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Week 9 CON 246
Week 9 Overview of Hypertension
| Question | Answer |
|---|---|
| Which major diseases are often complications of uncontrolled hypertension? | - heart failure - kidney disease- cerebral vascular accident |
| Which blood pressure measurement would support a diagnosis of hypertension? | 140 mm Hg/92 mm Hg |
| Which patients are at risk of developing hypertension? | A patient who exercises 1-2 times per month - A patient who is 5 feet tall and weighs 225 pounds - A patient previously diagnosed with type II diabetes - A patient with a 20-year history of cigarette - A patient who eats high sodium, high cholesterol |
| Why is hypertension often called the “silent killer”? | Patients typically do not experience symptoms with hypertension prior to diagnosis. |
| Which symptoms may indicate complications of hypertension? | Chest pain - Severe myopia - Severe headache - Decreased urine output - 3+ pitting edema in the lower extremities |
| Which diagnostic test can assess for target organ disease caused by hypertension? | Serum creatinine The serum creatinine measures kidney function. An elevated level can indicate organ damage from hypertension. |
| Which criterion is necessary for a patient to progress from elevated blood pressure (BP) or prehypertension to a diagnosis of hypertension (HTN)? | A persistent BP elevation on at least two separate occasions |
| A patient with an adrenal tumor has consistent blood pressure readings of 152/86. Which one of the classifications would this disorder represent? | Secondary hypertension |
| Which snack selection increases the risk for primary hypertension? | French fries |
| Which diagnostic tests would be ordered to screen for kidney involvement in a patient with hypertension? | Urinalysis - Creatinine levels - Blood urea nitrogen levels |
| Which patient has the highest risk of hypertensive problems? | A 50-year-old obese male who smokes. |
| The nurse is caring for a patient with a blood pressure of 168/72. The patient complains of a headache and blurred vision. Which additional subjective information would indicate the presence of severe hypertension? | Angina - Fatigue - Dyspnea - Dizziness - Vomiting - Palpitations |