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. Propranolol is a non-selective beta-blocker that can cause bronchoconstriction, making it contraindicated for patients with asthma. It can worsen asthma symptoms by blocking beta-2 adrenergic receptors, which are important for bronchodilation.
B. Theophylline is a bronchodilator that can be used in asthma management, especially in chronic cases. While it has a narrow therapeutic index and can have side effects, it is not contraindicated in acute exacerbations. However, it’s less commonly used today due to better alternatives.
C. Prednisone is a corticosteroid used to reduce inflammation during asthma exacerbations. It is a common and appropriate medication for managing acute asthma attacks, so it does not require clarification.
D. Montelukast is a leukotriene receptor antagonist used for long-term asthma control. It helps reduce inflammation and bronchoconstriction. While it’s not a first-line treatment for acute exacerbations, it is appropriate for ongoing management and doesn’t need clarification.

A. Isoniazid B. Vancomycin C. Pyrazinamide D. Pantoprazole E. Rifampin F. Propranolol G. Ethambutol

Correct Answer is ["A","C","E","F"]

Explanation

A. This is a first-line anti-TB medication that is commonly used in the treatment of active TB infections.
B. Vancomycin is an antibiotic that is effective against certain bacteria, but it is not used in the treatment of TB.
C. This is another first-line anti-TB medication that is often used in combination with other drugs to treat active TB infections.
D. Pantoprazole is a proton pump inhibitor used to treat acid reflux and ulcers. It is not used in the treatment of TB.
E. This is a first-line anti-TB medication that is commonly used in the treatment of active TB infections.
F. Propranolol is a beta-blocker used to treat conditions such as high blood pressure and heart rhythm disorders. It is not used in the treatment of TB.
G. This is a first-line anti-TB medication that is commonly used in the treatment of active TB infections.

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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 nurse is admitting a client who is having an exacerbation of his asthma. When reviewing the provider's orders, the nurse recognizes that clarification is needed for which of the following medications?

Correct Answer is A

Explanation

In providing teaching for a patient recently diagnosed with an active tuberculosis (TB) infection, the nurse incorporates teaching about which medications? (Select All that Apply.)

Correct Answer is ["A","C","E","F"]

Explanation

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

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

The nurse is evaluating the patients understanding of education on environmental control for asthma management. Which statement by the patient indicates effective teaching?

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

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

The physician orders iron sucrose 200 mg IV. The pharmacy sends the medication in a 100 mL bag of normal saline with the directions to infuse the IV over 15 minutes. The nurse sets the IV Infusion pump to mL/hr.