A client with hypertension asks the nurse about the potential complications of uncontrolled high blood pressure. How should the nurse respond?

"Uncontrolled hypertension can lead to kidney damage and liver dysfunction."

"Hypertension can cause vision changes and increased risk of cataracts."

"Complications of hypertension include heart failure and peripheral neuropathy."

"Uncontrolled high blood pressure can lead to stroke, heart attack, and kidney damage."

Answer and Explanation

The Correct Answer is D

A) This option is incorrect. While hypertension can lead to kidney damage, it does not directly cause liver dysfunction.

B) This option is incorrect. While hypertension can impact blood vessels in the eyes, leading to hypertensive retinopathy, it does not increase the risk of cataracts.

C) This option is incorrect. Peripheral neuropathy is not a common complication of hypertension. Heart failure is a potential complication, but it is not directly related to peripheral neuropathy.

D) Correct answer. Uncontrolled high blood pressure can lead to various complications, including stroke (brain damage due to reduced blood flow), heart attack (damage to the heart muscle), and kidney damage (nephrosclerosis). These are among the most serious and common complications of hypertension.

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Correct Answer is A

Explanation

A) Correct answer. Proteinuria (presence of protein in urine) and edema (swelling) are common signs of kidney damage (nephrosclerosis) resulting from long-standing uncontrolled hypertension.

B) This option is incorrect. Weight loss and increased appetite are not typical manifestations of target organ damage in hypertension.

C) This option is incorrect. Improved exercise tolerance is not associated with target organ damage in hypertension.

D) This option is incorrect. Reduced urine output is not typically associated with target organ damage in hypertension. However, reduced urine output may occur in acute hypertensive emergencies, such as hypertensive nephropathy.

A. Pancreas damage B. Liver cirrhosis C. Kidney dysfunction D. Bone fractures

Correct Answer is C

Explanation

A) This option is incorrect. Hypertension is not directly associated with pancreas damage.

B) This option is incorrect. Hypertension does not cause liver cirrhosis. Liver damage can occur in some cases of severe hypertension, but cirrhosis is typically caused by chronic liver disease, alcohol abuse, or viral hepatitis.

C) Correct answer. Hypertension is a significant risk factor for kidney dysfunction, including nephrosclerosis (hardening of the kidney arteries) and chronic kidney disease. Uncontrolled high blood pressure can lead to long-term damage to the kidneys.

D) This option is incorrect. Bone fractures are not directly related to hypertension or its complications.

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A client with hypertension asks the nurse about the potential complications of uncontrolled high blood pressure. How should the nurse respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client with long-standing uncontrolled hypertension. Which clinical manifestation should the nurse anticipate as a result of target organ damage?

Correct Answer is A

Explanation

A nurse is discussing complications of hypertension with a client. Which target organ damage should the nurse mention as a potential result of uncontrolled high blood pressure?

Correct Answer is C

Explanation

A nurse is assessing a client with long-standing hypertension. Which symptom should the nurse recognize as a potential indication of hypertensive retinopathy?

A nurse is conducting a hypertension risk assessment for a client. Which question is most relevant in identifying a modifiable risk factor?

A nurse is discussing non-modifiable risk factors for hypertension with a client. Which factor should the nurse include in the discussion?

A nurse is preparing a client for Ambulatory Blood Pressure Monitoring (ABPM). Which instruction should the nurse provide to the client regarding this test?

A client is scheduled for a renal function panel to evaluate hypertension-related kidney damage. Which lab values should the nurse expect to be included in this panel?

A nurse is educating a client about the significance of self-monitoring blood pressure at home. Which benefit should the nurse emphasize?

A client with hypertension asks the nurse if stress could be contributing to their condition. How should the nurse respond?

A nurse is providing education to a client about hypertensive crises. Which statement should the nurse include in the discussion?