A nurse is explaining the importance of an electrocardiogram (ECG) in the diagnosis of hypertension. Which statement should the nurse include in the discussion?

"An ECG helps determine the extent of blockages in your arteries caused by hypertension."

"ECG results are used to identify any enlargement or abnormalities in your heart due to hypertension."

"An ECG is essential in diagnosing kidney damage, which is a common complication of hypertension."

"ECG results provide information on the levels of sodium and potassium in your blood, which may be affected by hypertension."

Answer and Explanation

The Correct Answer is B

A) This option is incorrect. While hypertension is a risk factor for cardiovascular diseases like atherosclerosis, an ECG primarily assesses the heart's electrical activity, not arterial blockages.

B) Correct answer. An ECG is essential in diagnosing and assessing heart abnormalities, such as left ventricular hypertrophy, which can result from the strain caused by hypertension.

C) This option is incorrect. An ECG is not directly used to diagnose kidney damage. Blood tests like creatinine and BUN are more specific for assessing kidney function in the context of hypertension.

D) This option is incorrect. An ECG does not provide information on blood levels of sodium and potassium. Blood tests are used for evaluating electrolyte levels, not ECG results.

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Correct Answer is A

Explanation

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.

A. "Home blood pressure monitoring helps identify underlying causes of hypertension." B. "Self-monitoring allows you to track your blood pressure trends and responses to lifestyle changes and medications." C. "By self-monitoring, you can determine your target blood pressure range and adjust your treatment accordingly." D. "Home blood pressure monitoring is a substitute for regular medical check-ups, reducing the need for healthcare visits."

Correct Answer is B

Explanation

A) This option is incorrect. Home blood pressure monitoring may not identify the specific underlying causes of hypertension, as it primarily focuses on monitoring blood pressure levels.

B) Correct answer. Self-monitoring blood pressure at home allows individuals to track their blood pressure trends over time, observe the effects of lifestyle changes and medication, and communicate this information with their healthcare providers for effective management.

C) This option is incorrect. While home blood pressure monitoring can provide valuable data to determine target blood pressure ranges, healthcare providers play a crucial role in establishing appropriate targets and making treatment adjustments.

D) This option is incorrect. Home blood pressure monitoring is a valuable complement to regular medical check-ups, but it does not replace the need for healthcare visits. Regular medical check-ups are essential for comprehensive hypertension management and monitoring other health parameters.

QUESTIONS

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A nurse is explaining the importance of an electrocardiogram (ECG) in the diagnosis of hypertension. Which statement should the nurse include in the discussion?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

A nurse is educating a client about the significance of self-monitoring blood pressure at home. Which benefit should the nurse emphasize?

Correct Answer is B

Explanation

A client asks the nurse about the relationship between hypertension and salt intake. What should the nurse explain?

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