A client is admitted to the hospital with a long history of hypertension. The nurse should assess the client for which identifiable cause of secondary hypertension?

Anemia

Glaucoma

Kidney disease

Cataracts

Answer and Explanation

The Correct Answer is C

A.   Anemia itself is not typically a direct cause of secondary hypertension. While severe anemia can sometimes lead to changes in blood pressure, it is not recognized as a common or identifiable cause of secondary hypertension. Therefore, this option is not the best answer.
B.   Glaucoma primarily affects eye health and is characterized by increased intraocular pressure. While there is some association between systemic hypertension and glaucoma, glaucoma is not considered a direct cause of secondary hypertension. It’s more of a complication that can occur in patients with high blood pressure rather than a cause of it.
C.   Kidney disease is one of the most common and significant causes of secondary hypertension. Conditions such as chronic kidney disease or renal artery stenosis can lead to increased blood pressure due to fluid retention and changes in hormonal regulation (like the renin-angiotensin-aldosterone system). Therefore, this option is a highly identifiable cause of secondary hypertension.
D.   Cataracts involve the clouding of the lens of the eye and are typically related to aging and other factors such as diabetes. While cataracts can be associated with systemic diseases like diabetes and hypertension, they are not considered a direct cause of secondary hypertension.

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Correct Answer is D

Explanation

A. This response may downplay the significance of the current elevated blood pressure reading. Given that the reading indicates stage 2 hypertension, waiting two months without further assessment could be inappropriate, as the patient may be at risk for complications.
B. This option suggests a follow-up in a reasonable timeframe. It acknowledges the need for a prompt reassessment but still allows for some delay. However, it may not convey the urgency that may be warranted given the current high reading.
C. While this option provides a specific timeframe for follow-up, it may also imply that the situation is less urgent than it is. A week could be too long to wait for someone with a reading indicative of hypertension, especially considering potential risks.
D. This is the best response because it prioritizes the patient's health by recommending immediate evaluation. The current blood pressure reading of 160/96 mmHg is significantly elevated and may warrant urgent assessment to rule out any underlying conditions, initiate management, and prevent complications such as cardiovascular events.

A. Mouth breathing B. Reports of pain C. Frequent swallowing D. Reports of thirst

Correct Answer is C

Explanation

A. Mouth breathing is common after a tonsillectomy due to postoperative swelling and discomfort. It is not specifically a sign of hemorrhage. Instead, it is a typical adjustment as the child copes with throat pain and may find it easier to breathe through the mouth.
B. While reports of pain are expected after a tonsillectomy due to the nature of the surgery, they are not indicative of hemorrhage. Pain management is an important part of postoperative care, but increased pain alone does not signal bleeding.
C. Frequent swallowing can be a significant manifestation of hemorrhage following a tonsillectomy. This behavior may indicate that the child is trying to clear blood or secretions from the throat, or it may suggest that the child is swallowing blood that is pooling in the throat. It is an important sign for the nurse to monitor, as it can indicate active bleeding.
D. Reports of thirst are common after surgery due to fasting before the procedure and the dry mouth that can result from mouth breathing or the surgical site itself. While excessive thirst should be addressed, it is not a direct indicator of hemorrhage.

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A client is admitted to the hospital with a long history of hypertension. The nurse should assess the client for which identifiable cause of secondary hypertension?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

At a community health fair, the blood pressure of a 62-year-old patient is 160/96 mmHg. The patient states "My blood pressure is usually much lower." What is the best response by the nurse?

Correct Answer is D

Explanation

A nurse is monitoring a child for manifestations of hemorrhage following a tonsillectomy. Which of the following findings is a manifestation of this postoperative complication?

Correct Answer is C

Explanation

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