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During change-of-shift report,the nurse obtains the following information about a hypertensive patient who received the first dose of nadolol (Corgard) during the previous shift.Which information indicates that the patient needs immediate intervention?


A) The patient's most recent blood pressure (BP) reading is 158/91 mm Hg.
B) The patient's pulse has dropped from 68 to 57 beats/minute.
C) The patient has developed wheezes throughout the lung fields.
D) The patient complains that the fingers and toes feel quite cold.

E) A) and B)
F) A) and C)

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The nurse obtains the following information from a patient newly diagnosed with prehypertension.Which finding is most important to address with the patient?


A) Low dietary fiber intake
B) No regular aerobic exercise
C) Weight 5 pounds above ideal weight
D) Drinks a beer with dinner on most nights

E) B) and C)
F) B) and D)

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The registered nurse (RN) is caring for a patient with a hypertensive crisis who is receiving sodium nitroprusside (Nipride) .Which nursing action can the nurse delegate to an experienced licensed practical/vocational nurse (LPN/LVN) ?


A) Titrate nitroprusside to decrease mean arterial pressure (MAP) to 115 mm Hg.
B) Evaluate effectiveness of nitroprusside therapy on blood pressure (BP) .
C) Set up the automatic blood pressure machine to take BP every 15 minutes.
D) Assess the patient's environment for adverse stimuli that might increase BP.

E) B) and D)
F) A) and D)

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The nurse on the intermediate care unit received change-of-shift report on four patients with hypertension.Which patient should the nurse assess first?


A) 43-year-old with a (blood pressure (BP) of 160/92 who is complaining of chest pain
B) 52-year-old with a BP of 212/90 who has intermittent claudication
C) 50-year-old with a BP of 190/104 who has a creatinine of 1.7 mg/dL
D) 48-year-old with a BP of 172/98 whose urine shows microalbuminuria

E) C) and D)
F) B) and D)

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