Author Question: While conducting an assessment, the nurse suspects that a patient is experiencing a hypertensive ... (Read 123 times)

Bob-Dole · **on:** Jun 25, 2018

While conducting an assessment, the nurse suspects that a patient is experiencing a hypertensive crisis. What did the nurse assess to make this clinical decision?

Select all that apply.

1. acute onset of confusion
2. onset of projectile vomiting
3. complaints of a severe headache
4. systolic blood pressure 198 mmHg
5. diastolic blood pressure 148 mmHg

Question 2

A patient is suspected as having secondary hypertension. For which diagnostic tests should the nurse prepare this patient?

Select all that apply.

1. bladder scan
2. renal lithotripsy
3. renal ultrasound
4. renal arteriogram
5. intravenous pyelogram

Beatricemm · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1, 3, 4, 5
Manifestations of hypertensive crisis include confusion, headache, diastolic blood pressure greater than 120 mmHg, and systolic blood pressure greater than 180 mmHg. Projectile vomiting is not a manifestation of hypertensive crisis.

Answer to Question 2

Correct Answer: 3, 4, 5
In secondary hypertension, a renal cause needs to be ruled out. A renal ultrasound, arteriogram, or intravenous pyelogram might be prescribed. A bladder scan determines the amount of residual urine in the bladder. Renal lithotripsy is done when renal calculi are diagnosed.