Author Question: The patient has a blood pressure reading of 126/84 mmHg. She asks the nurse if she has high blood ... (Read 196 times)

V@ndy87 · **on:** Jul 23, 2018

The patient has a blood pressure reading of 126/84 mmHg. She asks the nurse if she has high blood pressure. What is the best response by the nurse?

1. You have prehypertension, but it isn't really serious.
2. You have prehypertension; let's discuss your lifestyle.
3. You have prehypertension; unfortunately, this will progress to hypertension.
4. You have prehypertension, and must begin medication.

Question 2

The nurse is conducting the initial group education session for patients who have hypertension. What is the most important information to include?

1. Blood pressures tend to decrease as people age, due to decreased blood volume.
2. The aorta has sensors that help regulate blood pressure.
3. Anger can result in hypertension.
4. The vasomotor center, located in the limbic system of the brain, helps regulate blood pressure.
5. Hypertension is diagnosed when the blood pressure is greater than 145/95 mmHg.

samiel-sayed · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale: According to JNC-7, prehypertension includes individuals with systolic readings of 120 to 130 mmHg or diastolic readings of 80 to 89 mmHg. Prehypertension should be initially treated by modification in lifestyle. Initiation of medication is incorrect because prehypertension is initially treated with lifestyle modifications. Hypertension is incorrect because many individuals can treat prehypertension with lifestyle modifications and will never progress to hypertension. Prehypertension is always serious and requires lifestyle modifications.

Answer to Question 2

Correct Answer: 2,3
Rationale: Anger and stress can cause blood pressure to rise. The aorta and internal carotid artery have baroreceptors that sense changes in pressure in blood vessels and chemoreceptors that detect oxygen, carbon dioxide, and pH levels. According to JNC-7, a person is considered to have hypertension when sustained blood pressure is 139/89 mmHg. The vasomotor center is located in the medulla oblongata. Blood pressures tend to rise as people age.