. A nurse is discussing management of hypertension with a patient. Which patient statement indicates that additional teaching about the relationship between hypertension and acute coronary syndrome (ACS) is needed?
"Controlling my blood pressure will decrease my risk of having a heart attack to some degree."
"Because I'm over 80, even a 20 mm Hg drop in my blood pressure can reduce my risk."
"High blood pressure will increase my body's need for oxygen and increase my heart's workload."
"My high blood pressure has no relationship to the severity of heart disease or its outcomes."
The Correct Answer is D
A. "Controlling my blood pressure will decrease my risk of having a heart attack to some degree." This statement is accurate. Controlling blood pressure reduces the risk of developing ACS.
B. "Because I'm over 80, even a 20 mm Hg drop in my blood pressure can reduce my risk." Research indicates that even modest reductions in blood pressure can significantly lower the risk of cardiovascular events, especially in older adults.
C. "High blood pressure will increase my body's need for oxygen and increase my heart's workload." High blood pressure increases myocardial oxygen demand and can lead to ischemia, which is a precursor to ACS.
D. "My high blood pressure has no relationship to the severity of heart disease or its outcomes." This statement is false. High blood pressure is a major risk factor for heart disease, including ACS, and it directly affects the severity and outcomes of heart disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["136.67"]
Explanation
Calculation:
The P/F ratio is calculated as:
P/Fratio= PaO₂÷ FiO₂
P/Fratio = 82÷0.60
=136.67
Correct Answer is C
Explanation
A. PT/INR: PT/INR is used to assess clotting function and liver synthetic function but does not directly relate to the symptoms of lethargy and confusion.
B. Urea: Urea levels are related to kidney function and protein metabolism but do not directly explain the symptoms of encephalopathy.
C. Ammonia: Elevated ammonia levels in cirrhosis can lead to hepatic encephalopathy, which presents as lethargy and confusion. The liver is unable to convert ammonia to urea, leading to its accumulation in the blood.
D. Albumin: Albumin levels are important in assessing nutritional status and fluid balance in cirrhosis but do not directly cause lethargy and confusion.
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