SOLVED

 Question 11 A nurse has completed instruction regarding the DASH eating plan for a patient with hypertension. Which patient statements would indicate additional education is required? 1. “I will take walks several times a week.” 2. “I can drink a glass of wine weekly.” 3. “I will avoid dairy products.” 4. “I will avoid changing my intake of green leafy vegetables until my medication is stabilized.” 5. “I will limit my intake of sodium and potassium.” Question 12 A patient’s blood pressure is measured as 138/88 mm Hg in the right arm. The nurse will anticipate which action as a result of this finding? 1. Initiation of therapy with a thiazide diuretic 2. Repeating the measurement in the left arm 3. Diagnosis of prehypertension will be made 4. Instructing the patient to follow the DASH diet Question 13 A patient is prescribed Carvedilol for hypertension. Which medication education should the nurse provide? 1. “Let me know if this medication causes you to have a headache.” 2. “This medication’s main side effect is dizziness, so be careful when you first sit up.” 3. “Some people get a mild skin rash for a few days after starting this therapy.” 4. “You should avoid eating foods high in vitamin K while on this medication.” Question 14 A patient admitted in hypertensive crisis is being cared for by a newly licensed nurse and his preceptor. The preceptor would consider which information when explaining the potential etiology of this crisis? 1. How well has the patient’s hypertension been controlled in the past? 2. How old is the patient? 3. Has the patient been following the prescribed therapy? 4. What therapy was the patient prescribed? 5. How long has the patient been hypertensive? Question 15 A patient who was admitted in hypertensive crisis in now normotensive. The nurse notes the patient’s output from the indwelling urinary catheter has been 15 mL over the last hour and was 20 mL the previous hour. What nursing intervention is necessary? 1. Assess the patient for development of stroke findings. 2. Discuss these findings with the primary care provider. 3. Increase the patient’s intravenous fluid rate. 4. Irrigate the patient’s indwelling urinary catheter. Question 16 A patient was sent to a rural emergency department after screening by the occupational health nurse revealed a blood pressure of 185/115 mm Hg. The patient reports feeling “fine” and denies associated symptoms. The nurse would anticipate which interventions for this patient? 1. Administration of oral antihypertensive medications 2. Admission to the hospital for monitoring 3. Teaching the patient how to monitor blood pressure at home 4. IV administration of antihypertensive medications 5. Transfer to an intensive care unit in a larger hospital Question 17 A patient is admitted for a severe headache and is found to have a blood pressure of 185/115 mm Hg. The nurse would prepare to management administration of which drug most likely to be prescribed? 1. Clonodine 2. Oral furosemide 3. Nitroprusside 4. Captopril Question 18 A patient has been diagnosed with an abdominal aortic aneurysm (AAA) that is not large enough to be treated surgically. What is the most important teaching for the nurse to provide this patient on discharge? 1. Information about smoking cessation 2. Information on how to monitor radial pulses 3. Need for frequent blood pressure measurements in both arms 4. Need to eat a very low-fat diet Question 19 A patient is diagnosed with rupture of an aortic aneurysm and surgery is imminent. What interventions would the nurse anticipate prior to surgery? 1. Starting intravenous lines for fluid resuscitation 2. Administration of blood 3. Administration of IV narcotic for pain 4. Preparation for endotracheal intubation 5. Administration of anticoagulants to prevent clots in the prosthesis Question 20 It is suspected that a patient has an aortic aneurysm that may be dissecting or rupturing. Which assessment finding would the nurse evaluate as suggesting the aneurysm is in the thoracic region? 1. The patient has severe pain. 2. The patient becomes rapidly hypotensive. 3. Syncope occurs 4. The blood pressure reading is different from arm to arm.