A nurse is assessing a client suspected of having hypertension. Which clinical manifestation may be present in the early stages of hypertension?

Severe headaches

Blurred vision

Chest pain

Asymptomatic

Answer and Explanation

The Correct Answer is D

A) This option is incorrect. Severe headaches are more commonly associated with hypertensive crises, not the early stages of hypertension.

B) This option is incorrect. Blurred vision may occur in severe hypertension but is not a typical early-stage manifestation.

C) This option is incorrect. Chest pain may be related to other cardiovascular conditions but is not a common manifestation of early-stage hypertension.

D) Correct answer. Hypertension is often asymptomatic in its early stages, making routine screenings crucial for early detection.

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Correct Answer is B

Explanation

Rationale:

A) This option is incorrect. In hypertension, there is often vasoconstriction and increased sodium retention, leading to elevated blood pressure.

B) Correct answer. Activation of the renin-angiotensin-aldosterone system (RAAS) is a key mechanism in hypertension. It leads to vasoconstriction and increased water and sodium retention, elevating blood pressure.

C) This option is incorrect. In hypertension, sympathetic nervous system activity is often increased, not decreased.

D) This option is incorrect. In hypertension, there is reduced nitric oxide production, which contributes to arterial stiffness and elevated blood pressure.

A. Proteinuria and edema B. Weight loss and increased appetite C. Improved exercise tolerance D. Reduced urine output

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.

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A nurse is assessing a client suspected of having hypertension. Which clinical manifestation may be present in the early stages of hypertension?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is explaining the pathophysiology of hypertension to a client. Which process is primarily responsible for elevated blood pressure in hypertension?

Correct Answer is B

Explanation

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

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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 nurse is providing education on hypertension management to a client. Which statement by the nurse accurately reflects a lifestyle modification for managing hypertension?

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A nurse is providing education on hypertension risk factors to a group of clients. Which client statement indicates a need for further clarification?

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A nurse is providing education to a client about hypertension. Which statement made by the nurse is accurate?

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