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Practice Question

Which information is most important for the nurse to include when teaching a client newly diagnosed with hypertension?

Answer Choices:

Correct Answer:

Hypertension is usually asymptomatic until target organ damage occurs.

Rationale:

💠 Hypertension is a "silent killer" because clients often feel no symptoms until serious organ damage has already occurred.

💠 Target organs affected include the heart (left ventricular hypertrophy, HF), brain (stroke), kidneys (renal failure), and eyes (retinopathy).

💠 Teaching this fact ensures the patient understands the importance of adherence to therapy even when asymptomatic.

💠 It reinforces the need for lifelong monitoring and management rather than relying on symptoms to indicate worsening disease.

💠 Early recognition prevents complications such as MI, stroke, and renal failure, making this the most critical teaching point.

Want to practice more questions like this?

This question is from Medsurg-390 which contains 33 questions.

More Questions from This Exam
A client with a history of hypertension treated with a diuretic and an angiotensin-converting enzyme (ACE) inhibitor arrives in the emergency department. The client reports a severe headache and nausea and has a blood pressure (BP) of 238/118 mm Hg. Which question should the nurse ask to follow up on these findings?

Answer Choices:

A. "Have you recently taken any antihistamines?"
B. "Have there been recent stressful events in your life?"
C. "Have you consistently taken your medications?"
D. "Did you take any acetaminophen/Tylenol) today?"
The nurse is assessing a client who has been admitted to the intensive care unit (ICU) with a hypertensive emergency. Which finding is most important to report to the health care provider?

Answer Choices:

A. Tremors are noted in the fingers when the client extends the arms.
B. The client cannot move the left arm and leg when asked to do so.
C. Urine output over 8 hours is 250 mL less than the fluid intake.
D. The client reports a headache with pain at level 7 of 10 (0 to 10 scale).
The nurse is reviewing the laboratory test results for a client who has recently been diagnosed with hypertension. Which result is most important to communicate to the health care provider?

Answer Choices:

A. Serum creatinine of 2.8 mg/dL
B. Serum hemoglobin of 14.7 g/dL
C. Blood glucose level of 96 mg/dL
D. Serum potassium of 4.5 mEq/L
The nurse on the intermediate care unit received a change-of-shift report on four patients with hypertension. Which patient should the nurse assess first?

Answer Choices:

A. 52-yr-old with a blood pressure of 198/90 mm Hg who has intermittent claudication.
B. 48-yr-old with a blood pressure of 160/92 mm Hg who reports chest pain.
C. 43-yr-old with a blood pressure of 172/98 mm Hg whose urine shows microalbuminuria.
D. 50-yr-old with a blood pressure of 190/104 mm Hg who has a creatinine of 1.7 mg/dL.
Which action will the nurse include in the plan of care for a patient who was admitted with syncopal episodes of unknown origin?

Answer Choices:

A. Explain the association between dysrhythmias and syncope.
B. Tell the patient about the benefits of implantable cardioverter-defibrillators.
C. Instruct the patient to call for assistance before getting out of bed.
D. Teach the patient about the need to avoid caffeine and other stimulants.
From Exam
Medsurg-390

33 Questions

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