According to the JNC-7, a patient with a blood pressure of 144/82 ...

[misspop]

According to the JNC-7, a patient with a blood pressure of 144/82 would be classified as
 
  1. prehypertensive.
  2. stage 2 hypertensive.
  3. normal.
  4. stage 1 hypertensive.

Question 2

The patient with hypertension has experienced heart failure. The nurse notes that the patient is receiving nefedipine (Procardia). What is a priority assessment for the nurse?
 
  1. Review recent lab results for hypokalemia.
  2. Assess urinary output.
  3. Assess level of orientation.
  4. Auscultate breath sounds for crackles.

[cadimas]

Answer to Question 1

Correct Answer: 4
Rationale: A systolic blood pressure of 140159 indicates stage 1 hypertension. Since the diastolic is in a class lower than stage 1, the patient is classified as stage 1 hypertensive.

Answer to Question 2

Correct Answer: 4
Rationale: Some calcium channel blockers can reduce myocardial contractility and can worsen heart failure. Crackles in the lungs can indicate pulmonary edema which could indicate heart failure. Calcium channel blockers do not cause hypokalemia. Level of orientation may be decreased with heart failure, but it is not a priority assessment at this time. Urinary output may be decreased with heart failure, but it is not a priority assessment at this time.

[misspop]

Thanks for the timely response, appreciate it

[aliotak]

Gracias!