A nurse is reviewing blood pressure classifications with a group of nurses at an in-service meeting. Which of the following should the nurse include as a risk factor for the development of hypertension?
High-density lipoprotein (HDL) level of 70 mg/dL
A diet high in potassium
Obstructive sleep apnea (OSA)
Taking benazepril
The Correct Answer is C
A. High-density lipoprotein (HDL) level of 70 mg/dL: Having a high HDL level is generally considered a protective factor against cardiovascular disease, including hypertension.
B. A diet high in potassium: A diet high in potassium is often associated with a lower risk of hypertension. Potassium helps balance sodium levels and supports healthy blood pressure.
C. Obstructive sleep apnea (OSA): This is the correct answer. Obstructive sleep apnea is a known risk factor for hypertension. The repeated episodes of interrupted breathing during sleep can contribute to increased blood pressure.
D. Taking benazepril: Benazepril is an angiotensin-converting enzyme (ACE) inhibitor commonly used to treat hypertension. While it is used to manage high blood pressure, taking the medication itself is not a risk factor for developing hypertension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Cheyne-Stokes respirations: Cheyne-Stokes respirations are characterized by alternating periods of hyperventilation followed by apnea. This respiratory pattern is often observed in clients with conditions affecting the central nervous system, such as brain injury or stroke.
B. Apneustic respirations: Apneustic respirations are characterized by prolonged, gasping inhalations followed by extremely short, ineffective exhalations. This pattern is associated with damage to the pons, a part of the brainstem.
C. Stridor: Stridor is a high-pitched, noisy breathing sound caused by turbulent airflow through a partially obstructed airway. It is not related to the described alternating pattern of hyperventilation and apnea.
D. Kussmaul respirations: Kussmaul respirations are deep, rapid respirations often seen in metabolic acidosis. They are not characterized by the alternating pattern described in the scenario.
Correct Answer is B
Explanation
A. Montelukast: Montelukast is a leukotriene receptor antagonist and is commonly used in the management of asthma. It helps to prevent bronchoconstriction and is appropriate for a client with asthma.
B. Propranolol: This is the correct answer. Propranolol is a non-selective beta-blocker. Beta-blockers can potentially worsen bronchoconstriction and are contraindicated in clients with asthma. Therefore, clarification is needed regarding the prescription of propranolol for a client with asthma.
C. Theophylline: Theophylline is a bronchodilator that may be used in the treatment of asthma. It helps to relax the smooth muscles of the airways, allowing for easier breathing.
D. Prednisone: Prednisone is a corticosteroid and is commonly used to reduce inflammation in the airways during an asthma exacerbation. It helps to control symptoms and improve lung function.
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