Try Naxlex NCLEX-RN (Free-Trial)

A 60-year-old patient with a history of hypertension presents to the clinic for a routine check-up. Which of the following findings would indicate poor management of hypertension?
(Select All that Apply.)

Frequent headaches

Blood pressure consistently at goal

Normal renal function tests

Steady weight with no recent gain

Proteinuria on urinalysis

Left ventricular hypertrophy on echocardiogram

Absence of retinal changes on fundoscopic exam

Answer and Explanation

Correct Answer : E,F

A.   Frequent headaches can be a symptom of hypertension but are not specific to poorly managed hypertension.
B.   Blood pressure consistently at goal indicates good management of hypertension.
C.   Normal renal function tests suggest that there has been no damage to the kidneys, a common consequence of poorly controlled hypertension.
D.   Steady weight with no recent gain suggests good management of overall health, which can contribute to better blood pressure control.
E.   Proteinuria indicates kidney damage, often a result of uncontrolled hypertension.
F.   Left ventricular hypertrophy (LVH) is a sign of chronic hypertension and indicates poor management, as it results from the heart working harder to pump blood against increased pressure.
G.   Absence of retinal changes on fundoscopic exam indicates that there is no evidence of hypertensive retinopathy, suggesting good hypertension management.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["320"]

Explanation

Net fluid balance = Total intake - Total output

Rationale:

Total intake:

IV fluids: 1,000 mL

Antibiotic infusion: 250 mL

Oral intake: 3 cups x 240 mL = 720 mL

Total intake = 1,000 + 250 + 720 = 1,970 mL Total output:

Urine: 1,200 mL

Vomiting: 300 mL Wound drainage: 150 mL

Total output = 1,200 + 300 + 150 = 1,650 mL

Net fluid balance = 1,970 mL - 1,650 mL = +320 mL

The patient has a positive fluid balance of 320 mL.

Correct Answer is ["90"]

Explanation

Calculate the required dosage: 5 mg/kg/hour × 72 kg = 360 mg/hour.

Determine the volume required based on the concentration: 360 mg ÷ (400 mg/100 mL) = 90 mL/hour.
The correct infusion rate is 90 mL/hour for this patient.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A 60-year-old patient with a history of hypertension presents to the clinic for a routine check-up. Which of the following findings would indicate poor management of hypertension? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["320"]

Explanation

Rationale:

A patient with a severe bacterial infection has been prescribed a continuous IV infusion of an antibiotic at a rate of 5 mg/kg/hour. The patient weighs 72 kg. The pharmacy provides the antibiotic in a concentration of 400 mg/100 mL what will be the infusion rate?

Correct Answer is ["90"]

Explanation

A nurse is caring for a client with manifestations of status asthmaticus. Which of the following factors play a role in creating circulatory surge of inflammatory cells and cytokines in this condition? (Select all that apply.)

A 50-year-old male patient with a history of chronic alcoholism presents with fatigue, glossitis, and peripheral neuropathy. Laboratory findings show a hemoglobin level of 9.0 g/dL and mean corpuscular volume (MCV) of 110 fL. What type of anemia is most likely in this patient?

A nurse is teaching a client who is at risk for osteoporosis. The nurse should instruct the client that which of the following foods is the best source of calcium?

A 23-year-old patient is diagnosed with myoclonic seizures. Which of the following characteristics is most indicative of this type of seizure?

A nurse is caring for a client who states their parent died from complications of a GI bleed. Which of the following statements from the nurse will help the client decrease their risk of developing a peptic ulcer?

A nurse is preparing to administer oxygen therapy to a patient who has just undergone abdominal surgery. Which of the following interventions is most important to ensure proper oxygenation?

A nurse is reviewing the potential complications associated with peptic ulcer disease (PUD). Which of the following conditions should the nurse recognize as possible complications of PUD? (Select All that Apply.)

A 60-year-old patient with a history of hypertension presents to the clinic for a routine check-up. Which of the following findings would indicate poor management of hypertension?
(Select All that Apply.)