A nurse is reviewing blood pressure classifications with a group of newly licensed nurses. Which of the following is an example of stage 1 hypertension?

Blood pressure of 118/78 mmHg

Blood pressure of 122/80 mmHg

Blood pressure of 132/88 mmHg

Blood pressure of 162/98 mmHg

Answer and Explanation

The Correct Answer is C

Choice A reason: A blood pressure of 118/78 mmHg is normal (systolic <120 and diastolic <80), not stage 1 hypertension (systolic 130–139 or diastolic 80–89). This is incorrect, as it does not meet the criteria for hypertension, requiring clarification for the nurses’ understanding.

Choice B reason: A blood pressure of 122/80 mmHg is elevated (systolic 120–129 and diastolic <80), not stage 1 hypertension, which requires systolic 130–139 or diastolic 80–89. This is incorrect, as it falls below the threshold for stage 1 classification in hypertension guidelines.

Choice C reason: A blood pressure of 132/88 mmHg falls within stage 1 hypertension (systolic 130–139 or diastolic 80–89), requiring lifestyle changes and possible medication. This is the correct example, as it accurately represents the classification for stage 1 hypertension in clinical practice.

Choice D reason: A blood pressure of 162/98 mmHg indicates stage 2 hypertension (systolic ≥140 or diastolic ≥90), not stage 1. This is incorrect, as it exceeds the stage 1 range, requiring the nurse to distinguish it from the milder stage 1 classification.

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

Explanation

Choice A reason: Limiting carbohydrates is not specific to peripheral venous disease management, which focuses on reducing venous stasis and edema. Carbohydrate restriction may relate to diabetes or weight control but does not address venous insufficiency, making this an incorrect intervention for the care plan.

Choice B reason: Exercise, such as walking, promotes venous return by activating the muscle pump in the legs, reducing stasis and edema in peripheral venous disease. This improves circulation and prevents complications like thrombosis, making it a key intervention to include in the client’s care plan.

Choice C reason: Elevating legs reduces venous pressure and edema in peripheral venous disease by facilitating blood return to the heart. This alleviates swelling and discomfort caused by venous stasis, making leg elevation a critical intervention to include in the care plan for effective symptom management.

Choice D reason: Thromboembolic compression stockings enhance venous return, reduce edema, and prevent thrombosis in peripheral venous disease by applying graduated pressure. This supports circulation and prevents complications, making it an essential intervention to include in the care plan for clients with venous insufficiency.

Choice E reason: Hot caffeinated beverages do not benefit peripheral venous disease and may worsen it by causing vasoconstriction or dehydration, increasing stasis risk. This intervention is irrelevant and potentially harmful, making it incorrect for inclusion in the care plan for venous disease management.

A. Dairy products B. Licorice C. Oatmeal D. Grapefruit juice

Correct Answer is D

Explanation

Choice A reason: Dairy products do not significantly interact with antilipemic drugs like statins, which are commonly used. They may affect dietary cholesterol but not drug metabolism. Grapefruit juice is a key interaction, making dairy an incorrect focus for teaching about antilipemic therapy drug-food interactions.

Choice B reason: Licorice may affect blood pressure or potassium but is not a primary concern for antilipemic therapy interactions. Grapefruit juice inhibits statin metabolism, increasing drug levels and side effect risks, making licorice an incorrect choice for this teaching focus compared to grapefruit juice.

Choice C reason: Oatmeal, rich in fiber, benefits cholesterol levels but does not interact adversely with antilipemic drugs like statins. Grapefruit juice is the critical interaction due to enzyme inhibition, making oatmeal an incorrect choice, as it lacks significant drug-food interaction with antilipemic therapy.

Choice D reason: Grapefruit juice inhibits the CYP3A4 enzyme, affecting statin metabolism, increasing drug levels, and risking toxicity like myopathy. This is a critical drug-food interaction for antilipemic therapy, making it the correct food to discuss in teaching to ensure safe medication use and avoid adverse effects.

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A nurse is reviewing blood pressure classifications with a group of newly licensed nurses. Which of the following is an example of stage 1 hypertension?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Explanation

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Correct Answer is D

Explanation

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