A patient's blood pressure (BP) reading is 142/91 mm Hg. How would the nurse classify the BP?

Normal.

Prehypertension.

Hypertension, stage 1.

Hypertension, stage 2.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

A normal blood pressure reading is typically around 120/80 mm Hg. The given reading of 142/91 mm Hg indicates elevated blood pressure.

Choice B rationale:

Prehypertension is defined as systolic blood pressure between 120-139 mm Hg or diastolic blood pressure between 80-89 mm Hg. The diastolic reading of 91 mm Hg places this patient in the stage 1 hypertension category.

Choice D rationale:

Hypertension, stage 2, is characterized by a systolic blood pressure of 140 mm Hg or higher and a diastolic blood pressure of 90 mm Hg or higher. While the systolic reading meets the criteria, the diastolic reading of 91 mm Hg falls into the stage 1 hypertension category.

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Correct Answer is D

Explanation

Choice A rationale:

Thrombus formation is a later stage event in coronary artery disease (CAD) and occurs after the development of fatty streaks. Thrombus formation usually happens due to the rupture of atherosclerotic plaques, leading to platelet aggregation and clot formation.

Choice B rationale:

Formation of fibrous plaque in the endothelium is a progression that occurs after the initial development of fatty streaks. Fibrous plaques are formed as a response to the inflammation caused by fatty deposits. They are more stable than fatty streaks but can still lead to narrowing of the arteries.

Choice C rationale:

Reduction of blood flow through the coronary arteries is a consequence of atherosclerosis, which occurs after the initial development of fatty streaks. As the fatty deposits accumulate, they narrow the arteries, leading to reduced blood flow. However, this is not the initial change that makes patients susceptible to CAD.

Choice D rationale:

Development of fatty streaks in the smooth muscles of the endothelium is the initial change that occurs in the development of atherosclerosis, making patients susceptible to coronary artery disease. Fatty streaks are composed of lipid-laden macrophages and smooth muscle cells. Over time, these fatty streaks can progress into fibrous plaques and eventually lead to complications such as thrombus formation and reduced blood flow.

A. Occurs with both activity and rest. B. Generally lasts 10-15 minutes or more. C. Does not subside when the precipitating factor is resolved. D. Occurs intermittently over a period of time in a similar pattern.

Correct Answer is D

Explanation

Choice A rationale:

Chronic stable angina typically occurs with activity and is relieved with rest or nitroglycerin. Therefore, this statement is incorrect for chronic stable angina.

Choice B rationale:

Chronic stable angina usually lasts for a short duration, usually around 5 minutes, and is relieved with rest or nitroglycerin. Prolonged pain lasting 10-15 minutes or more could indicate an unstable angina or myocardial infarction. This choice is incorrect for chronic stable angina.

Choice C rationale:

Pain due to chronic stable angina subsides when the precipitating factor, such as physical exertion, is resolved or with medication like nitroglycerin. Therefore, this statement is incorrect for chronic stable angina.

Choice D rationale:

Chronic stable angina follows a predictable pattern, occurring intermittently over a period of time, and is usually triggered by physical exertion or emotional stress. This option correctly describes the characteristic pattern of chronic stable angina.

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A patient's blood pressure (BP) reading is 142/91 mm Hg. How would the nurse classify the BP?

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Naxlex Comprehensive Predictor Exams

Which change occurs first, making patients susceptible to coronary artery disease?

Correct Answer is D

Explanation

Which information would the nurse include when discussing pain due to chronic stable angina with the patient?

Correct Answer is D

Explanation

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