Teaching plan 1. Definition of hypertension 2. How to take blood pressure 3. Risk factors to develop developing hypertension 4. How to prevent high BP non- pharmacologically 5. Drugs that regulate blood pressure. 6. DASH diet.
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- NEED HELP WITH #4 N.R. is a 49-year-old lumber worker admitted to the emergency department after a severe laceration of his left thigh. He lost about 4 units of blood prior to effective control of bleeding and closure of the wound. He received several hundred milliliters of normal saline during the procedure. Postsurgical clinical data are as follows: vital signs lying down, HR 115, BP 98/60, RR 28; sitting, HR 140, BP 92/62, RR 28; Hct 22, Hb 8, PaO2 90, SaO2 98% breathing room air. N.R. continues to have significant oozing from his sutured wound postoperatively, prompting his physician to order a coagulation screen that has the following results: platelet count 250,000, bleeding time more than 10 min, PT and aPTT within normal ranges. Discussion Questions In view of N.R.’s history and vital signs, do you think he is hypovolemic? Support your conclusion. Calculate N.R.’s arterial oxygen content (CaO2) using the following formula: CaO2 = (PaO2 × 0.003) + (Hb × SaO2 × 1.34). What…GF is a regular patient at your pharmacy. His past medical history includes angina, dyslipidemia and hypertension. While picking up his medication this month, he informs you that he had a heart attack last week which was a wake-up call and wants to quit smoking. He reports smoking about 1 pack/day (20 cigarettes) but doesn’t smoke his first cigarette until after he goes to work. After a few weeks of therapy with success taking Varenicline, GF’s doctor informs him that his liver function tests indicate that he has moderate hepatic impairment and normal renal function. Which of the following is the most appropriate recommendation? Group of answer choices (A) Discontinue Varenicline. Recommend the nicotine gum. (B) Discontinue Varenicline. Recommend the nicotine patch. (C) Continue Varenicline. Recommend to continue monitoring renal function. (D) Continue Varenicline. Recommend that he proceed at this time but discontinue if he has severe hepatic impairment.2.A woman with severe preeclampsia, 38 weeks’ gestation, is being induced with IV oxytocin (Pitocin). Which of the following would warrant the nurse to stop the infusion? I. Blood pressure 160/110. II. Frequency of contractions every 3 minutes. III. Duration of contractions of 130 seconds. IV. Fetal heart rate 156 with early decelerations. Fast please
- 5. Effective communication is essential for ensuring patient safety Question options: A) True B) FalseAnswer with rational please 1. What are the risk factors for heart failure? (Select all that apply) A.Myocardial infarction b.Diabetes c.Valvular dysfunction dGender e.Obesity 2. Which tests are used for testing and diagnosing heart failure? (Select all that apply) A. BNP B.Echocardiogram C.Renal functional panal D.Pulmonary function tests E.Fast blood glucose 3. Which consideration would be most appropriate for the nurse to address in regards to this patient being prescribed amlodipine? A Socioeconomic status B. Co-morbitidies C.Age D. Ethnicity 4. Which consideration would be most appropriate for the nurse to address in regards to this patient being prescribed lisinopril? A Socioeconomic status B. Co-morbitidies C.Age D. Ethnicity 5. what is the priority assessment for the nurse to evaluate the effectiveness of the furosemide for this patient? Assess breath sounds B. provide incentive spirometer c. begin CPR D. raise the head of the bed E. apply oxygen 6. What are the first…15. Which is true about Tom’s blood pressure? A.His blood pressure is normal when awake B.His blood pressure becomes normal as he sleeps C.His blood pressure is on the upper limits during the times that he works and lowers to the normal when asleep D.All of the statements describes Tom’s blood pressure. 16. What can you say about Tom knowing his blood pressure? A.He has a stressful day at work. B.His day is fun and full of surprises. C.His work depends on a hard manual labor. D.All of the choices may be true. 17. What could happen during Harry’s sleep? A.He will have a good rest and will wake up with vigor B.He might have a stroke anytime during his sleep. C.He will have a restless sleep. D.None of the situations given will happen. 18. What can we conclude from learning about the blood pressure? A.Blood pressure fluctuates naturally throughout the day. B.Blood pressure depends on the activity of the person. C.Blood pressure is…
- A patient is being medicated with atenolol (Tenormin) for hypertension. BP 135/80 mm Hg, pulse is 60, and wheezing. Weight increase 10 lbs in a month, edema in lower extremities. What does the practical nurse think this is?HypertensionHeart failureBradycardiaFluid retention4. Nursing assessment If the systemic blood mass of a person is 2.8 kg, what is the body mass of the person? a.) 200 kgb.) 100 kgc.) 50 kgd.) 25 kg.Question 6 Which of the following is NOT warranted in planning care for a client admitted with hypernatremia? Question 6 options: observing for dry mucous membranes restricting fluids to 1,200 ml per day observing and preparing for possible seizures monitoring intake and output
- 3. Assessment NURSING? drug; mpg insulin 100 units per vial Dose orders; 10 units dose on hand; 100 units/ per vial. Give ( use insulin syringe) - _ units. If there is no insulin syringe, use 1 cc syringe. how many cc of insulin would you give.. ?2. A 2-year-old child is receiving temporary total parenteral nutrition (TPN) through a central venous line. This is the first day of TPN therapy. Although all of the following nursing actions must be included in the plan of care of this child, which one would be a priority at this time? A. Use aseptic technique during dressing changes. B. Maintain central line catheter integrity. C. Monitor serum glucose levels. D. Check results of liver function tests.The nurse is evaluation the effectiveness of metaproterenol for... how do you know it’s been effective? A. Increased heart rate and blood pressure B. Decreased white blood cell count C. Decreased wheezing upon auscultation D. Decreased respiratory rate
