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 B

Explanation

A) 20 represents the distance a normal eye can read and 40 represents the distance your eye read the chart: This option incorrectly reverses the interpretation of the numbers. The correct interpretation is that the first number represents the distance at which the patient is reading the chart, and the second number represents the distance at which a person with normal vision would be able to read the same line.
B) 20 represents the distance you are placed from the chart and 40 represents the distance a normal eye read the chart: This is the correct interpretation of visual acuity. In the Snellen chart system, the first number (20) represents the distance (in feet) from which the patient is viewing the chart, while the second number (40) represents the distance at which a person with normal vision (20/20) would be able to read the same line of the chart.
C) 20 represents the distance you are placed from the chart and 40 represents the distance your eye read the chart: This option is incorrect because it does not accurately describe what the numbers mean. The second number represents the distance at which normal vision can read the line, not the distance the patient’s eye read the chart.
D) 40 represents the distance you are placed from the chart and 20 represents the distance normal eye read the chart: This option incorrectly assigns the numbers. The distance of 20 feet is standard for testing vision, and 40 feet is the benchmark for normal vision. The correct understanding is that 20 is the test distance, and 40 is the comparison distance for normal vision.

A. Egophony B. normal voice transmission. C. Air filled lungs D. Bronchophony

Correct Answer is A

Explanation

A. Egophony: Egophony is a type of abnormal voice sound transmission where the letter "E" is heard as an "A" when auscultated through a stethoscope. This can indicate underlying lung pathology, such as consolidation or infection, that alters the way sounds are transmitted through the lung tissue.
B. Normal voice transmission: Normal voice transmission would involve hearing the letter "E" clearly and accurately as the patient says it, without distortion. The presence of an "A" sound indicates an abnormal finding, not a normal one.
C. Air-filled lungs: Air-filled lungs typically transmit voice sounds clearly and normally. If the sound changes to an "A," this suggests a pathology that alters sound transmission, rather than indicating simply air-filled lungs.
D. Bronchophony: Bronchophony refers to the increased clarity of spoken sounds heard through the stethoscope over areas of lung consolidation, but it does not specifically describe the transformation of the letter "E" to "A." The specific change in sound transmission described here is characteristic of egophony.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing a complete physical examination on a patient. After examining the patient with the Snellen chart, the nurse documented distance vision in both eyes 20/40. The patient asks the nurse what 20/40 means:

Correct Answer is B

Explanation

During a respiratory physical assessment, the nurse directs the patient to say and repeat the letter E for the transmitted voice sounds assessment. The nurse by auscultation hears the letter A instead of E. This is known as:

Correct Answer is A

Explanation

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