A nurse is doing a community teaching about the consequences of uncontrolled hypertension. What health problems should the nurse describe? Select all that apply.

Cerebrovascular disease

Venous insufficiency

Transient Ischemic Attack (TIA)

Left Ventricular Hypertrophy

Constipation

Bronchitis

Answer and Explanation

Correct Answer : A,C,D

A) Cerebrovascular disease: Uncontrolled hypertension can lead to cerebrovascular disease, including stroke. High blood pressure damages the blood vessels in the brain, increasing the risk of both ischemic and hemorrhagic strokes. Chronic hypertension contributes to the development of atherosclerosis and can lead to significant cerebrovascular complications.
B) Venous insufficiency: Venous insufficiency is typically associated with conditions that affect the veins, such as chronic venous disease or deep vein thrombosis, rather than hypertension. While hypertension can impact overall cardiovascular health, it is not a primary cause of venous insufficiency.
C) Transient Ischemic Attack (TIA): A TIA, often referred to as a "mini-stroke," is a temporary period of symptoms similar to those of a stroke. Uncontrolled hypertension is a major risk factor for TIAs, as it can cause temporary disruptions in blood flow to the brain, leading to symptoms that resolve within minutes to hours but indicate a higher risk for a full-blown stroke.
D) Left Ventricular Hypertrophy: Left ventricular hypertrophy (LVH) occurs when the heart's left ventricle becomes thickened due to increased pressure workload, commonly from uncontrolled hypertension. This condition can lead to heart failure, arrhythmias, and other cardiovascular problems.
E) Constipation: Constipation is generally not a direct consequence of uncontrolled hypertension. While lifestyle factors such as diet can affect both hypertension and bowel movements, constipation itself is not directly linked to high blood pressure.
F) Bronchitis: Bronchitis, an inflammation of the bronchial tubes, is not directly related to hypertension. It is more commonly associated with smoking, infections, and chronic lung

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Correct Answer is A

Explanation

A) Instruct the patient on Tripod positioning: Tripod positioning involves the patient sitting or standing with their hands on their knees or a table, which helps in optimizing lung expansion and improving breathing. This position can help clients with COPD ease their breathing by increasing the use of accessory muscles and allowing the diaphragm to work more efficiently.
B) Restrict the client's fluid intake to less than 2 L/day: Restricting fluid intake is generally not recommended for COPD patients unless there are specific signs of fluid retention or other contraindications. Adequate fluid intake is important to keep mucus thin and easier to expel. Restricting fluids may worsen mucus thickness and make it harder to clear secretions.
C) Provide the client with a low-protein diet: COPD patients often need a higher-protein diet to help maintain muscle mass and support overall nutritional status. A low-protein diet would not be appropriate as it could lead to muscle wasting and decreased respiratory muscle strength.
D) Have the client use the early-morning hours for exercise and activity: While physical activity is important, the timing of exercise should be tailored to the client's individual tolerance and condition. Early-morning exercise might not be suitable for all patients, especially if they experience morning respiratory symptoms or have other considerations. The key is to find an optimal time that aligns with the patient's energy levels and condition.

A. Wear socks when walking around the home. B. Install grab bars in the bathtub. C. Secure rugs with adhesive tape. D. Use nightlights along stairways and walkways. E. Install handrails on both sides of all stairways.

Correct Answer is ["B","C","D","E"]

Explanation

A) Wear socks when walking around the home: Wearing socks, especially if they have smooth soles, can increase the risk of slipping on hard surfaces. Non-slip footwear is recommended for preventing falls. Therefore, recommending socks for walking may not address the safety concerns effectively.
B) Install grab bars in the bathtub: Installing grab bars in the bathtub is a crucial safety measure for preventing falls and providing support for older adults while bathing. This helps reduce the risk of slips and injuries in a common high-risk area for falls.
C) Secure rugs with adhesive tape: Securing rugs with adhesive tape helps prevent them from slipping, which can significantly reduce the risk of tripping and falling. Loose or unsecured rugs are common hazards in the home environment.
D) Use nightlights along stairways and walkways: Using nightlights along stairways and walkways improves visibility and helps prevent falls during the night. Adequate lighting is essential for older adults to navigate their homes safely.
E) Install handrails on both sides of all stairways: Installing handrails on both sides of stairways provides additional support and stability, which is particularly important for older adults to prevent falls while using stairs. This enhancement helps ensure safer navigation of stairs.

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A nurse is doing a community teaching about the consequences of uncontrolled hypertension. What health problems should the nurse describe? Select all that apply.

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Naxlex Comprehensive Predictor Exams

A nurse is developing a plan of care for a client who has COPD. The nurse should include which of the following interventions in the plan?

Correct Answer is A

Explanation

Which of the following should the nurse include in her teaching plan to address home safety for an older adult client? (Select all that apply.)

Correct Answer is ["B","C","D","E"]

Explanation

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