(1 point):. Which guideline should the nurse use to determine normal blood pressure in a patient?

Systolic pressure between 130-139 mmHg and diastolic pressure between 80-89 mmHg.

Systolic pressure greater than or equal to 140 mmHg and diastolic pressure greater than or equal to 90 mmHg.

Systolic pressure less than 120 mmHg and diastolic pressure less than 80 mmHg.

Systolic pressure between 120-129 mmHg and diastolic pressure less than 80 mmHg.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

A systolic pressure between 130-139 mmHg and diastolic pressure between 80-89 mmHg is not considered normal. It falls within the range of prehypertension according to the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7), which classifies normal blood pressure as systolic pressure less than 120 mmHg and diastolic pressure less than 80 mmHg. The rationale for this choice is that the range provided does not align with the current standards for normal blood pressure.

Choice B rationale:

The correct answer is choice B because a systolic pressure greater than or equal to 140 mmHg and a diastolic pressure greater than or equal to 90 mmHg are indicative of hypertension, as per the JNC 7 guidelines. Normal blood pressure is defined as systolic pressure less than 120 mmHg and diastolic pressure less than 80 mmHg. Hypertension is a significant risk factor for cardiovascular diseases and requires medical attention and lifestyle modifications to manage. The rationale for this choice is that it correctly identifies the threshold for hypertension, which is crucial for patient assessment and care.

Choice C rationale:

A systolic pressure less than 120 mmHg and diastolic pressure less than 80 mmHg is indeed considered normal, according to JNC 7 guidelines. However, this choice does not provide an accurate representation of the guidelines as it lacks a systolic pressure range between 120 and 129 mmHg. This gap in the guidelines would lead to confusion when categorizing blood pressure, and the answer is therefore not correct.

Choice D rationale:

A systolic pressure between 120-129 mmHg and diastolic pressure less than 80 mmHg is categorized as elevated blood pressure, not normal. The JNC 7 guidelines clearly specify that normal blood pressure falls below 120 mmHg systolic and below 80 mmHg diastolic. This range is associated with an increased risk of hypertension and should not be considered normal. The rationale for this choice is that it provides an inaccurate representation of normal blood pressure as per the guidelines.

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Correct Answer is B

Explanation

Choice A rationale:

Insulin resistance is not a typical complication of sustained hypertension. This statement is incorrect. While hypertension can lead to various complications, insulin resistance is not one of the primary complications associated with high blood pressure.

Choice B rationale:

Left ventricular hypertrophy is a common complication of sustained hypertension. This statement is correct. Prolonged high blood pressure can lead to the thickening and enlargement of the left ventricle of the heart, known as left ventricular hypertrophy. This is a well-recognized and common complication of hypertension.

Choice C rationale:

Excessive excretion of fluid by the kidneys is not a typical complication of sustained hypertension. This statement is incorrect. Hypertension often leads to kidney damage, but it is more likely to result in reduced kidney function and fluid retention rather than excessive fluid excretion.

Choice D rationale:

Hormone dysfunction is not a primary complication of sustained hypertension. This statement is incorrect. While hypertension can affect various physiological processes, it is not a direct cause of hormone dysfunction. Hormone dysfunction may be related to other conditions, but it is not a direct consequence of hypertension. .

A. A male with an enlarged upper chest. B. A female with abdominal obesity. C. A male with an active lifestyle. D. A female with menstrual problems.

Correct Answer is B

Explanation

Choice A rationale:

A male with an enlarged upper chest Enlarged upper chest in a male may suggest the development of pectoral muscles or chest-related muscular hypertrophy but is not a specific risk factor for coronary artery disease (CAD). The question is about CAD risk, and a male with an enlarged upper chest does not necessarily indicate a higher risk of CAD.

Choice B rationale:

A female with abdominal obesity Abdominal obesity, especially in females, is a significant risk factor for coronary artery disease (CAD). Excess fat around the abdomen can contribute to the development of atherosclerosis and increase the risk of CAD. This choice is correct because it highlights a well-established risk factor for CAD.

Choice C rationale:

A male with an active lifestyle Having an active lifestyle is generally associated with a reduced risk of CAD. Regular physical activity can help improve cardiovascular health, lower blood pressure, and reduce the risk of CAD. Therefore, a male with an active lifestyle is less likely to have a high risk of CAD.

Choice D rationale:

A female with menstrual problems Menstrual problems, while they can indicate hormonal imbalances or other health issues, are not directly linked to an increased risk of coronary artery disease. CAD risk factors typically revolve around lifestyle, genetics, and metabolic factors, which are not addressed by menstrual problems.

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(1 point):. Which guideline should the nurse use to determine normal blood pressure in a patient?

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Naxlex Comprehensive Predictor Exams

(1 point). Listen.Over time, if a patient has sustained hypertension, which complication should the nurse expect in this patient?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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