Hypertension : Nursing Course


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A patient is considered to have hypertension when they maintain a systolic blood pressure over:

140 mm Hg

Rationale: The top number, called the systolic pressure, represents the pressure when the heart is beating. A normal systolic pressure is below 140 mmHg. The bottom number, called the diastolic pressure, shows the pressure when the heart is resting between beats. A normal diastolic pressure is around 80 mm Hg. There are many factors that can influence a blood pressure reading, such as foods eaten and activity. A patient should have a series of elevated blood pressure readings before being diagnosed with hypertension.


A classification of anti-hypertensive medication that lowers blood pressure by helping the body produce less angiotensin is:

ACE inhibitors

Rationale: ACE stands for angiotensin-converting enzyme. Angiotensin is a chemical that causes the arteries to become narrow throughout the body, especially in the kidneys. ACE inhibitors help the body produce less angiotensin, which helps the blood vessels relax and open up, which lowers blood pressure. Some common side effects are skin rash and dry cough. ACE inhibitors are also the leading cause of drug-induced angioedema, in which the patient can develop swelling in the lips, tongue, and face.


A classification of medication that helps to lower blood pressure are:

anti-hypertensives

Rationale:

A classification of anti-hypertensive medication that works by blocking the effects of the sympathetic nervous system on the heart are:

beta-blockers

Rationale:

A classification of anti-hypertensive medication that lowers blood pressure by preventing calcium from entering the smooth muscle cells of the heart and arteries is:

calcium channel blockers

Rationale:

A type of medication that works to lower blood pressure by working on the kidneys to help your body eliminate sodium and water is:

diuretics

Rationale:

A common complaint that may be heard from a patient when the blood pressure is high is:

headache

Rationale:

A patient that has hypertension should also be evaluated regularly for:

kidney disease

Rationale:

When a patient is diagnosed with hypertension, besides medication, they should also be encouraged to:

make lifestyle changes

Rationale:

Hypertension has commonly been referred to as:

the silent killer

Rationale:

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