Elevated Blood Pressure Flashcards, test questions and answers

Question 1

A child has an elevated blood pressure reading, what is the next appropriate step?

Answer

-Normal blood pressure is 110-100/60-56 Assess the size of the blood pressure cuff -a narrow cuff can cause an elevated blood pressure reading
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Question 2

Some physiological components of fear are a racing heart, perspiration, tense muscles, and elevated blood pressure. . . Which emotion we experience comes primarily from _

Answer

Which label we give to the symptoms
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Question 3

Oxygen therapy is prescribed for a patient who is brought to an emergency department in the early stages of hypoxia. When assessing this patient, the nurse should expect to find which of the following clinical indicators? A) Elevated blood pressure B) Decreased respiratory rate C) Cyanosis D) Peripheral edema

Answer

A) Elevated blood pressure
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Question 4

A nurse is caring for a client whose AAA is extending. The manifestations that the nurse should expect to observe include which of the following? A. Sternal chest pain B. Decreased heart rate and palpitations C. Elevated blood pressure D. Back and abdominal pain

Answer

D. Back and abdominal pain AAA involves a widening, stretching or ballooning of the aorta. Back and abdominal pain indicate that the aneurysm is extending downward and pressing on lumbar spinal nerve roots causing pain
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Question 5

A nurse is assessing a client who is taking glyburide (DiaBeta). Which of these client manifestations who indicate the need for FURTHER assessment prior to administering the scheduled dose of the medication? • Cool, wet skin • Elevated blood pressure • Frequent urination • Blurred vision

Answer

a. Cool, wet skin
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Question 6

Delirium + elevated blood pressure & papilledema

Answer

dx: hypertensive encephalopathy test: brain CT or MRI
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Question 7

Which assessment finding could indicate hemorrhage in the postpartum patient? a. Elevated pulse rate b. Elevated blood pressure c. Firm fundus at the midline d. Saturation of two perineal pads in 4 hours

Answer

ANS: A An increasing pulse rate is an early sign of excessive blood loss. If the blood volume were diminishing, the blood pressure would decrease. A firm fundus indicates that the uterus is contracting and compressing the open blood vessels at the placental site. Saturation of one pad within the first hour is the maximum normal amount of lochial flow. Two pads within 4 hours is within normal limits.
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Question 8

Which clinical manifestations does the nurse expect to assess in a patient that is diagnosed with hyperthyroidism? Select all that apply. 1 Weight loss 2 Protrusion of the eye balls 3 Thick, cold, and dry skin 4 Elevated blood pressure 5 Purplish red marks on abdomen

Answer

1 Weight loss 2 Protrusion of the eye balls 4 Elevated blood pressure Weight loss, protrusion of the eyeballs, and elevated blood pressure are clinical manifestations of hyperthyroidism. Weight loss and hypertension are due to increases in metabolic demands; protrusion of the eyeballs is due in part to accumulation of fluid in the eyes. Thick, cold, and dry skin are symptoms of hypothyroidism. Purplish red marks on the abdomen are seen in Cushing syndrome.
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Question 9

While caring for the patient with spinal cord injury (SCI), the nurse elevates the head of the bed, removes compression stockings, and continues to assess vital signs every two to three minutes while searching for the cause in order to prevent loss of consciousness or death. By practicing these interventions, the nurse is avoiding the most dangerous complication of autonomic dysreflexia, which is which of the following? 1. hypoxia 2. bradycardia 3. elevated blood pressure 4. tachycardia

Answer

Correct Answer: 3 Rationale: Autonomic dysreflexia is an emergency that requires immediate assessment and intervention to prevent complications of extremely high blood pressure. Additional nursing assistance will be needed and a colleague needs to reach the physician stat.
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Question 10

The nurse is completing an assessment on a client and notes distended neck veins while the client was in high Fowler’s position. What should the nurse expect to find upon further examination? A. Deviating trachea to the left from midline B. Bounding pulse and an elevated blood pressure C. Increasing respiratory rate and rhythm D. Decreasing neck vein distention while supine

Answer

B. Delayed emptying and filling of the right ventricle leads to venous engorgement. You would expect to find a bounding pulse and an elevated blood pressure. The respiratory rate would increase as venous engorgement continued. The neck veins, however, would not decrease in size and the trachea would not shift.
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