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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Correct Answer is D

Explanation

A. Ribs: Ribs are not typically used for bone marrow aspiration procedures due to the difficulty of accessing bone marrow in this area.

B. Humerus: While bone marrow aspiration can technically be performed in the humerus (upper arm bone), it is not commonly used as a primary site because other sites like the iliac crest offer easier access and a larger volume of bone marrow.

C. Femur: The femur (thigh bone) is a potential site for bone marrow aspiration, especially in certain situations or specific patient populations. However, it is less commonly used compared to the iliac crest.

D. Iliac crest: The iliac crest is a primary site for bone marrow aspiration due to its accessibility, the relatively low risk of complications, and the ability to obtain an adequate sample of bone marrow for diagnostic purposes.

A. Take the iron with dairy products to enhance absorption B. Limit foods high in fiber due to the risk for diarrhea C. Increase the intake of vitamin E to enhance absorption D. Iron will cause the stools to darken in color

Correct Answer is D

Explanation

A. Take the iron with dairy products to enhance absorption: This statement is incorrect. Calcium-rich foods, such as dairy products, can inhibit iron absorption. It's recommended to take iron supplements with vitamin C-rich foods or beverages to enhance iron absorption.

B. Limit foods high in fiber due to the risk for diarrhea: While some individuals may experience gastrointestinal side effects such as constipation or diarrhea when taking iron supplements, it is not generally recommended to limit foods high in fiber. Adequate fiber intake is important for overall digestive health.

C. Increase the intake of vitamin E to enhance absorption: Vitamin E does not directly enhance iron absorption. Vitamin C is the nutrient that enhances iron absorption, so increasing intake of vitamin C-rich foods or taking vitamin C supplements along with iron supplements can improve iron absorption.

D. Iron will cause the stools to darken in color: This statement is correct. Iron supplements can cause stools to become dark or even black in color. This is a harmless side effect known as "iron stools" and is caused by the reaction of iron with substances in the digestive tract.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is scheduled for a bone marrow aspiration. The client asks the nurse about the sites the provider might use for the procedure. Which of the following locations should the nurse identify as one of the sites used for this procedure?

Correct Answer is D

Explanation

A nurse is providing education to a client with iron deficiency anemia who has been prescribed iron supplements. What should the nurse include in health education?

Correct Answer is D

Explanation

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?

A patient admitted to the unit displays the following cardiac rhythm on telemetry. What is the estimated heart rate?

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 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?

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