A nurse is caring for a client admitted with hypertensive emergency. The nurse is aware the treatment goals for the patient include which of the following?
Reduce Blood pressure until patient is asymptomatic
Reduce the blood pressure to normal over a period of hours.
Reduction of blood pressure to normal over a period of days
Reduction of blood pressure by 50% in the first hour.
The Correct Answer is D
Rationale:
A. Reducing blood pressure until the patient is asymptomatic is not specific and may not be achievable or safe.
B. Reducing the blood pressure to normal over a period of hours may be too slow for a hypertensive emergency.
C. Reducing blood pressure to normal over a period of days is too slow for a hypertensive emergency.
D. The goal in a hypertensive emergency is to reduce blood pressure by 25% to 30% within the first hour, with the ultimate goal of a reduction of 50% in the first hour.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Hyperkalemia is not typically associated with thiazide diuretics.
B. Cardiac dysrhythmias can occur with thiazide diuretics due to electrolyte imbalances.
C. Seizures are not typically associated with thiazide diuretics.
D. Hypoglycemia is not typically associated with thiazide diuretics.
Correct Answer is B
Explanation
A. A sinus tachycardia is characterized by a sinus P wave at a rate of more than 100 per minute followed by a narrow QRS complex unlike in the strip depicted above.
B. The above ECG strip shows a ventricular tachycardia based on the wide QRS with a rate more than 120 bpm, AV dissociation and the fusion beats.
C. A complete heart block is characterized by QRS complexes being conducted at their own rates and totally independent of the P wave.
D. An idioventricular rhythm is characterized by a slow regular ventricular rhythm with a rate less than 50 bpm unlike in the above strip. It also has a prolonged QRS interval with no P wave.
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