If a patient has secondary hypertension, the nurse realizes that the patient has an abnormal blood pressure caused by:.
Elevated levels of LDL.
High sodium intake.
Genetics.
An underlying disease.
The Correct Answer is D
Choice A rationale:
Elevated levels of LDL (Low-Density Lipoprotein) are associated with hyperlipidemia, which can contribute to the development of primary hypertension. However, secondary hypertension, as described in the question, is characterized by elevated blood pressure due to underlying medical conditions, not solely by high LDL levels. Primary hypertension is more commonly associated with elevated LDL levels.
Choice B rationale:
High sodium intake can contribute to primary hypertension by increasing blood volume and causing vasoconstriction. This is a risk factor for primary hypertension, but secondary hypertension, as indicated in the question, is typically caused by underlying diseases rather than high sodium intake alone.
Choice C rationale:
Genetics can play a role in the development of both primary and secondary hypertension. While genetic factors can contribute to primary hypertension, it is more likely that secondary hypertension is the result of an underlying disease or condition. Therefore, genetics alone are not the primary cause of secondary hypertension.
Choice D rationale:
The correct choice. Secondary hypertension is characterized by elevated blood pressure that is a result of an underlying medical condition or disease, such as renal disease, endocrine disorders, or certain medications. Identifying and treating the underlying cause is essential in managing secondary hypertension, making this the most appropriate choice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Lithium is not typically prescribed for attention-deficit hyperactivity disorder (ADHD). It's more commonly used for bipolar disorder.
Choice B rationale:
Valproate is not a first-line treatment for ADHD in school-age children. It is used for mood stabilization in conditions like bipolar disorder.
Choice C rationale:
Risperidone is an atypical antipsychotic and is not a first-line treatment for ADHD. It may be used in some cases where there are comorbid behavioral issues, but it's not the initial choice.
Choice D rationale:
Methylphenidate is a commonly prescribed medication for ADHD in school-age children. It is a central nervous system stimulant that helps improve attention and decrease impulsiveness and hyperactivity in those with ADHD.
Correct Answer is B
Explanation
Choice A rationale:
This choice is not consistent with the typical laboratory results seen in a patient who smokes. Smoking is known to be a risk factor for cardiovascular disease, and it tends to increase LDL (low-density lipoprotein) levels, which is considered "bad" cholesterol, while also decreasing HDL (high-density lipoprotein) levels, which is considered "good" cholesterol.
Choice C rationale:
Decreased LDL (low-density lipoprotein) levels and decreased HDL (high-density lipoprotein) levels are not the typical findings in a patient who smokes. Smoking is associated with an increase in LDL levels and a decrease in HDL levels.
Choice D rationale:
Decreased LDL (low-density lipoprotein) levels and increased HDL (high-density lipoprotein) levels are not the usual laboratory results in a patient who smokes. Smoking tends to raise LDL levels (considered "bad" cholesterol) and lower HDL levels (considered "good" cholesterol).
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