Hesi Hypertension
Assessment
Mr. Dunn's blood pressure reading is 189/110. His LDL cholesterol reading is 200 mg/dl. He asks the student nurse if he should be concerned about his blood pressure.
1.
How should the student respond?
A) "Your blood pressure is very high. You need to see your healthcare provider today."
INCORRECT
Mr. Dunn's blood pressure is high. The student nurse needs to assess for other symptoms before making the determination that the healthcare provider must see him that day.
B) "You have hypertension. You need to start making some lifestyle changes."
INCORRECT
The diagnosis of hypertension is not made until the client has an elevated blood pressure on two different occasions.
C) "Please sit here quietly for a few minutes. I need to recheck your blood pressure."
CORRECT
Mr. Dunn's blood pressure is high, but may be temporarily elevated due to activity or stress. The blood pressure should be rechecked after the client rests for a few minutes.
D) "I need you to remain seated. I am going to call for the emergency squad."
INCORRECT
Based on the information currently available to the student nurse, there is no need to call the EMS.
The student nurse asks Mr. Dunn about his health history. He is 6 feet tall and his weight is 190 lbs. Mr. Dunn states that he has lost a lot of weight recently. He also reports experiencing a lot of stress at work and that he often goes out with the crew after work to have several beers. He reports that his mother, who had diabetes mellitus, has passed away. He believes that she also had hypertension. He smokes 1½ packs of cigarettes a day and drinks 4 to 5 cups of coffee a day.
2.
What significant risk factor for hypertension does the student nurse identify for Mr. Dunn according to this health history?
A) Family history of diabetes.
INCORRECT
If Mr. Dunn had diabetes, this would be a significant risk factor but the presence of diabetes in his family is not.
B) Recent weight loss.
INCORRECT
Weight
Mr. Dunn's blood pressure reading is 189/110. His LDL cholesterol reading is 200 mg/dl. He asks the student nurse if he should be concerned about his blood pressure.
1.
How should the student respond?
A) "Your blood pressure is very high. You need to see your healthcare provider today."
INCORRECT
Mr. Dunn's blood pressure is high. The student nurse needs to assess for other symptoms before making the determination that the healthcare provider must see him that day.
B) "You have hypertension. You need to start making some lifestyle changes."
INCORRECT
The diagnosis of hypertension is not made until the client has an elevated blood pressure on two different occasions.
C) "Please sit here quietly for a few minutes. I need to recheck your blood pressure."
CORRECT
Mr. Dunn's blood pressure is high, but may be temporarily elevated due to activity or stress. The blood pressure should be rechecked after the client rests for a few minutes.
D) "I need you to remain seated. I am going to call for the emergency squad."
INCORRECT
Based on the information currently available to the student nurse, there is no need to call the EMS.
The student nurse asks Mr. Dunn about his health history. He is 6 feet tall and his weight is 190 lbs. Mr. Dunn states that he has lost a lot of weight recently. He also reports experiencing a lot of stress at work and that he often goes out with the crew after work to have several beers. He reports that his mother, who had diabetes mellitus, has passed away. He believes that she also had hypertension. He smokes 1½ packs of cigarettes a day and drinks 4 to 5 cups of coffee a day.
2.
What significant risk factor for hypertension does the student nurse identify for Mr. Dunn according to this health history?
A) Family history of diabetes.
INCORRECT
If Mr. Dunn had diabetes, this would be a significant risk factor but the presence of diabetes in his family is not.
B) Recent weight loss.
INCORRECT
Weight