A nurse is assessing a client with hypertension. Which clinical manifestation should the nurse recognize as a possible consequence of hypertensive encephalopathy?
Increased appetite and weight gain
Visual disturbances and headache
Pain and tingling in the extremities
Reduced urine output and fatigue
The Correct Answer is B
A) This option is incorrect. Increased appetite and weight gain are not typical manifestations of hypertensive encephalopathy.
B) Correct answer. Hypertensive encephalopathy is characterized by visual disturbances, severe headaches, and neurological symptoms resulting from uncontrolled hypertension and cerebral edema.
C) This option is incorrect. Pain and tingling in the extremities are not directly associated with hypertensive encephalopathy.
D) This option is incorrect. Reduced urine output and fatigue are more likely related to kidney damage and heart failure, respectively, rather than hypertensive encephalopathy.
Questions
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
A) This option is incorrect. Genetics can significantly influence the risk of developing hypertension, and lifestyle factors may exacerbate or mitigate this risk.
B) This option is incorrect. While genetics play a role in hypertension, lifestyle changes can still have a significant impact on prevention and management.
C) Correct answer. Both genetics and lifestyle factors contribute to the development of hypertension. While genetics can predispose individuals to hypertension, lifestyle choices like diet and exercise play a crucial role in its occurrence and progression.
D) This option is incorrect. Hypertension is influenced by both genetic and lifestyle factors, and poor dietary habits can exacerbate the risk.
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