A patient is being treated for hypertensive emergency. When treating this patient, the nurse recognizes the initial goal is to lower the mean blood pressure (BP) by 20-25% because

the goal is to lower the BP to 120/80.

lowering the BP quickly may decrease cerebral, coronary or renal perfusion.

IV antihypertensive medications have a slow onset.

Lowering the BP slowly allows the patient to rest.

Answer and Explanation

The Correct Answer is B

A. While lowering BP to 120/80 may be an ultimate goal, it is not the initial target in a hypertensive emergency.

B. Rapid reduction in blood pressure can cause hypoperfusion of vital organs such as the brain, heart, and kidneys, leading to ischemic injury. The aim is to reduce the BP gradually to prevent these complications.

C. IV antihypertensive medications generally have a rapid onset, not a slow one.

D. While gradual reduction is important, it is not done to allow rest but to protect organ perfusion.

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Correct Answer is D

Explanation

A. This response is dismissive of the patient's concerns and does not address the underlying issue of the patient's misunderstanding of cardiac rehabilitation.
B. This response defers to the physician without providing the patient with helpful information.
C. While true, this statement does not address the patient’s concern about the irreversibility of heart damage.
D. This response directly addresses the patient’s concern by explaining the purpose of cardiac rehabilitation, which is to safely increase activity levels and improve overall heart health, even though the heart damage cannot be undone.

A. Spironolactone B. Furosemide C. Metoprolol D. Nitroglycerin

Correct Answer is B

Explanation

A. Spironolactone is a potassium-sparing diuretic, so it would not cause hypokalemia.

B. Furosemide is a loop diuretic that causes the kidneys to excrete potassium, leading to hypokalemia.

C. Metoprolol is a beta-blocker and does not directly affect potassium levels.

D. Nitroglycerin is a vasodilator and does not affect potassium levels.

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A patient is being treated for hypertensive emergency. When treating this patient, the nurse recognizes the initial goal is to lower the mean blood pressure (BP) by 20-25% because

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A nurse is caring for a client who has heart failure and a potassium level of 2.4 mEq/L. The nurse should identify which of the following medications as the cause of the client's low potassium level?

Correct Answer is B

Explanation

The main purpose of critical care certification is to

An essential aspect of teaching that may prevent recurrence of heart failure exacerbations is

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