The LPN/LVP is discussing types of hypertension with a patient. Which statement by the patient would reflect understanding of secondary hypertension?
"Permanent structural changes in my kidneys and eyes have already occurred."
"My blood pressure can return to normal with treatment of my kidney disease."
"I don't know the cause of my hypertension."
"My essential hypertension must be treated with medications."
The Correct Answer is B
A. "Permanent structural changes in my kidneys and eyes have already occurred.": This statement is more indicative of the complications of chronic, uncontrolled hypertension, whether primary or secondary. It does not reflect understanding that secondary hypertension is due to a specific, often treatable cause.
B. "My blood pressure can return to normal with treatment of my kidney disease.": This statement correctly reflects an understanding of secondary hypertension, which is caused by an underlying condition (like kidney disease). Treating the underlying condition can potentially normalize blood pressure.
C. "I don't know the cause of my hypertension.": This statement reflects primary (essential) hypertension, where the cause is generally unknown.
D. "My essential hypertension must be treated with medications.": This statement describes essential hypertension, not secondary. Essential hypertension typically requires lifelong medication management.
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Related Questions
Correct Answer is D
Explanation
A. Greenstick: This type of fracture typically occurs in children where the bone bends and cracks, rather than breaking completely. It is not related to bone tumors.
B. Stress: Stress fractures are small cracks in the bone typically due to repetitive force or overuse, not due to underlying conditions like bone tumors.
C. Avulsion: This occurs when a fragment of bone is pulled away by a tendon or ligament due to a forceful contraction or injury, and is not typically associated with bone tumors.
D. Pathological: Pathological fractures occur in bones weakened by disease, such as bone tumors. These fractures happen with minimal or no trauma because the bone integrity is compromised by the tumor.
Correct Answer is A
Explanation
A. I will walk 20 minutes every other day: This is correct. Walking is a safe, low-impact activity that promotes cardiovascular health without placing undue stress on the abdominal area, which is important for a patient with an AAA.
B. Instead of taking my car, I will ride my bike everywhere: Biking can be too strenuous and risky for someone with an AAA, as it may involve physical exertion and potential for trauma to the abdominal area.
C. I am starting back to work as a grocery store stocker next week: This job likely involves heavy lifting and significant physical activity, which is contraindicated for a patient with an AAA due to the risk of increased intra-abdominal pressure and potential aneurysm rupture.
D. I am going to continue my marathon training tomorrow: Marathon training is highly strenuous and can significantly increase blood pressure and stress on the abdominal region, posing a high risk of aneurysm rupture.
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