A student nurse asks what "primary hypertension" is. What is the best response by the registered nurse?

"It is hypertension with no specific cause."

"It refers to severe and life-threatening hypertension."

"It means it is 'essential' that it be treated."

"It means it is caused by another disease."

Answer and Explanation

The Correct Answer is A

A.   Primary hypertension, also known as essential hypertension, is characterized by high blood pressure without an identifiable or specific medical cause. It is the most common type of hypertension, and its development is thought to result from a combination of genetic, environmental, and lifestyle factors.
B.   This statement is misleading. While hypertension can be severe, primary hypertension is not defined by its severity or immediate life-threatening nature. Instead, primary hypertension can range from mild to severe, but the key characteristic is the absence of a specific underlying cause.
C.   While treating hypertension is important, the term "essential" in primary hypertension refers to its lack of a known cause, not the urgency or necessity of treatment. This option could confuse the terminology as it does not accurately define the type of hypertension.
D.   This statement describes secondary hypertension, which occurs as a result of another medical condition (e.g., kidney disease, hormonal disorders). Primary hypertension, in contrast, does not have a direct identifiable cause.

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Correct Answer is C

Explanation

A. While this information is important for understanding the cause of the asthma exacerbation, it is not the most critical piece of information needed for immediate treatment.
B. Knowing when the symptoms began can help determine the severity of the exacerbation and the need for additional interventions. However, it is not as important as knowing the last dose of medication.
C. This information is crucial for determining the appropriate treatment. If the child has not received their regular medications as prescribed, they may need additional doses to manage the exacerbation.
D. Knowing the child's history of asthma exacerbations is important for assessing the severity of the current episode and planning long-term management. However, it is not the most critical piece of information needed for immediate treatment.

A. Have your blood pressure checked again in 2 months. B. Have your blood pressure checked within the next 48-72 hours. C. Visit your health care provider within 1 week for a blood pressure check. D. See your health care provider immediately.

Correct Answer is D

Explanation

A. This response may downplay the significance of the current elevated blood pressure reading. Given that the reading indicates stage 2 hypertension, waiting two months without further assessment could be inappropriate, as the patient may be at risk for complications.
B. This option suggests a follow-up in a reasonable timeframe. It acknowledges the need for a prompt reassessment but still allows for some delay. However, it may not convey the urgency that may be warranted given the current high reading.
C. While this option provides a specific timeframe for follow-up, it may also imply that the situation is less urgent than it is. A week could be too long to wait for someone with a reading indicative of hypertension, especially considering potential risks.
D. This is the best response because it prioritizes the patient's health by recommending immediate evaluation. The current blood pressure reading of 160/96 mmHg is significantly elevated and may warrant urgent assessment to rule out any underlying conditions, initiate management, and prevent complications such as cardiovascular events.

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A student nurse asks what "primary hypertension" is. What is the best response by the registered nurse?

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Naxlex Comprehensive Predictor Exams

A school-age child is admitted to the ER with status asthmaticus. The parent states the child is taking montelukast, albuterol, and fluticasone. Which is the most important piece of information that the nurse needs to ask the parent to best treat the child?

Correct Answer is C

Explanation

At a community health fair, the blood pressure of a 62-year-old patient is 160/96 mmHg. The patient states "My blood pressure is usually much lower." What is the best response by the nurse?

Correct Answer is D

Explanation

A client is admitted to the hospital with a long history of hypertension. The nurse should assess the client for which identifiable cause of secondary hypertension?

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A student nurse asks what "primary hypertension" is. What is the best response by the registered nurse?