A client is admitted to the hospital with a long history of hypertension. The nurse should assess the client for which identifiable cause of secondary hypertension?

Anemia

Glaucoma

Kidney disease

Cataracts

Answer and Explanation

The Correct Answer is C

A.   Anemia itself is not typically a direct cause of secondary hypertension. While severe anemia can sometimes lead to changes in blood pressure, it is not recognized as a common or identifiable cause of secondary hypertension. Therefore, this option is not the best answer.
B.   Glaucoma primarily affects eye health and is characterized by increased intraocular pressure. While there is some association between systemic hypertension and glaucoma, glaucoma is not considered a direct cause of secondary hypertension. It’s more of a complication that can occur in patients with high blood pressure rather than a cause of it.
C.   Kidney disease is one of the most common and significant causes of secondary hypertension. Conditions such as chronic kidney disease or renal artery stenosis can lead to increased blood pressure due to fluid retention and changes in hormonal regulation (like the renin-angiotensin-aldosterone system). Therefore, this option is a highly identifiable cause of secondary hypertension.
D.   Cataracts involve the clouding of the lens of the eye and are typically related to aging and other factors such as diabetes. While cataracts can be associated with systemic diseases like diabetes and hypertension, they are not considered a direct cause of secondary hypertension.

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Correct Answer is A

Explanation

A. Propranolol is a non-selective beta-blocker that can cause bronchoconstriction, making it contraindicated for patients with asthma. It can worsen asthma symptoms by blocking beta-2 adrenergic receptors, which are important for bronchodilation.
B. Theophylline is a bronchodilator that can be used in asthma management, especially in chronic cases. While it has a narrow therapeutic index and can have side effects, it is not contraindicated in acute exacerbations. However, it’s less commonly used today due to better alternatives.
C. Prednisone is a corticosteroid used to reduce inflammation during asthma exacerbations. It is a common and appropriate medication for managing acute asthma attacks, so it does not require clarification.
D. Montelukast is a leukotriene receptor antagonist used for long-term asthma control. It helps reduce inflammation and bronchoconstriction. While it’s not a first-line treatment for acute exacerbations, it is appropriate for ongoing management and doesn’t need clarification.

Correct Answer is ["400"]

Explanation

Total volume = 100 mL

Time = 15 minutes = 0.25 hours (15 minutes / 60 minutes/hour)

Infusion rate = Total volume / Time Infusion rate = 100 mL / 0.25 hours Infusion rate = 400 mL/hour

Therefore, the nurse should set the IV infusion pump to 400 mL/hour.

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A client is admitted to the hospital with a long history of hypertension. The nurse should assess the client for which identifiable cause of secondary hypertension?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who is having an exacerbation of his asthma. When reviewing the provider's orders, the nurse recognizes that clarification is needed for which of the following medications?

Correct Answer is A

Explanation

The physician orders iron sucrose 200 mg IV. The pharmacy sends the medication in a 100 mL bag of normal saline with the directions to infuse the IV over 15 minutes. The nurse sets the IV Infusion pump to mL/hr.

Correct Answer is ["400"]

Explanation

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