 glucagonhow to reverses diabetes type 2 for Heart and blood vessels

Blood pressure is for 1 last update 12 Jul 2020 the force produced by the volume of the blood in arterial walls. It is represented by the formula: BP= CO (cardiac output)× PR (peripheral resistance). To highlight the mechanism of cardiac output, a heart would be on the visual aid and blood vesselsBlood pressure is the force produced by the volume of the blood in arterial walls. It is represented by the formula: BP= CO (cardiac output)× PR (peripheral resistance). To highlight the mechanism of cardiac output, a heart would be on the visual aid and blood vessels

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94

A nurse is teaching a 38-year-old man with newly diagnosed hypertension who asks if there is any harm in stopping his antihypertensive medication if he decides to discontinue it. The correct reply addresses the consequence of stopping antihypertensive medications abruptly. Which of the following statements from the nurse would be appropriate?

the 1 last update 12 Jul 2020

"Rebound hypertension can occur."

Clients need to be informed that rebound hypertension can occur if they stop antihypertensive medications suddenly. This can be extremely dangerous and have serious consequences. Hypotension would not be a problem with discontinuation of antihyperstensive medications

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reverses diabetes type 2 grocery list (👍 permanently) | reverses diabetes type 2 home remedies forhow to reverses diabetes type 2 for 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."

To lower blood pressure, a client should limit daily salt intake to 2 g or less. Alcohol intake is associated with a higher incidence of hypertension, poor compliance with treatment, and refractory hypertension. Chronic, moderate caffeine intake and fat intake don''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''vs-card''term''set-num''term-text tmce-no-space nopad-lists''def tmce-no-space nopad-lists''unmarked-card''s ability to eject blood.

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b) Exterior layer of the heart.
c) Thin fibrous sac that encases the heart.
d) Inner lining of the heart and valves.

Thin fibrous sac that encases the heart

The pericardium is a thin, fibrous sac that encases the heart. It is composed of two layers, the visceral and the parietal pericardium. The space between the 1 last update 12 Jul 2020 these two layers is filled with fluidThe pericardium is a thin, fibrous sac that encases the heart. It is composed of two layers, the visceral and the parietal pericardium. The space between these two layers is filled with fluid

Chapter 25: Assessment of Cardiovascular Function - Page 655

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