What is an appropriate nursing diagnosis for Mr. Carter?

Risk for infection

Ineffective health maintenance related to knowledge deficit

Acute pain

Risk for fluid volume deficit

Increase intake of processed foods

Answer and Explanation

The Correct Answer is B

Choice A reason: Risk for infection is not specific to Mr. Carter’s context unless evidence of wounds or immunosuppression exists. Hypertension management focuses on lifestyle and medication adherence, not infection, making this an incorrect nursing diagnosis compared to addressing knowledge deficits in health maintenance.

Choice B reason: Ineffective health maintenance related to knowledge deficit is appropriate for Mr. Carter, likely a hypertensive patient needing education on lifestyle changes and medication adherence. This diagnosis addresses the need for teaching to improve self-management, making it the most relevant for optimizing his hypertension control and health outcomes.

Choice C reason: Acute pain is not typically associated with hypertension unless complications like angina occur. Mr. Carter’s primary issue is managing hypertension, not pain, making this an incorrect diagnosis, as knowledge deficits in health maintenance are more relevant to his condition and care needs.

Choice D reason: Risk for fluid volume deficit is less relevant for hypertension, which often involves fluid overload. Diuretics may cause depletion, but the primary issue is health maintenance through education, making this an incorrect diagnosis compared to addressing Mr. Carter’s need for hypertension management knowledge.

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Correct Answer is B

Explanation

Choice A reason: Increasing blood pressure is not the goal of antihypertensive therapy, which aims to lower blood pressure to prevent organ damage. Hypertension increases cardiovascular risk, and therapy reduces pressure, not raises it, making this an incorrect goal for managing Mr. Carter’s condition.

Choice B reason: The primary goal of antihypertensive therapy is to reduce cardiovascular complications, such as stroke, myocardial infarction, and heart failure, by lowering blood pressure. This decreases vascular strain and organ damage, improving long-term outcomes, making it the correct goal for Mr. Carter’s hypertension management.

Choice C reason: Hypertension is a chronic condition, and antihypertensive therapy manages, not cures, it. Medications control blood pressure but do not eliminate the underlying pathophysiology, making a permanent cure an incorrect goal, as ongoing treatment and lifestyle changes are typically required.

Choice D reason: Antihypertensive therapy complements, not eliminates, lifestyle changes like diet and exercise, which are essential for blood pressure control. Eliminating lifestyle changes is not a goal, as they enhance therapy efficacy, making this an incorrect objective for Mr. Carter’s treatment plan.

A. Headache B. Elevated heart rate C. Flushing D. Black, tarry appearing stools

Correct Answer is C

Explanation

Choice A reason: Headaches are not a primary side effect of niacin, which mainly causes flushing due to prostaglandin-mediated vasodilation. Headaches may occur with other lipid-lowering drugs or unrelated conditions but are less specific to niacin’s mechanism, making this an incorrect side effect to emphasize in client education.

Choice B reason: Elevated heart rate is not a common side effect of niacin, which primarily causes flushing and gastrointestinal upset. Tachycardia may occur with other cardiovascular drugs or conditions but is not typical of niacin’s prostaglandin-driven effects, making this an incorrect side effect for client education.

Choice C reason: Flushing is a hallmark side effect of niacin, caused by prostaglandin release leading to cutaneous vasodilation. This transient redness and warmth, often on the face and neck, is common and expected, making it a critical side effect to include in client education to prepare for niacin therapy.

Choice D reason: Black, tarry stools indicate gastrointestinal bleeding, not a side effect of niacin. Niacin may cause mild gastrointestinal upset but not bleeding. This is more associated with anticoagulants or NSAIDs, making it an incorrect side effect to include in education for niacin therapy.

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What is an appropriate nursing diagnosis for Mr. Carter?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the primary goal of initiating antihypertensive therapy in Mr. Carter?

Correct Answer is B

Explanation

A client is prescribed niacin for the treatment of high cholesterol. Which of the following side effects should the nurse include in the client education?

Correct Answer is C

Explanation

When teaching a patient who is beginning antilipemic therapy about possible drug-food interactions, the nurse will discuss which food?

What finding would the nurse expect when measuring blood pressure in a client with coarctation of the aorta?

A nurse in an outpatient clinic is collecting data from a client who reports pain in the legs when walking, but the pain stops when stopping walking. Which of the following conditions should the nurse suspect?

The nurse explained how to position an infant with tetralogy of Fallot if the infant suddenly becomes cyanotic. Which statement by the father leads the nurse to determine he understood the instructions?

The nurse is auscultating a 6-month-old client’s apical heart rate before giving a dose of digoxin and notes that the heart rate is 89 beats per minute. Which action should the nurse take?

A nurse receives a report on a client who has been diagnosed with an abdominal aortic aneurysm. Given her knowledge of the condition, the nurse would expect the client to have which underlying disease?

A nurse is collecting data on a client who has peripheral artery disease for potential safety concerns. Which of the following client statements should the nurse report to the provider?

The nurse is caring for a patient with Raynaud’s disease who is employed as a construction worker, has a history of hypertension, and smokes one-half to one pack per day. Which teaching points should the nurse include in the patient’s discharge teaching? (Select all that apply)