A patient is newly diagnosed with hypertension, placed on new medications, and expected to comply with lifestyle modifications, weight loss, and follow-up visits. The patient tells the nurse they cannot afford the medications and are uninsured. What action should the nurse take to support compliance?

Provide names of support groups.

Schedule an annual physical examination.

Refer the patient to a free clinic.

Refer the patient for financial assistance.

Answer and Explanation

The Correct Answer is C

A. Provide names of support groups: While support groups can offer emotional and educational support, they do not address the immediate financial barrier to obtaining necessary medications.
B. Schedule an annual physical examination: Regular check-ups are important, but they do not directly address the issue of medication affordability and access to care.
C. Refer the patient to a free clinic: Free clinics often provide low-cost or no-cost medications and healthcare services, which can help the patient access the necessary treatments and follow-up care.
D. Refer the patient for financial assistance: Financial assistance programs can be helpful, but they might take time to apply and be approved. Immediate referral to a free clinic can provide more immediate support.

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Correct Answer is B

Explanation

A. Ensure an adequate potassium blood level.: While potassium levels are important, they are not the primary goal in a hypertensive emergency.
B. Gradually reduce BP.: In hypertensive emergencies, the goal is to gradually reduce blood pressure to avoid causing further damage to organs. Rapid reduction can lead to ischemia or stroke.
C. Negate the impact of sodium in the body.: Although reducing sodium intake is a general recommendation for hypertension management, it is not the immediate goal in an emergency situation.
D. Increase urine output.: While diuretics might be used, the main goal is the controlled reduction of blood pressure rather than just increasing urine output.

A. Paresthesia B. Pruritus C. Pain D. Pallor E. Palpitations

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

Explanation

A. Paresthesia: Numbness or tingling sensations (paresthesia) can occur due to decreased blood supply and nerve function.
B. Pruritus: Itching (pruritus) is not typically associated with arterial occlusion. It is more often related to skin conditions or allergies.
C. Pain: Pain is a hallmark symptom of arterial occlusion, often described as severe and sudden, due to tissue ischemia.
D. Pallor: Affected limbs or areas may appear pale (pallor) because of reduced blood flow.
E. Palpitations: Palpitations are not a direct symptom of arterial occlusion. They are more related to cardiac conditions.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient in hypertensive emergency. What should the nurse expect to be the goal when treatment is provided for this patient

Correct Answer is B

Explanation

Which of the following are clinical manifestations of arterial occlusion? Select all that apply.

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

Explanation

The nurse is providing teaching to a patient with Buerger disease. Which of the following statements by the patient would the nurse evaluate as indicating understanding about Buerger disease?

Which factor would be the first step in the management of hypertension?

The nurse is reinforcing teaching about dietary changes with a patient newly diagnosed with hypertension. What should the nurse include in the teaching about a DASH diet? Select all that apply. (Select All that Apply.)

A patient with peripheral arterial disease (PAD) is sitting in a chair and has cool feet that are reddish-purple in color. What action should the nurse take?

A patient with osteoarthritis who had a right total knee replacement tells the nurse that the other knee is becoming painful. Which of the following is the most appropriate instruction to help the patient preserve function of the left knee?

A patient asks the nurse how to prevent a stroke. Which statement by the nurse is correct? Select all that apply.

A patient asks the difference between osteoarthritis and RA. Which manifestations does the nurse explain are characteristic of RA? (Select all that apply.)