Nokea
Which complication of uncontrolled hypertension should the nurse include in client teaching? Select all that apply.
- A. Stroke
- B. Kidney failure
- C. Heart attack
- D. Liver cirrhosis
- E. Vision loss
- F. Peripheral neuropathy
Correct Answer: A,B,C,E
Rationale: Uncontrolled hypertension can damage blood vessels, leading to stroke, kidney failure, heart attack, and vision loss.
You may also like to solve these questions
The nurse is monitoring a client with atrial fibrillation. Which finding is most concerning?
- A. Heart rate of 110 beats per minute
- B. Blood pressure of 140/90 mmHg
- C. Dizziness and shortness of breath
- D. Oxygen saturation of 95%
Correct Answer: C
Rationale: Dizziness and shortness of breath suggest hemodynamic instability, which is concerning in atrial fibrillation.
The client is admitted for surgical repair of an 8-cm abdominal aortic aneurysm (AAA). Which sign/symptom would make the nurse suspect the client has an expanding AAA?
- A. Complaints of low back pain.
- B. Weakened radial pulses.
- C. Decreased urine output.
- D. Increased abdominal girth.
Correct Answer: A
Rationale: Low back pain (A) suggests AAA expansion or rupture, a critical sign. Radial pulses (B) are unaffected, low urine (C) is a late sign, and girth (D) is less specific.
Which complication should the nurse monitor for in a client with pericarditis?
- A. Cardiac tamponade
- B. Pneumonia
- C. Renal failure
- D. Seizures
Correct Answer: A
Rationale: Cardiac tamponade is a serious complication of pericarditis, where fluid accumulation compresses the heart.
The client with pericarditis asks why they hear a rubbing sound. What is the best response?
- A. It's caused by fluid in your lungs.
- B. It's due to inflammation of the heart's lining.
- C. It's a normal heart sound.
- D. It's from high blood pressure.
Correct Answer: B
Rationale: A pericardial friction rub is caused by inflamed pericardial layers rubbing together.
The nurse is teaching the client about risk factors for arterial disorders. Which modifiable risk factor should the nurse emphasize?
- A. Age over 60 years
- B. Family history of heart disease
- C. Smoking cigarettes
- D. Male gender
Correct Answer: C
Rationale: Smoking is a modifiable risk factor that significantly contributes to arterial disorders by causing vasoconstriction and endothelial damage.