Which factor would be the first step in the management of hypertension?

Medications

Diagnostic testing

Lifestyle modifications

Cardiac rehab

Answer and Explanation

The Correct Answer is C

A. Medications: While medications are important for managing hypertension, lifestyle modifications are typically the first line of treatment.
B. Diagnostic testing: This is important for diagnosing hypertension but not a management step.
C. Lifestyle modifications: Lifestyle modifications, such as dietary changes, exercise, and smoking cessation, are the first steps in managing hypertension and can help reduce the need for medication.
D. Cardiac rehab: Cardiac rehabilitation is beneficial for patients with cardiovascular disease but is not the first step for managing hypertension.

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Correct Answer is ["A","C","E"]

Explanation

A. Monitor blood glucose levels: Patients with diabetes need to keep their blood glucose levels under control to prevent complications, including those that can exacerbate hypertension or lead to cardiovascular problems.
B. Lifestyle modifications and medication adherence will not prevent blindness: This is incorrect. Proper management of diabetes through lifestyle changes and medication adherence can help prevent complications like diabetic retinopathy, which can lead to blindness.
C. Lifestyle modifications can prevent strokes: Effective management of diabetes and hypertension through lifestyle changes (diet, exercise, smoking cessation) can significantly reduce the risk of strokes and other cardiovascular events.
D. End organ damage is inevitable because of microvascular changes that occur: This is misleading. While microvascular changes are a risk in diabetes, proper management and lifestyle modifications can greatly reduce the risk and progression of end-organ damage.
E. Take medications as ordered: Adherence to prescribed medications is crucial for controlling both blood glucose and blood pressure, reducing the risk of complications such as stroke, heart disease, and kidney damage.

A. I will walk 20 minutes every other day. B. Instead of taking my car, I will ride my bike everywhere. C. I am starting back to work as a grocery store stocker next week. D. I am going to continue my marathon training tomorrow.

Correct Answer is A

Explanation

A. I will walk 20 minutes every other day: This is correct. Walking is a safe, low-impact activity that promotes cardiovascular health without placing undue stress on the abdominal area, which is important for a patient with an AAA.
B. Instead of taking my car, I will ride my bike everywhere: Biking can be too strenuous and risky for someone with an AAA, as it may involve physical exertion and potential for trauma to the abdominal area.
C. I am starting back to work as a grocery store stocker next week: This job likely involves heavy lifting and significant physical activity, which is contraindicated for a patient with an AAA due to the risk of increased intra-abdominal pressure and potential aneurysm rupture.
D. I am going to continue my marathon training tomorrow: Marathon training is highly strenuous and can significantly increase blood pressure and stress on the abdominal region, posing a high risk of aneurysm rupture.

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Which factor would be the first step in the management of hypertension?

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Naxlex Comprehensive Predictor Exams

The LPN/LVN is reinforcing education with an elderly patient diagnosed with diabetes and hypertension. Which topics would be vital for the nurse to emphasize? Select all that apply.

Correct Answer is ["A","C","E"]

Explanation

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Correct Answer is A

Explanation

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