A patient's chart shows a blood pressure of 190/137, with a usual blood pressure of 170/110.
What is a possible diagnosis?
Hypotensive crisis
Hypertensive crisis
Stage 2 hypertension
Stage 1 hypertension
The Correct Answer is B
A hypertensive crisis is defined as a systolic blood pressure (top number) of 180 mm Hg or higher or a diastolic blood pressure (bottom number) of 120 mm Hg or higher. A patient with a blood pressure of 190/137 meets this criterion and has a significantly elevated risk of organ damage and cardiovascular complications. A usual blood pressure of 170/110 indicates that the patient has chronic hypertension, which is a risk factor for hypertensive crisis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Respiratory alkalosis is a condition where the blood's pH is elevated due to excessive removal of CO2 from the body. This can occur when the breathing rate is too fast or deep, such as in response to hypoxia, anxiety, fever, or lung disease. When CO2 is removed from the blood, less H2CO3 is formed, which raises the blood's pH by decreasing the concentration of H+ and HCO3- . A normal blood pH is between 7.35 and 7.45, and a normal partial pressure of arterial carbon dioxide (PaCO2) is between 35- and 45 mm Hg. Therefore, a patient with respiratory alkalosis would have a higher-than-normal pH and a lower-than-normal PaCO2.
Correct Answer is A
Explanation
Infectious mononucleosis, also known as mono or the kissing disease, is an upper respiratory tract infection caused by the Epstein-Barr virus (EBV). EBV is a member of the herpesvirus family and can be transmitted through saliva or blood. The infection typically affects the lymph nodes, tonsils, and pharynx, causing symptoms such as fever, sore throat, swollen glands, and fatigue. The infection usually resolves on its own within a few weeks, but some people may experience complications such as splenomegaly, hepatitis, or neurological disorders. The diagnosis of infectious mononucleosis can be confirmed by a blood test that detects antibodies to EBV or by a mono-spot test that detects heterophile antibodies. A patient has been diagnosed with COPD (chronic obstructive pulmonary disease).
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