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?

Proteinuria and edema

Weight loss and increased appetite

Improved exercise tolerance

Reduced urine output

Answer and Explanation

The Correct Answer is A

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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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.

A. "I should limit my alcohol intake to reduce my risk of hypertension." B. "My family history of hypertension won't affect my chances of developing it." C. "Regular exercise can help lower my blood pressure." D. "I will try to reduce my stress levels to prevent hypertension."

Correct Answer is B

Explanation

A. Limiting alcohol intake is a well-known strategy to reduce the risk of hypertension. Excessive alcohol consumption can raise blood pressure, so this statement is accurate and does not need further clarification.

B. Family history is a significant risk factor for hypertension. If a person has a family history of hypertension, their chances of developing it are higher. This statement is incorrect and indicates a need for further clarification.

C. Regular exercise is beneficial for lowering blood pressure. Physical activity helps maintain a healthy weight and improves heart health, making this statement correct.

D. Reducing stress levels can help prevent hypertension. Chronic stress can contribute to high blood pressure, so managing stress is a valid preventive measure.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client asks the nurse about the role of genetics in developing hypertension. What should the nurse respond?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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