Nokea
During a routine check-up of a 45 -year-old client with renal disease, the nurse observes an increase in the client's blood pressure. The nurse identifies this as most likely which of the following?
- A. Essential hypertension
- B. Secondary hypertension
- C. Rebound hypertension
- D. Hypertensive emergency
Correct Answer: B
Rationale: Secondary hypertension results as a consequence of renal impairment. In secondary hypertension there is usually a known cause for the development of hypertension. Renal disease is one of the causes of secondary hypertension. When there is no known cause of hypertension, it is called essential hypertension. Rebound hypertension occurs when a client abruptly stops taking antihypertensive medication. Hypertensive emergency is a high blood pressure state, which has to be lowered immediately.
You may also like to solve these questions
When developing a presentation for a local community group on hypertension, the nurse integrates information about the importance of blood pressure control. Which of the following would the nurse include? Select all that apply.
- A. Hypertension increases the buildup of atherosclerotic plaque.
- B. Hypertension increases risk of stroke.
- C. Hypertension increases risk of colorectal carcinoma.
- D. Hypertension increases risk of liver disease.
- E. Hypertension increases the workload of the heart.
Correct Answer: A,B,E
Rationale: Hypertension is serious, because it causes the heart to work too hard and contributes to atherosclerosis. It also increases the risk of heart disease, heart failure (HF), kidney disease, blindness, and stroke. Hypertension is not associated with colorectal carcinoma or liver disease.
A nurse is caring for a client experiencing a hypertensive emergency. The nurse understands that if blood pressure is not lowered immediately damage to which of the following can occur? Select all that apply.
- A. Heart
- B. Kidneys
- C. Gallbladder
- D. Pancreas
- E. Eyes
Correct Answer: A,B,E
Rationale: A hypertensive emergency, if not recognized and treated quickly, can result in damage to target organs including the head, kidneys, and eyes.
Before administering an antihypertensive, the nurse should complete which of the following assessments? Select all that apply.
- A. Pulse rate on both arms
- B. Pulse rate on one arm
- C. Blood pressure in the sitting position
- D. Blood pressure on both arms
- E. Blood pressure on one arm
Correct Answer: A,C,D
Rationale: Preadministration assessment for antihypertensives should include blood pressure and pulse rate on both arms with the client in standing, sitting, and lying positions.
A client who is prescribed losartan for hypertension has stopped taking the drug immediately after experiencing adverse reactions. The nurse would be alert for which of the following due to abrupt discontinuation?
- A. Breathing difficulty
- B. Rebound hypertension
- C. Orthostatic hypotension
- D. Anginal attacks
Correct Answer: B
Rationale: Rebound hypertension will occur in clients when antihypertensives are abruptly discontinued. In rebound hypertension, there is a sudden rise in blood pressure when the antihypertensives are withheld. Orthostatic hypotension, anginal attacks, and breathing difficulty are the adverse reactions associated with antihypertensive drug usage and may not occur on stopping the drug.
An older adult client is prescribed a diuretic and an antihypertensive drug as treatment for his hypertension. The client tells the nurse that he has been perspiring a lot lately and has had some diarrhea. Which nursing diagnosis would the nurse most likely identify as a priority?
- A. Risk for Deficient Fluid Volume
- B. Ineffective Sexuality Patterns
- C. Activity Intolerance
- D. Acute Pain
Correct Answer: A
Rationale: Risk for Deficient Fluid Volume would be the most likely priority because the client is receiving a diuretic and an antihypertensive drug. The risk increases if the client is older or confused. Ineffective Sexuality Patterns would be appropriate if the client were to experience sexual dysfunction related to drug therapy. Activity Intolerance would be appropriate if the client complained of feeling tired and weak. Acute Pain would be related to the development of a headache that may occur with angiotensin II receptor blockers or antiadrenergics.