Listen.
A nurse is describing insulin resistance in relation to hypertension.
Which information should the nurse include? Insulin resistance is associated with overactivity of the sympathetic nervous system and the:.
Remodeling of arterial luminal walls.
Amino acid, homocysteine.
Renin-angiotensin-aldosterone system.
Increased afterload effect.
The Correct Answer is C
Choice A rationale:
Remodeling of arterial luminal walls is not a direct consequence of insulin resistance. Insulin resistance primarily affects glucose metabolism and can lead to hypertension through the activation of the renin-angiotensin-aldosterone system.
Choice B rationale:
Amino acid homocysteine is associated with cardiovascular disease, but it is not the primary mediator of insulin resistance or hypertension.
Choice C rationale:
Insulin resistance is associated with overactivity of the sympathetic nervous system and activation of the renin-angiotensin-aldosterone system. The renin-angiotensin-aldosterone system plays a significant role in regulating blood pressure, and its overactivity can contribute to hypertension.
Choice D rationale:
Increased afterload effect is a consequence of hypertension rather than a direct association with insulin resistance. Insulin resistance can lead to hypertension through various mechanisms, including sympathetic nervous system activation and renin-angiotensin-aldosterone system activation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Phosphorus. Rationale: Dysfunction in the normal secretion of natriuretic hormones is more likely to affect sodium and water balance, not phosphorus. Phosphorus levels are regulated by other mechanisms in the body and may not be directly influenced by natriuretic hormones. Choice A is incorrect.
Choice B rationale:
Calcium. Rationale: Calcium levels are not typically influenced by natriuretic hormones. Calcium regulation is primarily under the control of parathyroid hormone (PTH) and calcitonin. Dysfunction in natriuretic hormone secretion would not directly impact calcium levels. Choice B is incorrect.
Choice C rationale:
Sodium. Rationale: Natriuretic hormones, such as atrial natriuretic peptide (ANP) and brain natriuretic peptide (BNP), play a crucial role in regulating sodium balance in the body. If a patient has dysfunction in the normal secretion of these hormones, it can lead to sodium imbalance, potentially causing sodium retention and fluid overload. Therefore, monitoring sodium levels is essential in such cases. Choice C is the correct answer.
Choice D rationale:
Aldosterone. Rationale: Aldosterone is a hormone that primarily regulates sodium and potassium balance in the body. Dysfunction in natriuretic hormone secretion is not directly related to aldosterone. Therefore, monitoring aldosterone levels would not be the most appropriate action in this context. Choice D is incorrect. .
Correct Answer is C
Explanation
Choice A rationale:
Endothelial injury is a component of the Virchow triad. This statement is correct. The Virchow triad consists of three components that contribute to the formation of blood clots: endothelial injury, venous stasis, and a hypercoagulable state. Endothelial injury refers to damage to the inner lining of blood vessels, which can trigger the clotting process.
Choice B rationale:
LDL accumulation is not a component of the Virchow triad. This statement is incorrect. The Virchow triad does not include LDL accumulation as one of its components. LDL (low-density lipoprotein) is related to atherosclerosis and cardiovascular disease but is not a part of the Virchow triad.
Choice C rationale:
Venous stasis is a component of the Virchow triad. This statement is correct. Venous stasis refers to the slowing or stagnation of blood flow in the veins, which can promote the formation of blood clots. It is one of the three components of the Virchow triad.
Choice D rationale:
A hypercoagulable state is a component of the Virchow triad. This statement is correct. A hypercoagulable state refers to a condition where the blood is more prone to clotting. It is one of the three components of the Virchow triad.
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