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The Journal for Nurse Practitioners Continuing Education Credit Application
The Journal for Nurse Practitioners Continuing Education Credit Application Title: Hypertensive Crisis # Contact Hours: 1.0 CE Code: TJNP52010 Valid until 6-2012 Pharmacology Credit: 0 Date CE Activity Completed: __________________ To receive CE credits, read the article, answer each question, and mail the test answers and evaluation along with your processing fee check for $10 made out to Elsevier, PO Box 540, Ellicott City, MD 21041-0540. CE is provided without charge to premier subscribers registered at www.npjournal.org and to ACNP members at ACNPWeb.net.
Circle the best answer for each question. Required minimum passing score is 70%. 1. Findings indicative of hypertensive retinopathy include all of the following except: a. Silver-wiring b. Torturous vessels c. Opaque lens d. Flame hemorrhages
5. When treating cocaine-induced hypertensive crisis, the drug of choice is: a. Nitroglycerine b. Labatolol c. Nitroprusside d. Phentolamine
2. Which of the following factors was identified in Healthy People 2010 as reason for failing to meet blood pressure treatment goals? a. Lack of patient education by primary health care providers b. Failure to increase dose of antihypertensive medications c. Inappropriate anti-hypertensive medication prescribed d. Patient non-adherence with prescribed medication regimens
6. Which of the following features indicates hypertensive emergency? a. Systolic BP > 160 mm Hg b. Oliguria c. Papilledema d. All of the above
3. In hypertensive emergency, by what percentage should the patient’s blood pressure be lowered within 1 to 2 hours? a. 5% b. 10% c. 25% d. 30%
7. Of the following risk factors, which one has been identified as strongly associated with hypertension? a. Poverty b. Race c. Male sex d. Obesity
4. Hypertensive urgency is characterized by: a. Target organ damage b. Diastolic bp greater than 120 mm Hg c. Mental status changes d. Proteinuria Overall Purpose of the Program: Augment the knowledge, skills, and attitudes of nurses and nurse practitioners regarding the diagnosis and management of hypertensive urgency and emergency.
Please Print Clearly
Name: __________________________________________________________________________________________ Address for mailing certificate: __________________________________________________________________ Phone Number: __________________________________ Email: ________________________________________ Date activity completed: _________________________________________________________________________ Don’t forget to complete the evaluation of the activity on the next page. www.npjournal.org
The Journal for Nurse Practitioners - JNP
347
EVALUATION OF CE ACTIVITY Purpose and Target Audience: This CE learning activity is designed to augment the knowledge, skills, and attitudes of nurse practitioners and assist in their understanding of hypertensive crisis. 1. Listed below are the educational activity objectives. Please rate the extent to which you are now able to meet each of the objectives or your level of agreement with the statements (with 1 as the lowest or “no” and 5 as the highest or “yes” ranking):
2. 3. 4. 5. 6. 7. 8. 9.
a. Identify risk factors for hypertensive crisis
Low 1 2
3
4
High 5
b. Differentiate clinical characteristics of hypertensive urgency and emergency
1
2
3
4
5
c. Describe initial drugs for hypertensive urgency and emergency
1
2
3
4
5
The teaching method was appropriate and effective for the content presented. The information presented was accurate, current, and at an appropriate level. This activity met my personal professional expectations. This content was relevant to my practice as an NP. This content will cause me to change my practice as an NP. I believe I will face barriers in my practice to implementing this information. Overall, I would rate this activity Minutes required to read the article and complete all these questions___________________
1 1 1 1 1 1 1
2 2 2 2 2 2 2
3 3 3 3 3 3 3
4 4 4 4 4 4 4
5 5 5 5 5 5 5
This educational activity is provided by Nurse Practitioner Alternatives. NPA is an approved provider of continuing nursing education by the Maryland Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. Accreditation of this activity does not imply endorsement by the provider, MNA, or ANCC of any commercial products mentioned in conjunction with this activity. For questions, contact [email protected].
