A 55-year-old client comes to the clinic for a routine check-up. The client's BP is 159/100 mm Hg, and the physician diagnoses hypertension after referring to previous readings. The client asks why it is important to treat hypertension since the client denies any discomfort. What would be the nurse's best response?

"Hypertension is the leading cause of death in people your age."

"Hypertension puts you at increased risk of type 1 diabetes and cancer in your age group."

"Hypertension can cause you to develop dangerous blood clots in your legs that can migrate to your lungs."

"Hypertension greatly increases your risk of stroke and heart disease."

Answer and Explanation

The Correct Answer is D

A. "Hypertension is the leading cause of death in people your age.": While hypertension is a significant risk factor for cardiovascular events and mortality, stating it as the leading cause of death without specific context or statistical data may not provide the most informative response to the client's question.

B. "Hypertension puts you at increased risk of type 1 diabetes and cancer in your age group.": Hypertension is primarily associated with cardiovascular risks such as stroke, heart disease, and kidney disease. While it can contribute to overall health risks, it is not typically linked directly to type 1 diabetes or cancer in the context of this client's question.

C. "Hypertension can cause you to develop dangerous blood clots in your legs that can migrate to your lungs.": While hypertension can contribute to cardiovascular complications such as deep vein thrombosis (DVT) and pulmonary embolism (PE), these are not the primary risks that are typically emphasized when discussing the importance of treating hypertension.

D. "Hypertension greatly increases your risk of stroke and heart disease.": This response is the most relevant and specific to the client's question. Hypertension is a major risk factor for stroke, heart disease (including heart attack and heart failure), and other cardiovascular complications. By treating hypertension and controlling blood pressure within recommended targets, the client can significantly reduce the risk of these serious and potentially life-threatening conditions.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. "I will wear layered clothing when walking outside in winter": This statement shows an understanding of the need to dress appropriately for weather conditions, which is important in managing symptoms during physical activity.

B. "I will walk early in the morning when it is hot outside": This statement indicates a lack of understanding regarding the ideal timing for outdoor activities, especially in hot weather. Exercising during the cooler parts of the day (such as early morning or late evening) is recommended to avoid heat-related stress and potential exacerbation of cardiovascular symptoms.

C. "If I get shortness of breath, I should slow down a bit": This statement demonstrates an understanding of monitoring symptoms during exercise and adjusting activity levels accordingly, which is an important aspect of managing coronary artery disease.

D. "My exercise intensity should not exceed my ability to talk": This statement reflects an understanding of the recommended exercise intensity level based on the ability to talk comfortably during physical activity, known as the "talk test."

Correct Answer is ["125"]

Explanation

To calculate the infusion rate in mL/hr, you can use the formula:

Infusion rate (mL/hr) = Total volume (mL) / Total time (hr)

In this case, the total volume is 1000 mL and the total time is 8 hours.

Infusion rate = 1000 mL / 8 hr

Infusion rate ≈ 125 mL/hr

The nurse should set the IV pump to deliver approximately 125 mL/hr.

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Naxlex Comprehensive Predictor Exams

The nurse is educating a client newly diagnosed with coronary artery disease. What statement by the client would lead the nurse to understand more teaching is needed?

Correct Answer is B

Explanation

A nurse is preparing to administer 0.9% sodium chloride 1,000 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many ml/hr? Round to the nearestwholenumber.

Correct Answer is ["125"]

Explanation

A nurse is providing teaching for a client who has a new diagnosis of stable angina pectoris. The nurse should give the client which of the following information about anginal pain?

The mother of a teenage boy with sickle cell anemia asks the nurse why her son has such horrible pain during a sickle cell crisis. Which of the following is the best response by the nurse?

The nurse has given education for a client who is going to have an exercise stress test. The nurse knows the client understands the teaching when they say what?

The nurse receives a client from the post-anesthesia unit with a new onset of sinus tachycardia and a heart rate of 118 beats per minute. To which reasons does the nurse relate the increased heart rate? (Select All that Apply.)

The nurse is planning the care of a client who has been diagnosed with hypertension but who otherwise enjoys good health. When assessing the response to an antihypertensive drug regimen, what blood pressure would be the goal of treatment?

A nurse is caring for a young female adult client who reports weakness, fatigue, and heavy menstrual periods. The client has a hemoglobin level of 8 g/dL and a hematocrit level of 28 g/dL. The nurse suspects which of the following types of anemia?

When providing discharge instructions for a client who has been prescribed sublingual nitroglycerin for stable angina, the nurse should plan to include which instructions?

A client is prescribed ferrous sulfate 325 mg BID. What education should the nurse provide about this medication? (Select All that Apply.)