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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A) This statement is incorrect. Hypertension is characterized by elevated blood pressure levels, not low blood pressure levels.
B) This statement is incorrect. Regular screenings for hypertension are essential, even in the absence of symptoms, to detect and manage the condition early.
C) Correct answer. Hypertension is often asymptomatic in its early stages, which makes routine screenings crucial for timely diagnosis and intervention.
D) This statement is incorrect. While a family history of hypertension is a risk factor, there are other non-modifiable and modifiable risk factors that can contribute to the development of hypertension.
Correct Answer is C
Explanation
A) This option is incorrect. Taking antihypertensive medications on an empty stomach may lead to gastrointestinal irritation and is not the recommended approach.
B) This option is incorrect. While taking medication with a meal can help reduce potential stomach upset, it is not the primary consideration when timing antihypertensive medications.
C) Correct answer. It is essential to take antihypertensive medications at the same time every day to maintain consistent blood levels and ensure effectiveness. Consistency in medication administration is critical for controlling blood pressure.
D) This option is incorrect. Some antihypertensive medications, such as diuretics, may be best taken in the morning to avoid nighttime urination. However, the timing of medications should be discussed with the prescribing healthcare provider based on the specific medication regimen.
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