Linezolid 600 mg IV once a day is ordered for a patient.

The linezolid is dissolved in 300 mL of NS and should infuse over 60 minutes.

Using an IV controller, how many milliliters per hour should the linezolid be infused?

Choice A rationale

This statement describes secondary hypertension, where an underlying medical condition, such as kidney disease or an endocrine disorder, is the identifiable cause. Secondary hypertension accounts for a minority of cases, and treating the underlying disease is the primary focus.

Choice B rationale

This response uses a colloquial interpretation of the word "essential" rather than the medical definition. While treatment is indeed essential for all hypertension, this explanation does not accurately describe the etiology or classification of the condition from a scientific perspective.

Choice C rationale

Essential hypertension, also known as primary hypertension, is the medical term for high blood pressure that has no identifiable, specific cause. It accounts for the vast majority of hypertension cases and is believed to result from a combination of genetic and environmental factors.

Choice D rationale

This statement is incorrect. While some cases of essential hypertension can be severe, the term "essential" refers to the absence of a known cause, not the severity of the condition. Hypertension severity is categorized separately, regardless of its underlying etiology.

Choice A rationale

The nurse must first determine the nature of the client's weight loss. Unintentional weight loss can be a sign of underlying pathology, such as malignancy, endocrine disorders, or psychological conditions. Intentional weight loss, however, could indicate a positive lifestyle change. The nurse's initial action is to differentiate between these two possibilities to guide further assessment and intervention.

Choice B rationale

While a high-protein, high-fiber diet is generally healthy and can aid in weight management, encouraging it prematurely without understanding the cause of the weight loss is not the best initial action. The client may already be on a restrictive or specific diet, and the nurse needs to assess their current nutritional status and dietary habits before making recommendations.

Choice C rationale

Measuring for new compression stockings may be necessary eventually if the client's leg measurements have changed significantly due to weight loss. However, this is a procedural task and not the most crucial initial assessment. The priority is to understand the cause of the weight loss, as this has broader implications for the client's health status and care plan.

Choice D rationale

A 3-day food recall diary is a useful tool for assessing dietary intake, but it is a secondary action. The most important initial step is to determine if the weight loss was intentional or not. This information will dictate whether a dietary assessment is the most appropriate next step or if a more comprehensive medical workup is needed.