The nurse is caring for a group of patients. Which patient is the priority?

A patient with a BP of 170/80 mm Hg with a mild headache

A patient with a BP of 180/120 mm Hg who is asymptomatic

A patient with a BP of 150/60 mm Hg who is anxious

A patient with a blood pressure (BP) of 140/70 mm Hg who has a nosebleed

Answer and Explanation

The Correct Answer is B

A. A patient with a BP of 170/80 mm Hg with a mild headache: Although high, this BP is not as immediately critical as 180/120 mm Hg. The patient is experiencing only a mild headache, indicating less urgency.
B. A patient with a BP of 180/120 mm Hg who is asymptomatic: This BP level indicates a hypertensive crisis, which can lead to life-threatening complications such as stroke or heart attack, even if the patient is asymptomatic. Immediate intervention is needed to lower the BP safely.
C. A patient with a BP of 150/60 mm Hg who is anxious: This BP is elevated but not critically so. Anxiety management may be necessary but is not as urgent as managing a hypertensive crisis.
D. A patient with a blood pressure (BP) of 140/70 mm Hg who has a nosebleed: This BP is relatively mild compared to 180/120 mm Hg and is less immediately threatening, even with a nosebleed.

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Free Nursing Study Resources

Correct Answer is ["A","B","E"]

Explanation

A. "It is caused by a tumor of the adrenal gland.": This statement is incorrect as a tumor of the adrenal gland (like a pheochromocytoma) would cause secondary hypertension, not primary hypertension, which has no identifiable cause.
B. "The cause can be identified with magnetic resonance imaging.": Primary hypertension does not have a specific identifiable cause, and imaging like MRI cannot pinpoint a cause for it. This statement indicates a misunderstanding.
C. "The cause is unknown.": This statement is correct for primary hypertension, as it is characterized by having no identifiable underlying cause.
D. "There are no tests to identify the cause.": This is correct for primary hypertension since it has no specific identifiable cause. The diagnosis is based on excluding other potential causes of secondary hypertension.
E. "An arteriogram will show why hypertension is occurring.": An arteriogram might identify blockages or other issues in the arteries, but it will not show the cause of primary hypertension. This indicates a need for further teaching.

A. I will be sure to avoid potassium while taking this medication. B. I should take the medication in the morning so I am not up all night going to the bathroom. C. I need to be sure to take this pill on an empty stomach. D. If my blood pressure is really high, I will take a second dose.

Correct Answer is B

Explanation

A. I will be sure to avoid potassium while taking this medication.: Thiazide diuretics can cause potassium loss, so patients are often advised to monitor their potassium levels and may need to increase their intake, not avoid it.
B. I should take the medication in the morning so I am not up all night going to the bathroom.: This is correct. Taking diuretics in the morning helps prevent nocturia (frequent urination at night), which can disrupt sleep.
C. I need to be sure to take this pill on an empty stomach.: Thiazide-like diuretics do not require an empty stomach for effectiveness; they can be taken with or without food.
D. If my blood pressure is really high, I will take a second dose.: This is incorrect and potentially dangerous. Medication dosing should be followed as prescribed, and adjustments should only be made by a healthcare provider.

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The nurse is caring for a group of patients. Which patient is the priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse provides teaching for a newly diagnosed patient with primary hypertension. Which of the following patient statements about the cause of primary hypertension would indicate the need for further teaching? Select all that apply

Correct Answer is ["A","B","E"]

Explanation

The nurse is teaching a patient about a thiazide-like diuretic. Which statement made by the patient indicates an understanding of the teaching?

Correct Answer is B

Explanation

The nurse explains to the patient that blood pressure measures

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On which lifestyle modifications would the nurse reinforce teaching with the patient to reduce the risk of hypertension? Select all that apply.

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