The nurse is evaluating the patients understanding of education on environmental control for asthma management. Which statement by the patient indicates effective teaching?

"We will replace the carpet in our bedroom with tile.

"We'll keep the plants in our home dusted."

"We're glad the dog can continue to sleep in our bedroom.

"We'll be sure to use the fireplace often to keep the house warm in the winter."

Answer and Explanation

The Correct Answer is A

A.   This statement indicates a good understanding of environmental control for asthma management. Carpets can trap dust, allergens, and mold, which can trigger asthma attacks. Replacing the carpet with tile can help to reduce exposure to these allergens.
B.   While dusting plants can help to reduce exposure to allergens, it is not as effective as removing potential allergens from the environment altogether. Plants themselves can also be sources of allergens, so it might be best to remove them from the home, especially the bedroom.
C.   Pets, especially dogs and cats, can be a significant source of allergens for people with asthma. Keeping a pet in the bedroom can increase exposure to allergens and trigger asthma attacks.
D.   Burning wood in a fireplace can produce smoke and other pollutants that can irritate the airways and trigger asthma attacks. It is best to avoid using fireplaces, especially during the winter months.

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Correct Answer is C

Explanation

A. Anemia itself is not typically a direct cause of secondary hypertension. While severe anemia can sometimes lead to changes in blood pressure, it is not recognized as a common or identifiable cause of secondary hypertension. Therefore, this option is not the best answer.
B. Glaucoma primarily affects eye health and is characterized by increased intraocular pressure. While there is some association between systemic hypertension and glaucoma, glaucoma is not considered a direct cause of secondary hypertension. It’s more of a complication that can occur in patients with high blood pressure rather than a cause of it.
C. Kidney disease is one of the most common and significant causes of secondary hypertension. Conditions such as chronic kidney disease or renal artery stenosis can lead to increased blood pressure due to fluid retention and changes in hormonal regulation (like the renin-angiotensin-aldosterone system). Therefore, this option is a highly identifiable cause of secondary hypertension.
D. Cataracts involve the clouding of the lens of the eye and are typically related to aging and other factors such as diabetes. While cataracts can be associated with systemic diseases like diabetes and hypertension, they are not considered a direct cause of secondary hypertension.

A. Blocks formation of angiotensin II, a potent vasoconstrictor B. Blocks the action, not the formation, of angiotensin C. Relaxes the smooth muscle of the blood vessels. D. Decreases blood vessels ability to contract and cause vasoconstriction.

Correct Answer is C

Explanation

A. This is the mechanism of action of angiotensin-converting enzyme (ACE) inhibitors, not calcium channel blockers. ACE inhibitors work by preventing the formation of angiotensin II, a hormone that causes blood vessels to constrict.
B. Calcium channel blockers do not directly affect angiotensin.
C. This is the correct mechanism of action of calcium channel blockers. By blocking the influx of calcium ions into smooth muscle cells, these medications cause the blood vessels to relax and dilate, lowering blood pressure.
D. Calcium channel blockers work by relaxing the smooth muscle of the blood vessels, which decreases their ability to contract and cause vasoconstriction.

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The nurse is evaluating the patients understanding of education on environmental control for asthma management. Which statement by the patient indicates effective teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is admitted to the hospital with a long history of hypertension. The nurse should assess the client for which identifiable cause of secondary hypertension?

Correct Answer is C

Explanation

In administering a calcium channel blocker to a patient diagnosed with primary hypertension, the nurse understands this is due to which mechanism of action of this medication?

Correct Answer is C

Explanation

Which physical assessment(s) would be pertinent to the patient with asthma? (Select All that Apply.)

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