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 A

Explanation

A. This is a classic manifestation of acute pharyngitis, which is often caused by viral or bacterial infections. A red or inflamed throat (erythema) and fever are common symptoms due to the inflammatory response to infection. This choice aligns well with the expected findings in a patient with acute pharyngitis.
B. This description is more indicative of sinusitis rather than acute pharyngitis. While a person with acute pharyngitis may have some upper respiratory symptoms, significant sinus pain and purulent nasal discharge are not typical manifestations of pharyngitis itself.
C. Foul-smelling breath (halitosis) can occur in cases of certain infections, but it’s more characteristic of conditions such as tonsillitis or abscesses in the throat rather than typical acute pharyngitis. Noisy respirations may suggest airway obstruction or other complications that are not primary symptoms of pharyngitis.
D. A weak cough and high-pitched noise (stridor) during respiration are more indicative of upper airway obstruction or croup rather than acute pharyngitis. These symptoms suggest a more severe respiratory condition that involves airway narrowing.

A. Patient color B. Lung sounds C. Heart tones D. Bowel sounds E. Peripheral pulses F. Respiratory rate and effort G. Pulse oximetry reading H. Peak expiratory flow

Correct Answer is ["A","B","C","F","G","H"]

Explanation

A. The patient's color can indicate their oxygenation status. Cyanosis (bluish tint) may suggest hypoxia, which is critical to assess in an asthma patient.
B. Auscultation of lung sounds is essential in asthma assessment. The presence of wheezing, prolonged expiration, or decreased breath sounds can indicate airway obstruction and the severity of the asthma exacerbation.
C. Assessing heart tones can provide information about the cardiovascular response to respiratory distress. Increased heart rate may occur due to hypoxia or anxiety associated with asthma attacks.
D. Bowel sounds are not relevant in the assessment of asthma. While gastrointestinal symptoms may co- occur in some patients, they are not directly related to asthma's respiratory condition.
E. While peripheral pulses are important in general assessments, they do not provide specific information relevant to asthma management or respiratory status.
F. Monitoring respiratory rate and effort is crucial in assessing asthma. Increased respiratory rate and use of accessory muscles may indicate respiratory distress or an asthma exacerbation.
G. A pulse oximetry reading provides an objective measure of oxygen saturation. Low oxygen saturation levels indicate inadequate oxygenation, which is critical to monitor in asthma patients.
H. Measuring peak expiratory flow rate (PEFR) helps assess the severity of airway obstruction and monitor asthma control. It can guide treatment decisions and determine if an asthma attack is occurring.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is diagnosed with acute pharyngitis. Which clinical manifestation would the nurse expect to see in this client?

Correct Answer is A

Explanation

Which physical assessment(s) would be pertinent to the patient with asthma? (Select All that Apply.)

Correct Answer is ["A","B","C","F","G","H"]

Explanation

The nurse is caring for a homeless patient at risk for tuberculosis (TB). Which clinical manifestations of the disease would the nurse include in the teaching plan? (Select All that Apply.)

It is important for a patient with acute streptococcal pharyngitis be treated with antibiotics to prevent which disease process?

What should the nurse include when teaching school-age children about nasopharyngitis?

A nurse is monitoring a child for manifestations of hemorrhage following a tonsillectomy. Which of the following findings is a manifestation of this postoperative complication?

Which statement describes the action of a beta-adrenergic agent for a patient with a respiratory disorder such as asthma?

A nurse is planning a diet for a client who is iron deficient. Which of the following foods high in iron should the nurse include in the plan?

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