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 B

Explanation

A. Give the patient a glass of water.: Giving the patient water without assessing their swallowing ability can be dangerous due to the risk of aspiration.
B. Check the patient's dysphagia screen.: Assessing for dysphagia is crucial because stroke patients often have impaired swallowing, which increases the risk of aspiration and choking.
C. Consult speech pathology.: Consulting a speech pathologist is important for a comprehensive swallowing assessment, but it is not the immediate action when a patient requests water.
D. Teach that stroke patients are nothing by mouth (NPO).: Not all stroke patients are NPO. This decision is based on the patient's ability to swallow safely, determined by a dysphagia screen.

A. Provide names of support groups. B. Schedule an annual physical examination. C. Refer the patient to a free clinic. D. Refer the patient for financial assistance.

Correct Answer is C

Explanation

A. Provide names of support groups: While support groups can offer emotional and educational support, they do not address the immediate financial barrier to obtaining necessary medications.
B. Schedule an annual physical examination: Regular check-ups are important, but they do not directly address the issue of medication affordability and access to care.
C. Refer the patient to a free clinic: Free clinics often provide low-cost or no-cost medications and healthcare services, which can help the patient access the necessary treatments and follow-up care.
D. Refer the patient for financial assistance: Financial assistance programs can be helpful, but they might take time to apply and be approved. Immediate referral to a free clinic can provide more immediate support.

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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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient who is diagnosed with a stroke is requesting a glass of water. Which action is appropriate for the nurse to take?

Correct Answer is B

Explanation

Correct Answer is C

Explanation

The nurse is caring for a patient who presents to the emergency department with right-sided weakness and dysphasia. Which type of stroke would the nurse suspect?

A nurse is reinforcing discharge teaching with an older adult client who has peripheral artery disease (PAD). Which of the following instructions should the nurse include in the teaching?

The nurse is caring for a patient with an external fixation device. Which of the following actions should the nurse implement? Select all that apply.

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