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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Free Nursing Study Resources

Correct Answer is A

Explanation

A. "Arteriolar vasoconstriction occurs, most often in the fingertips with symptoms of coldness, pain, and pale skin.": Raynaud disease involves episodes of vasospasm in the small arteries and arterioles, primarily in the fingers and toes, leading to symptoms like coldness, pain, pallor, and sometimes color changes in the skin.
B. "Peripheral vasospasm occurs in the lower limbs as a result of valve damage from long-standing venous stasis.": This description is more characteristic of venous insufficiency or chronic venous stasis rather than Raynaud disease, which affects the small arteries in the extremities.
C. "Arterial vessel occlusion is caused by many clots that develop in the heart and are carried to the bloodstream.": This describes an embolic event rather than the vasospasm typical of Raynaud disease.
D. "Thrombosis related to prolonged vasoconstriction caused by overexposure to the cold occurs.": While exposure to cold can trigger Raynaud's symptoms, the primary issue is episodic vasospasm, not thrombosis. Raynaud’s is not characterized by blood clot formation.

A. Monitor pulse before taking medicine. B. Continue taking medications even if feeling better. C. Do not skip doses. D. Eat a diet high in fats and processed food. E. Exercise regularly.

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

Explanation

A. Monitor pulse before taking medicine: For certain blood pressure medications, such as beta blockers or some calcium channel blockers, monitoring the pulse is important because these medications can lower the heart rate. Patients should be advised to check their pulse and report if it is too low.
B. Continue taking medications even if feeling better: It is crucial for patients to understand that antihypertensive medications manage symptoms but do not cure hypertension. Stopping the medication can lead to a rebound effect, potentially causing dangerously high blood pressure.
C. Do not skip doses: Regular intake of medication is essential for maintaining stable blood pressure levels. Missing doses can lead to ineffective control of hypertension and increase the risk of complications.
D. Eat a diet high in fats and processed food: This is incorrect. Patients should be advised to eat a healthy, balanced diet low in fats and processed foods to help manage their blood pressure and overall cardiovascular health.
E. Exercise regularly: Regular physical activity helps in controlling blood pressure and improving overall cardiovascular health. It is important to include exercise as part of lifestyle modifications for managing hypertension.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has been diagnosed with Raynaud's disease and asks the nurse what occurs with this disease. Which of the following is the most appropriate response?

Correct Answer is A

Explanation

When taking blood pressure medications, it is important to reinforce education with the patient on which topics? Select all that apply.

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

Explanation

The nurse is contributing to the plan of care for a patient who has a traumatic finger amputation. What should the nurse consider?

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The nurse is teaching a patient about a thiazide-like diuretic. Which statement made by the patient indicates an understanding of the teaching?

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