A patient is diagnosed with primary hypertension and asks the nurse what caused the condition.
Which response would the nurse give?

"There is no identified cause!”

"A decrease in plasma renin levels.”

"Too much plaque in the blood vessels.”

"Kidney disease is the most common cause.”

Answer and Explanation

The Correct Answer is A

Choice B rationale:

A decrease in plasma renin levels is not a known cause of primary hypertension. Primary hypertension often has no identifiable cause, and it is a diagnosis of exclusion.

Choice C rationale:

Too much plaque in the blood vessels describes atherosclerosis, which is a risk factor for hypertension but not the direct cause of primary hypertension. Plaque buildup narrows arteries and increases resistance, contributing to elevated blood pressure.

Choice D rationale:

Kidney disease can cause secondary hypertension but is not the most common cause of primary hypertension. Primary hypertension, also known as essential hypertension, is the most common form, and its exact cause remains unknown in many cases.

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Correct Answer is D

Explanation

Choice A rationale:

This statement is incorrect. Mexican Americans do not have higher rates of good blood pressure control compared to other populations.

Choice B rationale:

This statement is incorrect. Mexican Americans are not more likely to receive treatment for hypertension compared to other populations.

Choice C rationale:

This statement is incorrect. While hypertension is prevalent among Mexican Americans, stating they have the highest prevalence of hypertension in the world is inaccurate. The prevalence of hypertension is influenced by various factors and can vary across different regions globally.

A. "I will take my iron supplement with a straw.” B. "I will take my iron supplement at bedtime.” C. "I will take my iron supplement along with meals.” D. "I will take my iron supplement along with orange juice.”

Correct Answer is C

Explanation

The correct answer is choice c. “I will take my iron supplement along with meals.”

Choice A rationale:

Taking iron supplements with a straw is recommended to prevent staining of the teeth, which is a common side effect of liquid iron supplements.

Choice B rationale:

Taking iron supplements at bedtime can be beneficial for some patients, especially if they experience gastrointestinal discomfort when taking iron during the day.

Choice C rationale:

Taking iron supplements with meals can decrease the absorption of iron. Iron is best absorbed on an empty stomach, although it can be taken with food if gastrointestinal upset occurs.

Choice D rationale:

Taking iron supplements with orange juice is recommended because vitamin C enhances the absorption of iron.

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A patient is diagnosed with primary hypertension and asks the nurse what caused the condition.Which response would the nurse give?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse presents information to a group of nursing students about cultural and ethnic health disparities related to hypertension.Which information would the nurse include about the comparison of Mexican Americans to White and Black populations?

Correct Answer is D

Explanation

The nurse is teaching a patient about the administration of liquid iron supplements. Which response by the patient indicates the need for additional teaching?

Correct Answer is C

Explanation

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A patient is diagnosed with primary hypertension and asks the nurse what caused the condition.
Which response would the nurse give?