Which finding should the nurse recognize as a potential complication in a client with hypertension?

Polydipsia and polyuria.

Elevated blood urea nitrogen.

Dry and irritated skin.

New onset of bradycardia.

Answer and Explanation

The Correct Answer is B

A. Polydipsia and polyuria: These symptoms are more commonly associated with uncontrolled diabetes mellitus rather than hypertension. They are not direct complications of elevated blood pressure.

B. Elevated blood urea nitrogen: Hypertension can damage renal blood vessels, leading to impaired kidney function and elevated BUN levels. This is a significant complication that indicates progressive end-organ damage.

C. Dry and irritated skin: This is a nonspecific symptom that may result from dermatologic conditions, dehydration, or environmental factors. It is not typically associated with hypertension complications.

D. New onset of bradycardia: Bradycardia is not a usual complication of hypertension itself, though it may occur as a side effect of certain antihypertensive medications such as beta-blockers. It is not a primary complication to anticipate.

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

Explanation

A. Explain the purpose of a low bacteria diet: A low bacteria (neutropenic) diet is indicated for immunocompromised clients, not for MRSA wound infections. It does not reduce transmission or address wound healing.

B. Use standard precautions and wear a mask: Standard precautions are necessary, but a mask is not required for MRSA unless there is risk of aerosolization (e.g., respiratory infection). The key precaution is contact isolation, not routine mask use.

C. Monitor the client’s white blood cell count (WBC): Tracking WBC trends helps identify worsening infection or systemic involvement such as sepsis. This is an important part of managing MRSA.

D. Institute contact precautions for staff and visitors: MRSA is transmitted by direct contact with infected drainage or contaminated surfaces, so gown and glove use with contact precautions are essential.

E. Send wound drainage for culture and sensitivity: Culturing identifies the causative organism and determines antibiotic sensitivity, which guides effective treatment planning.

A. Furosemide. B. Intravenous (IV) human albumin. C. Lactulose. D. Loperamide.

Correct Answer is C

Explanation

A. Furosemide: Furosemide is a diuretic used to reduce fluid overload in cirrhosis, especially in ascites. However, it does not address the elevated ammonia level or the client’s confusion, which are signs of hepatic encephalopathy requiring more specific treatment.

B. Intravenous (IV) human albumin: Albumin may be administered to maintain intravascular volume and reduce ascites, but it does not lower serum ammonia. It is supportive therapy, not the priority intervention for encephalopathy.

C. Lactulose: Lactulose is the treatment of choice because it decreases serum ammonia by promoting its excretion through the stool. It helps improve mental status in clients with hepatic encephalopathy and is the most important prescription in this scenario.

D. Loperamide: Loperamide reduces diarrhea by slowing bowel motility, but in this case, diarrhea is beneficial for eliminating ammonia with lactulose. Using loperamide could worsen encephalopathy by reducing ammonia clearance.

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Which finding should the nurse recognize as a potential complication in a client with hypertension?

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Naxlex Comprehensive Predictor Exams

A client with foul smelling drainage from an incision on the upper left arm is admitted with a suspected methicillin-resistant Staphylococcus aureus (MRSA). Which nursing intervention(s) should the nurse include in the plan of care (POC)? Select all that apply.

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

Explanation

Correct Answer is C

Explanation

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