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

"It is caused by a tumor of the adrenal gland."

The cause can be identified with magnetic resonance imaging."

"The cause is unknown."

"There are no tests to identify the cause."

"An arteriogram will show why hypertension is occurring."

Answer and Explanation

Correct Answer : A,B,E

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.

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Correct Answer is D

Explanation

A. Lying prone as prescribed: While lying prone can help prevent hip flexion contractures, it is not directly related to promoting ambulation. It is typically part of post-operative care to prevent contractures in the hip, but ambulation primarily depends on upper body strength and prosthetic training.
B. Maintaining residual limb elevation: Elevation of the residual limb is important immediately postoperatively to reduce swelling, but prolonged elevation can lead to contractures, which can hinder ambulation.
C. Promoting coordination exercises: Coordination is important, but for ambulation, building strength, especially in the upper body, is crucial to support the use of assistive devices and maintaining balance.
D. Building upper body strength: This is essential for promoting ambulation as it helps the patient in using assistive devices like crutches or walkers and in transferring safely. Upper body strength is crucial for balance and mobility with a prosthetic limb.

A. Cigarette smoking B. Physical inactivity C. Family history of stroke D. Obesity E. Age

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

Explanation

A. Cigarette smoking: This is correct. Smoking is a significant modifiable risk factor for stroke because it contributes to atherosclerosis and other cardiovascular issues.
B. Physical inactivity: This is correct. Regular physical activity reduces the risk of stroke by improving cardiovascular health and reducing other risk factors such as hypertension and obesity.
C. Family history of stroke: This is not modifiable. While family history increases risk, it cannot be changed. However, knowing this risk can prompt proactive management of modifiable factors.
D. Obesity: This is correct. Obesity is a modifiable risk factor for stroke because it is associated with other risks such as hypertension, diabetes, and hyperlipidemia. Weight loss and healthy lifestyle changes can reduce stroke risk.
E. Age: This is not modifiable. While older age increases stroke risk, it is a factor that cannot be changed.

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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

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Naxlex Comprehensive Predictor Exams

The nurse is providing care for a patient after an above-the-knee amputation because of diabetes complications. Which nursing care is essential for promoting ambulation?

Correct Answer is D

Explanation

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

Explanation

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