The nurse is caring for a patient in hypertensive emergency. What should the nurse expect to be the goal when treatment is provided for this patient
Ensure an adequate potassium blood level.
Gradually reduce BP.
Negate the impact of sodium in the body.
Increase urine output.
The Correct Answer is B
A. Ensure an adequate potassium blood level.: While potassium levels are important, they are not the primary goal in a hypertensive emergency.
B. Gradually reduce BP.: In hypertensive emergencies, the goal is to gradually reduce blood pressure to avoid causing further damage to organs. Rapid reduction can lead to ischemia or stroke.
C. Negate the impact of sodium in the body.: Although reducing sodium intake is a general recommendation for hypertension management, it is not the immediate goal in an emergency situation.
D. Increase urine output.: While diuretics might be used, the main goal is the controlled reduction of blood pressure rather than just increasing urine output.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
A. There should be 6-8 servings of grains daily: The DASH (Dietary Approaches to Stop Hypertension) diet recommends 6-8 servings of grains, especially whole grains, each day to provide energy, fiber, and essential nutrients.
B. Nuts, seeds, dry beans, and peas should be consumed daily: While these foods are part of the DASH diet, they are not recommended for daily consumption. The diet typically suggests 4-5 servings per week.
C. Meat should be eliminated from the diet: The DASH diet does not require the elimination of meat. It recommends choosing lean meats and consuming them in moderation.
D. Dairy intake should be low-fat or fat-free: The DASH diet emphasizes low-fat or fat-free dairy products to reduce saturated fat intake and promote heart health.
E. Monounsaturated fats and oils are preferred: The DASH diet encourages the use of healthier fats, such as those from monounsaturated sources like olive oil, to help manage cholesterol levels and support cardiovascular health.
Correct Answer is B
Explanation
A. I will be sure to avoid potassium while taking this medication.: Thiazide diuretics can cause potassium loss, so patients are often advised to monitor their potassium levels and may need to increase their intake, not avoid it.
B. I should take the medication in the morning so I am not up all night going to the bathroom.: This is correct. Taking diuretics in the morning helps prevent nocturia (frequent urination at night), which can disrupt sleep.
C. I need to be sure to take this pill on an empty stomach.: Thiazide-like diuretics do not require an empty stomach for effectiveness; they can be taken with or without food.
D. If my blood pressure is really high, I will take a second dose.: This is incorrect and potentially dangerous. Medication dosing should be followed as prescribed, and adjustments should only be made by a healthcare provider.
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