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?

Reduce dietary purines.

Begin a jogging program.

Maintain ideal body weight.

Maintain normal uric acid levels

Answer and Explanation

The Correct Answer is C

A. Reduce dietary purines.: This is more relevant for patients with gout, not osteoarthritis. Purine reduction helps control uric acid levels.
B. Begin a jogging program.: High-impact exercises like jogging can exacerbate knee pain and accelerate joint degeneration in osteoarthritis.
C. Maintain ideal body weight.: Maintaining an ideal body weight reduces stress on the knees and helps preserve joint function and delay the progression of osteoarthritis.
D. Maintain normal uric acid levels.: Uric acid levels are related to gout, not osteoarthritis. Maintaining normal levels does not directly affect osteoarthritis.

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Correct Answer is C

Explanation

A. Medications: While medications are important for managing hypertension, lifestyle modifications are typically the first line of treatment.
B. Diagnostic testing: This is important for diagnosing hypertension but not a management step.
C. Lifestyle modifications: Lifestyle modifications, such as dietary changes, exercise, and smoking cessation, are the first steps in managing hypertension and can help reduce the need for medication.
D. Cardiac rehab: Cardiac rehabilitation is beneficial for patients with cardiovascular disease but is not the first step for managing hypertension.

A. "It is caused by a tumor of the adrenal gland." B. The cause can be identified with magnetic resonance imaging." C. "The cause is unknown." D. "There are no tests to identify the cause." E. "An arteriogram will show why hypertension is occurring."

Correct Answer is ["A","B","E"]

Explanation

A. "It is caused by a tumor of the adrenal gland.": This statement is incorrect as a tumor of the adrenal gland (like a pheochromocytoma) would cause secondary hypertension, not primary hypertension, which has no identifiable cause.
B. "The cause can be identified with magnetic resonance imaging.": Primary hypertension does not have a specific identifiable cause, and imaging like MRI cannot pinpoint a cause for it. This statement indicates a misunderstanding.
C. "The cause is unknown.": This statement is correct for primary hypertension, as it is characterized by having no identifiable underlying cause.
D. "There are no tests to identify the cause.": This is correct for primary hypertension since it has no specific identifiable cause. The diagnosis is based on excluding other potential causes of secondary hypertension.
E. "An arteriogram will show why hypertension is occurring.": An arteriogram might identify blockages or other issues in the arteries, but it will not show the cause of primary hypertension. This indicates a need for further teaching.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is C

Explanation

The nurse provides teaching for a newly diagnosed patient with primary hypertension. Which of the following patient statements about the cause of primary hypertension would indicate the need for further teaching? Select all that apply

Correct Answer is ["A","B","E"]

Explanation

During a health screening, a patient's blood pressure is confirmed by two clinic nurses to be 220/120 mm Hg. Which of the following actions should the nurse recommend to the patient?

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