A nurse reviews hypertension 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

Taking benazepril

Obstructive sleep apnea

Answer and Explanation

The Correct Answer is D

A. A high-density lipoprotein (HDL) level of 70 mg/dL is considered protective against cardiovascular disease, not a risk factor for hypertension.
B. A diet high in potassium can help lower blood pressure, not increase it.
C. Benazepril is an antihypertensive medication (an ACE inhibitor) used to treat high blood pressure, not cause it.
D. Obstructive sleep apnea is a recognized risk factor for the development of hypertension due to intermittent hypoxia and increased sympathetic activity during sleep.

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Correct Answer is A

Explanation

A. Daily weight measurement at the same time each day is the most accurate and effective method for monitoring fluid status in a patient with heart failure. A sudden increase in weight can indicate fluid retention.
B. Encouraging fluid intake of 3 liters per day is contraindicated in heart failure, where fluid restriction is often necessary to prevent volume overload.
C. Sodium restriction is important, but less than 2–3 grams per day is usually recommended for heart failure, not 5 grams. Also, while helpful, this does not directly monitor fluid status.
D. Monitoring oxygen saturation helps assess respiratory status but does not directly monitor fluid balance.

A. Hypoglycemia B. Neurogenic shock C. Seizures D. Cardiac dysrhythmias

Correct Answer is D

Explanation

A. Hypoglycemia is not a typical complication of hypokalemia or furosemide use.
B. Neurogenic shock results from spinal cord injury or dysfunction, not from low potassium levels.
C. Seizures are more commonly associated with hyponatremia or hypocalcemia, not mild hypokalemia.
D. Cardiac dysrhythmias are a primary concern with hypokalemia (such as a potassium level of 3.3 mEq/L), as low potassium can disrupt cardiac electrical activity and increase the risk of life-threatening arrhythmias.

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A nurse reviews hypertension 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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient with heart failure. Which of the following nursing interventions is most appropriate to monitor fluid status in this patient?

Correct Answer is A

Explanation

A nurse in a provider's office reviews the laboratory results of a client who takes furosemide for hypertension. The nurse notes that the client's potassium level is 3.3 mEq/L (range 3.5 to 5.2). The nurse should monitor the client for which of the following complications?

Correct Answer is D

Explanation

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