Which manifestation is related to target organ disease from hypertension? Select all that apply.
One, some, or all responses may be correct.
Anemia.
Aneurysm.
Proteinuria.
Pneumonia.
Transient ischemic attack.
Correct Answer : C,B
Choice A rationale:
Anemia is not a direct manifestation of target organ damage from hypertension.
Choice B rationale:
Aneurysm is a correct answer. Persistent high blood pressure can weaken the walls of arteries, making them more susceptible to forming an aneurysm. Aneurysms can occur in various arteries, such as the aorta, and can lead to life-threatening complications if they rupture.
Choice C rationale:
Proteinuria is also a correct answer. Hypertension can damage the kidneys, leading to proteinuria, the presence of excess proteins in the urine. This is an indication of kidney damage and is a common manifestation of hypertensive target organ disease.
Choice D rationale:
Pneumonia and Transient Ischemic Attack (TIA) are not direct manifestations of target organ damage from hypertension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
The sodium level is within the normal range, but the potassium level is slightly elevated. This does not support the rationale for changing the IV prescription to a lower potassium concentration.
Choice B rationale:
The sodium level is slightly elevated, and the potassium level is within the normal range. This does not support the rationale for changing the IV prescription to a lower potassium concentration.
Choice C rationale:
Sodium level of 135 mEq/L, potassium level of 3.6 mEq/L is the correct answer. In this option, both sodium and potassium levels are within normal ranges. Changing the IV prescription to DSNS with 20 mEq KCl/L ensures that the patient receives adequate hydration (from the dextrose and normal saline) without causing hyperkalemia.
Choice D rationale:
The sodium level is slightly elevated, and the potassium level is within the normal range. This does not support the rationale for changing the IV prescription to a lower potassium concentration.
Correct Answer is C
Explanation
Choice A rationale:
Spasm of a major coronary artery, also known as variant (Prinzmetal's) angina, typically occurs at rest and is not necessarily provoked by exertion. The patient's chest pain is exacerbated by exertion, making this choice less likely.
Choice B rationale:
Exposure of the thrombogenic surface to plaque refers to acute coronary syndromes like unstable angina or myocardial infarction. While plaque rupture and thrombosis can cause myocardial ischemia, the characteristic feature of these conditions is chest pain that may not be relieved by rest, unlike the patient described here.
Choice D rationale:
Myocardial ischemia secondary to microvascular disease, also known as cardiac syndrome X, is a condition where chest pain occurs without significant coronary artery stenosis. However, this condition usually affects women, and the pain is often unrelated to exertion. In the given case, the pain is provoked by exertion, making this choice less likely.
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