The nurse contributes to the plan of care for a patient with hypertension. Which of the following nursing diagnoses is the focus of care for the patient with hypertension?

Impaired Physical Mobility

Readiness for Enhanced Health Literacy

Decreased Activity Tolerance

Ineffective Airway Clearance

Answer and Explanation

The Correct Answer is B

A. Impaired Physical Mobility: This is not directly related to hypertension management. While hypertension can affect physical activity, it is not the primary focus in the context of managing high blood pressure.
B. Readiness for Enhanced Health Literacy: This is the correct focus. Educating the patient about hypertension management, lifestyle modifications, and medication adherence is crucial in managing and controlling blood pressure.
C. Decreased Activity Tolerance: This could be a related issue but is not the primary focus. It addresses the impact of hypertension on physical capacity rather than managing the condition itself.
D. Ineffective Airway Clearance: This is unrelated to hypertension. It focuses on respiratory issues rather than blood pressure management.

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Correct Answer is C

Explanation

A. Asks patient to self-position leg: This is not advisable because the patient may not have the strength or capability to safely reposition the leg, especially if they are in pain or sedated.
B. Monitors dampness of cast and avoids moving it until it is dry: The cast may need to be moved before it is completely dry, for example, for patient comfort or to prevent pressure ulcers. Delaying repositioning may cause complications.
C. Uses palms to move the cast: This is the correct method. Using the palms prevents indentations in the cast that could create pressure points and lead to skin breakdown. Fingers can create pressure points that can dent the cast, compromising its integrity and potentially causing skin issues.
D. Uses fingers to grasp cast: Using fingertips can create indentations in the cast, which can lead to pressure sores or improper bone alignment.

A. "Smoking cessation is important because nicotine is a vasoconstrictor." B. "Adequate fluid intake is important to maintain blood pressure." C. Those most affected are middle-aged women after menopause." D. "A low-fat diet is required to reduce atherosclerosis in large arteries."

Correct Answer is A

Explanation

A. "Smoking cessation is important because nicotine is a vasoconstrictor.": Buerger disease is strongly associated with tobacco use, and nicotine causes vasoconstriction, which exacerbates the condition. Smoking cessation is crucial in managing and preventing progression.
B. "Adequate fluid intake is important to maintain blood pressure.": While staying hydrated is generally important, it is not specifically related to the management of Buerger disease, which is more focused on vascular health and smoking cessation.
C. "Those most affected are middle-aged women after menopause.": Buerger disease predominantly affects young male smokers, not middle-aged women.
D. "A low-fat diet is required to reduce atherosclerosis in large arteries.": Buerger disease involves inflammation and thrombosis in small and medium-sized arteries and veins, not atherosclerosis in large arteries. Therefore, a low-fat diet, while beneficial for general cardiovascular health, is not specifically targeted for Buerger disease.

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The nurse contributes to the plan of care for a patient with hypertension. Which of the following nursing diagnoses is the focus of care for the patient with hypertension?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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