Which of the following describes a situation in which the blood pressure is severely elevated and there is evidence of actual target organ damage?
Secondary hypertension
Hypertensive urgency
Hypertensive emergency
Primary hypertension
The Correct Answer is C
A. Secondary hypertension is high blood pressure due to an identifiable cause, such as renal disease, but it does not describe an acute situation with target organ damage.
B. Hypertensive urgency is a situation where the blood pressure is severely elevated but without evidence of target organ damage.
C. Hypertensive emergency is characterized by severely elevated blood pressure with evidence of acute target organ damage, such as encephalopathy, myocardial infarction, or renal failure, requiring immediate medical intervention.
D. Primary hypertension, also known as essential hypertension, is high blood pressure without a known secondary cause and does not describe an acute emergency.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Deaths of patients with communicable diseases still need to be reported because tissue and organ viability must be assessed on a case-by-case basis.
B. Tissue donation is voluntary and requires consent from the patient or their legal representative.
C. Organ donation can be authorized by a client's surrogate if the client has not previously given or refused consent. This allows for the surrogate to make decisions in line with the client’s wishes or best interests.
D. While facilities may have committees involved in the process, reporting is to organ procurement organizations, not solely to a facility's committee.
Correct Answer is A
Explanation
A. Continuous IV infusion is the most appropriate route for treating hypertensive emergencies because it allows for rapid and controlled reduction of blood pressure, which is crucial in preventing target organ damage.
B. Sublingual administration is not recommended in hypertensive emergencies because it does not allow for the precise control needed in these situations.
C. Intramuscular administration is generally not used for antihypertensive agents in emergencies because it does not provide the rapid and adjustable response that IV infusion does.
D. Oral administration is too slow in onset for hypertensive emergencies and is not appropriate when immediate blood pressure control is necessary.
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