The nurse explains that hypertension occurs when a chain reaction of events takes place. Place the following options in the appropriate sequence:

1. Ephedrine constricts vessels and increases heart rate.
2. Renin constricts vessels and decreases the blood flow to the kidneys.
3. Angiotensin constricts vessels in response to renin.
4. Norepinephrine constricts vessels, increasing peripheral vascular resistance.
5. The adrenal cortex produces aldosterone, causing fluids and sodium to be re-tained.


4, 1, 2, 3, 5
The sequence is that norepinephrine, in response to the sympathetic nervous system, con-stricts vessels, causing an increase in peripheral vascular resistance, epinephrine constricts vessels and increases heart rate, and renin is released because of reduced blood flow to the kidneys, which stimulates the production of angiotensin. Angiotensin stimulates the adrenal cortex to excrete aldosterone, causing retention of fluid and sodium.

Nursing

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