A student nurse asks what "primary hypertension" is. What response by the registered nurse is best?
"It is hypertension with no specific cause."
"It means it is essential that it be treated."
"It means it is caused by another disease."
"It refers to severe and life-threatening hypertension.
The Correct Answer is A
A. Primary hypertension, also known as essential hypertension, is characterized by high blood pressure that does not have a known secondary cause. It accounts for the majority of hypertension cases and is thought to result from a combination of genetic, environmental, and lifestyle factors.
B. While treatment is important for all forms of hypertension to prevent complications, this statement is somewhat misleading. The term "essential" in primary hypertension refers to the lack of a specific identifiable cause, not that it is necessarily more critical to treat than other forms of hypertension.
C. This definition describes secondary hypertension, not primary hypertension. Secondary hypertension results from an identifiable underlying condition, such as kidney disease or hormonal disorders.
D. Primary hypertension can vary in severity, but it is not exclusively severe or life-threatening. While uncontrolled hypertension can lead to serious complications, primary hypertension itself does not automatically imply a critical state.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This is not a typical preoperative instruction for retinal detachment surgery. Pupil constriction is not directly related to the procedure.
B. This is crucial to prevent further damage to the retina. Sudden head movements can exacerbate the detachment.
C. Cool compresses are not typically recommended before retinal detachment surgery. They may not have a significant impact on the condition.
D. While eye patches might be used post-operatively to protect the eyes, it's not a common preoperative instruction.
Correct Answer is B
Explanation
A. Older adults, particularly those with Type 2 diabetes, are at increased risk for HHS due to factors such as decreased renal function, polypharmacy, and potential for dehydration. This patient's age and diabetes type make them susceptible, but we need to compare them with other options.
B. COPD can lead to respiratory problems that may further complicate diabetes management. Additionally, older adults with chronic diseases often experience increased stress on their bodies, which can exacerbate hyperglycemia. The combination of age, diabetes, and a chronic respiratory condition increases the risk.
C. While individuals with Type 1 diabetes can experience HHS, it is less common compared to those with Type 2 diabetes. This is primarily because people with Type 1 diabetes are more prone to ketoacidosis rather than HHS, especially if they are managing their insulin properly. Therefore, this individual is at a lower risk for HHS.
D. This patient has Type 2 diabetes but lacks the additional risk factors (like older age or chronic illness) that would significantly elevate their risk for HHS compared to the other options. While they could develop HHS, they are not at the highest risk.
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