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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Free Nursing Study Resources

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.

A. Places a surgical mask on the patient to transport to radiology. B. Places the patient on droplet precautions. C. Wears a surgical mask when providing patient care. D. Places the patient in a private, negative airflow room. E. Wears eye protection when collecting sputum samples.

Correct Answer is ["A","D","E"]

Explanation

A. It is important to place a surgical mask on the patient when transporting them to minimize the risk of spreading TB droplets in the environment. This practice helps reduce transmission during transport.
B. TB is primarily transmitted via airborne particles, not droplets. Therefore, patients with active TB should be placed on airborne precautions, not droplet precautions. Airborne precautions include the use of specialized masks and a negative airflow room to prevent the spread of infectious aerosols.
C. While a surgical mask is not adequate for protecting healthcare workers from TB, they should wear a fitted N95 respirator or a powered air-purifying respirator (PAPR) when providing care to a patient with active TB. A surgical mask does not filter out the small particles that can carry TB bacteria.
D. Patients with active TB should be placed in a private room that has negative pressure ventilation. This design helps prevent airborne TB particles from escaping into other areas of the healthcare facility, protecting other patients and staff.
E. Eye protection is recommended when collecting sputum samples from a patient with active TB, as it helps protect against potential splashes of respiratory secretions that may contain infectious droplets. This is particularly important during procedures that may aerosolize the bacteria.

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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

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

Which interventions does the nurse implement when providing care for a patient who is admitted for the treatment of active tuberculosis? (Select All that Apply.)

Correct Answer is ["A","D","E"]

Explanation

The physician orders a unit of packed red blood cells (PRBC) to infuse in 2 hours. The unit contains 250 mL. The blood tubing administration set has a drop factor of 10 gtt/mL. The flow rate for the infusion of packed red blood cell is gtt/min. (Round to the nearest drop)

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Which principle(s) would be included when teaching a patient to use a steroid inhaler? (Select All that Apply.)

The nurse is caring for a patient newly diagnosed with asthma. Which assessment data indicates the need for an immediate intervention?