QLexNursing
:: ::
Action
::
Action
:: ::
Action
:: ::
Action
:: ::
Action
:: ::
Action
:: ::
Action
:: ::
Open
:: ::
Action

Practice Question

A client with hypertension asks the nurse why lifestyle changes are needed when the client has no symptoms from high BP. The response by the nurse that is most likely to improve client compliance with therapy is that hypertension

Answer Choices:

Correct Answer:

damages the blood vessels leading to risk for heart attack, stroke, and kidney failure.

Rationale:

🎯Hypertension is a silent disease; organ damage occurs without pain, so absence of symptoms does not mean safety.

🎯Chronic elevated pressure injures endothelium, accelerates atherosclerosis, and promotes left ventricular hypertrophy, directly increasing risk for MI and heart failure.

🎯It also causes cerebrovascular disease with higher rates of ischemic and hemorrhagic stroke.

🎯In the kidneys, persistent HTN leads to nephrosclerosis, albuminuria, and eventual chronic kidney disease or renal failure.

🎯Explaining these specific risks improves motivation and adherence, since patients recognize the preventable harm of untreated BP.

Want to practice more questions like this?

This question is from ☑️ ADRN 210 Med-Surg 4 Test 2 which contains 71 questions.

More Questions from This Exam
During the assessment of a client with newly diagnosed stage 1 hypertension, the nurse finds that the client uses a lot of salt on foods and is 30 pounds overweight. The client states, "I thought high blood pressure was caused by stress, but I do not feel stressed at all." An appropriate nursing diagnosis for this client is

Answer Choices:

A. ineffective health maintenance related to a lack of knowledge about risk factors for hypertension.
B. situational low self-esteem related to a new diagnosis of hypertension.
C. noncompliance related to lack of motivation and poor coping skills.
D. ineffective denial related to the complexity of management regimen and the associated lifestyle changes.
A 62-year-old client who has just arrived in the emergency department complaining of a sudden-onset severe headache and nausea has a BP of 240/118 mm Hg. The client gives a history of taking clonidine (Catapres) and hydrochlorothiazide (HydroDIURIL) for 10 years for hypertension. The most appropriate question by the nurse at this time is

Answer Choices:

A. Have you recently taken any antihistamine medications?
B. Do you have any recent stressful events in your life?
C. Did you take any acetaminophen (Tylenol) yet today?
D. Have you been taking the Catapres and HydroDIURIL lately?
A client with no history of health problems and a BP of 210/142 is admitted to the ICU with a diagnosis of hypertensive crisis. The clinical manifestation that will require the most immediate action by the nurse is that

Answer Choices:

A. tremors are present in the fingers when the arms are extended.
B. the client is unable to move the left leg when asked to do so.
C. the client has a nose bleed.
D. the urine output is 90 ml over the first 2 hours after the client is admitted.
From Exam
☑️ ADRN 210 Med-Surg 4 Test 2

71 Questions

View Full Exam Start Practicing
Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: General Exams
  • Domain: Medical-surgical📚
  • Answer Choices: 4
Q