A 55-year-old client comes to the clinic for a routine check-up. The client's BP is 159/100 mm Hg, and the physician diagnoses hypertension after referring to previous readings. The client asks why it is important to treat hypertension since the client denies any discomfort. What would be the nurse's best response?

"Hypertension is the leading cause of death in people your age."

"Hypertension puts you at increased risk of type 1 diabetes and cancer in your age group."

"Hypertension can cause you to develop dangerous blood clots in your legs that can migrate to your lungs."

"Hypertension greatly increases your risk of stroke and heart disease."

Answer and Explanation

The Correct Answer is D

A. "Hypertension is the leading cause of death in people your age.": While hypertension is a significant risk factor for cardiovascular events and mortality, stating it as the leading cause of death without specific context or statistical data may not provide the most informative response to the client's question.

B. "Hypertension puts you at increased risk of type 1 diabetes and cancer in your age group.": Hypertension is primarily associated with cardiovascular risks such as stroke, heart disease, and kidney disease. While it can contribute to overall health risks, it is not typically linked directly to type 1 diabetes or cancer in the context of this client's question.

C. "Hypertension can cause you to develop dangerous blood clots in your legs that can migrate to your lungs.": While hypertension can contribute to cardiovascular complications such as deep vein thrombosis (DVT) and pulmonary embolism (PE), these are not the primary risks that are typically emphasized when discussing the importance of treating hypertension.

D. "Hypertension greatly increases your risk of stroke and heart disease.": This response is the most relevant and specific to the client's question. Hypertension is a major risk factor for stroke, heart disease (including heart attack and heart failure), and other cardiovascular complications. By treating hypertension and controlling blood pressure within recommended targets, the client can significantly reduce the risk of these serious and potentially life-threatening conditions.

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Correct Answer is ["125"]

Explanation

To calculate the infusion rate in mL/hr, you can use the formula:

Infusion rate (mL/hr) = Total volume (mL) / Total time (hr)

In this case, the total volume is 1000 mL and the total time is 8 hours.

Infusion rate = 1000 mL / 8 hr

Infusion rate ≈ 125 mL/hr

The nurse should set the IV pump to deliver approximately 125 mL/hr.

A. Initiate a peripheral IV. B. Administer another nitroglycerin tablet. C. Call the Rapid Response Team. D. Obtain an ECG.

Correct Answer is B

Explanation

A. Initiate a peripheral IV:

Initiating a peripheral intravenous (IV) line may be necessary for clients with unstable angina to facilitate the administration of medications and fluids, especially if there is a need for further interventions or if the client's condition deteriorates. However, in this case, the client's chest pain has improved after receiving nitroglycerin, and there is no immediate indication for IV access based on the information provided.

B. Administer another nitroglycerin tablet:

Nitroglycerin is a vasodilator commonly used to relieve chest pain (angina) by dilating blood vessels and improving blood flow to the heart. The initial response of the client's chest pain severity decreasing from 6 to 2 after one sublingual nitroglycerin tablet indicates a positive response to the medication. However, it's important to assess the client's response further before administering additional doses of nitroglycerin, especially considering the potential for hypotension or other adverse effects.

C. Call the Rapid Response Team:

The Rapid Response Team (RRT) is typically called in situations where there is a concern for a critical event or deterioration of a client's condition that requires immediate intervention. In this scenario, the client's chest pain has improved after nitroglycerin administration, and there are no indications of an acute critical event at this time. Therefore, calling the RRT is not warranted based on the client's current status.

D. Obtain an ECG:

An ECG can be helpful to assess for potential ischemia or other cardiac abnormalities. However, it's not the most urgent action when the client is responding positively to nitroglycerin. It can be done while monitoring the client's response to the second dose.

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer 0.9% sodium chloride 1,000 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many ml/hr? Round to the nearestwholenumber.

Correct Answer is ["125"]

Explanation

Correct Answer is B

Explanation

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