COMMENTS:
COMING SOON IN JNP Primary Screening for Cervical Cancer (CE) Endometriosis Overview and Recommendations Community-Associated MRSA Infections in Women The Self-Breast Exam Controversy: What Providers and Patients Should Know Breast Cancer Follow-up Strategies Hip Hop, Health, and HPV: Using Wireless Technology to Increase HPV Uptake
348
The Journal for Nurse Practitioners - JNP
Volume 6, Issue 5, May 2010
Circle the best answer for each question. Required minimum passing score is 70%. 1. Findings indicative of hypertensive retinopathy include all of the following except: a. Silver-wiring b. Torturous vessels c. Opaque lens d. Flame hemorrhages
5. When treating cocaine-induced hypertensive crisis, the drug of choice is: a. Nitroglycerine b. Labatolol c. Nitroprusside d. Phentolamine
2. Which of the following factors was identified in Healthy People 2010 as reason for failing to meet blood pressure treatment goals? a. Lack of patient education by primary health care providers b. Failure to increase dose of antihypertensive medications c. Inappropriate anti-hypertensive medication prescribed d. Patient non-adherence with prescribed medication regimens
6. Which of the following features indicates hypertensive emergency? a. Systolic BP > 160 mm Hg b. Oliguria c. Papilledema d. All of the above
3. In hypertensive emergency, by what percentage should the patient’s blood pressure be lowered within 1 to 2 hours? a. 5% b. 10% c. 25% d. 30%
7. Of the following risk factors, which one has been identified as strongly associated with hypertension? a. Poverty b. Race c. Male sex d. Obesity
4. Hypertensive urgency is characterized by: a. Target organ damage b. Diastolic bp greater than 120 mm Hg c. Mental status changes d. Proteinuria Overall Purpose of the Program: Augment the knowledge, skills, and attitudes of nurses and nurse practitioners regarding the diagnosis and management of hypertensive urgency and emergency.
Please Print Clearly
Name: __________________________________________________________________________________________ Address for mailing certificate: __________________________________________________________________ Phone Number: __________________________________ Email: ________________________________________ Date activity completed: _________________________________________________________________________ Don’t forget to complete the evaluation of the activity on the next page. www.npjournal.org
The Journal for Nurse Practitioners - JNP
347
EVALUATION OF CE ACTIVITY Purpose and Target Audience: This CE learning activity is designed to augment the knowledge, skills, and attitudes of nurse practitioners and assist in their understanding of hypertensive crisis. 1. Listed below are the educational activity objectives. Please rate the extent to which you are now able to meet each of the objectives or your level of agreement with the statements (with 1 as the lowest or “no” and 5 as the highest or “yes” ranking):
2. 3. 4. 5. 6. 7. 8. 9.
a. Identify risk factors for hypertensive crisis
Low 1 2
3
4
High 5
b. Differentiate clinical characteristics of hypertensive urgency and emergency
1
2
3
4
5
c. Describe initial drugs for hypertensive urgency and emergency
1
2
3
4
5
The teaching method was appropriate and effective for the content presented. The information presented was accurate, current, and at an appropriate level. This activity met my personal professional expectations. This content was relevant to my practice as an NP. This content will cause me to change my practice as an NP. I believe I will face barriers in my practice to implementing this information. Overall, I would rate this activity Minutes required to read the article and complete all these questions___________________
1 1 1 1 1 1 1
2 2 2 2 2 2 2
3 3 3 3 3 3 3
4 4 4 4 4 4 4
5 5 5 5 5 5 5
This educational activity is provided by Nurse Practitioner Alternatives. NPA is an approved provider of continuing nursing education by the Maryland Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. Accreditation of this activity does not imply endorsement by the provider, MNA, or ANCC of any commercial products mentioned in conjunction with this activity. For questions, contact [email protected].
COMMENTS:
COMING SOON IN JNP Primary Screening for Cervical Cancer (CE) Endometriosis Overview and Recommendations Community-Associated MRSA Infections in Women The Self-Breast Exam Controversy: What Providers and Patients Should Know Breast Cancer Follow-up Strategies Hip Hop, Health, and HPV: Using Wireless Technology to Increase HPV Uptake
348
The Journal for Nurse Practitioners - JNP
Volume 6, Issue 5, May 2010