What are some common nursing diagnoses for patients with HTN? (2.5 points) “Knowledge Deficit Related to lack of information about the disease” “Risk for Decreased Cardiac Tissue Perfusion”
“Headache related to increase Cerebral Vascular Pressure” “Risk for Decreased Cardiac Output”
After the diagnosis of HTN is confirmed with initial studies, what further evaluations are necessary? (2.5 points)
Why is the registered dietitian important in the multidisciplinary team? What is the primary role? (2.5 points) Dietitians are very important in the Nursing Process because they help to determine if the patients are malnourished or at risk for malnutrition. Dietitians may obtain much of the preliminary information about the patient from the nursing history and physical, such as height and weight; skin integrity; usual diet prior to admission; difficulty to chewing, swallowing, or self-feeding; chief complaint; medication, supplements and aver the counter drug used prior to admission; and living situation. Once the dietitians gather the information and interview the patient; they are able to make a nutritional diagnostic to provide with an appropriate diet for each patient, based in their current conditions, in this case of Hypertension the dietitian may have to advice a Cardiac diet with is low in lipids.
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State the category and purpose of the medications ordered. (2.5 points) Furosomide ( Lasix) Loop diuretic to decrease body fliud and improved blood pressure Captopril ( Capoten) Angiotensive-Converting Enzyme Inhibitor. a type of drug to treat Hypertension, this drug blocks the the effect of angiotensive II, allowing the body to rid of fluid, Na, Cl, K, and uric acid and improve Hypertension Hydrochlorothiazide ( Hydrodiuril) a Thiazide diuretic to treat hypertension. This drug increase water excretion by increasing GFR or Sodium reabsorption from the tubules Spironolactone (Aldatone) Potassium-Sparing diuretic, this drug is a diuretic that makes eliminate fluid and conserve Potassium in the body. Ezetimibe (Zetia) Antilipemic-Cholesterol absorption Inhibitor, this medication inhibit cholesterol absorption secreted in the bile and from food. is used to Improve blood pressure
State the main adverse effects of the prescribed medications? (5 points)
List 5 priority nursing interventions for a patient on HTN medications. (5 points) Obtain blood pressure 2 or more times, on both arms, with de client supine and standing Compare blood pressure with prior documentation
Check apical pulse to obtain heart rate.
Evaluate renal function
Evaluate results of diagnostic and laboratory studies
Assess for cardiovascular changes such distended neck veins, increase heart rate, and dysrhythmias Assess the neurologic system
Assess for visual change or retinal damage
What are complications of HTN and what teaching plan would be developed for this patient? (5 points) Mr. J meets all the risk factor to have complication with his health if he doesn’t change his lifestyle and his diet. His BMI is 35, which is in the category of obese
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His race (Black)
His family history ( his mother died of CVA, related to hypertension) His sodium is high 158 mEq/l (normal is 135-145)
His cholesterol is high 218 mg/dL