The patient diagnosed with primary hypertension asks why it is called primary and not secondary. What is the best explanation for the nurse to provide?

“Secondary hypertension only occurs in people over 65 years of age."

"Primary hypertension does not cause the vascular and organ damage that occurs with secondary hypertension,

“Secondary hypertension has a more gradual onset than primary hypertension."

"Primary hypertension means there is not one single identifiable cause.”

Answer and Explanation

The Correct Answer is D

A. Secondary hypertension is not age-specific. It can occur at any age and is caused by identifiable factors, such as kidney disease, hormone imbalances, or medication use.

B. Primary hypertension can cause vascular and organ damage if left untreated, but secondary hypertension is also associated with organ damage due to the underlying condition. The difference lies in the cause, not the severity of damage.

C. Secondary hypertension often has a more abrupt onset due to the underlying condition, whereas primary hypertension develops more gradually over time.

D. Primary (or essential) hypertension is high blood pressure with no identifiable secondary cause. It is thought to result from a complex interplay of genetic, environmental, and lifestyle factors. The exact cause is unknown, making it "primary."

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Correct Answer is B

Explanation

A. A decrease in LDL cholesterol is a desired effect of simvastatin and does not indicate a problem.

B. Generalized muscle aches are a significant concern for patients on statin medications, such as simvastatin. This can be indicative of a serious side effect called rhabdomyolysis, a condition where muscle tissue breaks down and can lead to kidney damage. This should be communicated to the healthcare provider immediately for further evaluation and possible discontinuation of the medication.

C. Nausea when taking the medication on an empty stomach is a common side effect and may be addressed with guidance on when to take the medication.

D. Clear, light yellow urine is normal and does not require further action.

A. Diabetes B. HDL cholesterol C. Triglycerides D. Total cholesterol

Correct Answer is D

Explanation

A. A fasting blood glucose level of 98 mg/dL is within the normal range (70–99 mg/dL), indicating no immediate concern for diabetes.

B. An HDL cholesterol level of 58 mg/dL is considered protective against CAD, as higher HDL levels are associated with a lower risk of heart disease.

C. Triglyceride levels of 120 mg/dL are within the normal range (less than 150 mg/dL), so they do not require follow-up.

D. A total cholesterol level of 210 mg/dL is slightly above the recommended level of less than 200 mg/dL. Elevated cholesterol, particularly LDL cholesterol, is a key modifiable risk factor for coronary artery disease (CAD).

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The patient diagnosed with primary hypertension asks why it is called primary and not secondary. What is the best explanation for the nurse to provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient who has recently started taking simvastatin (Zocor) reports several symptoms to the nurse. Which assessment finding is most important to communicate to the health care provider?

Correct Answer is B

Explanation

Correct Answer is D

Explanation

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