A client with hypertension asks the nurse about the potential complications of uncontrolled high blood pressure. How should the nurse respond?

"Uncontrolled hypertension can lead to kidney damage and liver dysfunction."

"Hypertension can cause vision changes and increased risk of cataracts."

"Complications of hypertension include heart failure and peripheral neuropathy."

"Uncontrolled high blood pressure can lead to stroke, heart attack, and kidney damage."

Answer and Explanation

The Correct Answer is D

A) This option is incorrect. While hypertension can lead to kidney damage, it does not directly cause liver dysfunction.

B) This option is incorrect. While hypertension can impact blood vessels in the eyes, leading to hypertensive retinopathy, it does not increase the risk of cataracts.

C) This option is incorrect. Peripheral neuropathy is not a common complication of hypertension. Heart failure is a potential complication, but it is not directly related to peripheral neuropathy.

D) Correct answer. Uncontrolled high blood pressure can lead to various complications, including stroke (brain damage due to reduced blood flow), heart attack (damage to the heart muscle), and kidney damage (nephrosclerosis). These are among the most serious and common complications of hypertension.

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Correct Answer is D

Explanation

A) This option is incorrect. Checking blood pressure once a week is insufficient for effective monitoring, as it may not provide a comprehensive view of blood pressure trends.

B) This option is incorrect. Using the arm with the highest blood pressure reading consistently is not recommended. Blood pressure should be measured in the arm with the higher reading only if there

is a significant difference between the arms.

C) This option is incorrect. To obtain accurate blood pressure readings, the client should rest for at least 5 minutes in a comfortable seated position with their feet flat on the floor and arms supported at heart level. Crossing the legs may affect blood flow and accuracy of the reading.

D) Correct answer. Recording blood pressure readings and any symptoms in a journal is essential for effective self-monitoring. It provides valuable information for the healthcare provider to assess blood pressure control and make necessary adjustments to the treatment plan.

A. "Hypertension typically presents with severe headaches and visual disturbances." B. "Most individuals with hypertension experience chest pain and shortness of breath." C. "Hypertension is often asymptomatic in its early stages, but may cause occasional nosebleeds and fatigue." D. "Clients with hypertension commonly report palpitations and increased heart rate."

Correct Answer is C

Explanation

A) This option is incorrect. While severe headaches and visual disturbances can occur in hypertensive crises, they are not typical symptoms of hypertension in its early stages.

B) This option is incorrect. Chest pain and shortness of breath are not common symptoms of hypertension.

C) Correct answer. Hypertension is often asymptomatic in its early stages, earning it the nickname "silent killer." Occasionally, clients may experience nosebleeds and fatigue, but many individuals with hypertension do not exhibit any noticeable symptoms.

D) This option is incorrect. Palpitations and increased heart rate are not typical symptoms of hypertension. These may be indicative of other cardiac conditions.

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A client with hypertension asks the nurse about the potential complications of uncontrolled high blood pressure. How should the nurse respond?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with hypertension and instructs them on self-monitoring blood pressure at home. What should the nurse include in the teaching?

Correct Answer is D

Explanation

A client asks the nurse about common symptoms associated with hypertension. How should the nurse respond?

Correct Answer is C

Explanation

A client with hypertension asks the nurse about ways to reduce stress to improve blood pressure. Which relaxation technique should the nurse recommend?

A client with hypertension asks the nurse about the potential complications of uncontrolled high blood pressure. How should the nurse respond?

A nurse is discussing complications of hypertension with a client. Which target organ damage is related to hypertensive retinopathy?

A client asks the nurse about the difference between an electrocardiogram (ECG) and Ambulatory Blood Pressure Monitoring (ABPM). How should the nurse respond?

A nurse is discussing modifiable risk factors for hypertension with a client. Which factor should the nurse include in the discussion?

A nurse is caring for a client with hypertension who is prescribed a thiazide diuretic. Which instruction should the nurse include when educating the client about this medication?

A nurse is providing education to a client with hypertension about the potential complications of uncontrolled high blood pressure. Which complication should the nurse emphasize as a result of hypertensive retinopathy?

A client with hypertension asks the nurse if stress could be contributing to their condition. How should the nurse respond?