A nurse is caring for a client admitted with hypertensive emergency. The nurse is aware the treatment goals for the patient include which of the following?
Reduce Blood pressure until patient is asymptomatic
Reduce the blood pressure to normal over a period of hours.
Reduction of blood pressure to normal over a period of days
Reduction of blood pressure by 50% in the first hour.
The Correct Answer is D
Rationale:
A. Reducing blood pressure until the patient is asymptomatic is not specific and may not be achievable or safe.
B. Reducing the blood pressure to normal over a period of hours may be too slow for a hypertensive emergency.
C. Reducing blood pressure to normal over a period of days is too slow for a hypertensive emergency.
D. The goal in a hypertensive emergency is to reduce blood pressure by 25% to 30% within the first hour, with the ultimate goal of a reduction of 50% in the first hour.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Taking a diuretic before sleep and drinking fluids during the day is important but does not specifically address sodium intake.
B. This statement indicates an understanding of the importance of limiting sodium intake, which is crucial in managing congestive heart failure.
C. Pacing activities is important but is not specific to sodium intake.
D. Naproxen is not typically used to manage discomfort in congestive heart failure.
Correct Answer is ["A","C","D"]
Explanation
Rationale:
A. Preventing vagal stimulation can help prevent bradycardia.
B. Acute pain is not typically associated with sinus bradycardia.
C. Preventing falls is important because bradycardia can lead to dizziness and falls.
D. Assessing for neurologic changes is important because bradycardia can affect cerebral perfusion.
E. Monitoring fluid volume excess is not directly related to sinus bradycardia.
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