Question

Risk factors in hypertensive patients consist of all of the following EXCEPT? Select all that apply.

Cigarette smoking

Age and sex

Current situation of prehypertension (120-125 / 80-85)

Excessive dietary intake of potassium

Obsesity Correct heparin administration involves: Never rotating injection sites Aspirating to assess for blood vessel entry Always giving heparin by deep IM injection Never rubbing the area after the injection The physician orders Ringer’s lactate solution to replace the fluid losses of a client. While the solution is infusing, the nurse should assess for which of the following symptoms that might indicate fluid overload is developing? Increased abdominal girth Rapid, thready pulse Moist crackles on auscultation Increased urinary output The nurse can anticipate side effects of hydrochlorothiazide because it is classified as: An aldosrerone inhibitor. A carbonic anhydrase inhibitor. A potassium-sparing drug. A potassium-wasting drug. A 35-year-old male client on a telemetry unit begins to have more than 10 unifocal premature ventricular contractions (PVCs) per minute. The nurse should prepare to administer: Digoxin Lidocaine Propranolol (Inderal) Atropine

Answer 1

Ans.1) Risk factors of hypertension -

a) Cigarette smoking

b) Age and sex

c) Current situation of prehypertension

d) Obesity

e) High intake of Sodium

High sodium and low potassium can increase the risk of hypertension. Excess potassium intake can decrease the risk of hypertension.

Ans.2) Heparin is a anticoagulant drug given in the fat layer of abdomen to prevent deep thrombosis. Heparin shot is prepared and given slowly. It make cause blood leaking at the site of injection. It can be prevented by pressing the site by cotton plug but do not rub.

Ans.3) Increased abdominal cramps can be seen with increased abdominal fluid but it doesn't represent fluid overload. Fluid overload can cause hypertension, increase pulse rate and cardiac output. Fluid overload does not cause increase urinary output.

Moist crackles can be heard on auscultation in fluid overload.

Ans 4) Hydrochlorothiazide is a drug of Thiazide category. All Thiazides cause potassium loss in urine and so called Potassium-wasting drugs.

Ans.5)Premature ventricular contractions (PVCs) are extra heartbeats that begin in one of your heart's two lower pumping chambers. Beta blockers can suppress premature contraction and may be indicated in treatment of PVCs. Propranolol is a non selective beta blocker.