A client with hypertension reports occasional episodes of nosebleeds. What information should the nurse provide to the client regarding this symptom?
"Nosebleeds are unrelated to hypertension; they may be caused by dry air or nasal irritation."
"Occasional nosebleeds are common in individuals with hypertension and may indicate worsening of your condition."
"Nosebleeds are an early warning sign of hypertensive crisis, and you should go to the emergency room immediately."
"Nosebleeds are usually indicative of severe hypertension and may lead to life-threatening complications."
The Correct Answer is A
A) Correct answer. Occasional nosebleeds are typically unrelated to hypertension and are commonly caused by dry air, nasal irritation, or other factors.
B) This option is incorrect. While nosebleeds can occur in individuals with hypertension, they are not specific to hypertension and do not necessarily indicate worsening of the condition.
C) This option is incorrect. Nosebleeds are not an early warning sign of hypertensive crisis. Severe headache, shortness of breath, and neurological symptoms are more indicative of hypertensive crisis.
D) This option is incorrect. Nosebleeds, in isolation, are not usually indicative of severe hypertension. However, chronic uncontrolled hypertension can lead to target organ damage and potentially life-threatening complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
A) This option is incorrect. Increased appetite and weight gain are not typical manifestations of hypertensive encephalopathy.
B) Correct answer. Hypertensive encephalopathy is characterized by visual disturbances, severe headaches, and neurological symptoms resulting from uncontrolled hypertension and cerebral edema.
C) This option is incorrect. Pain and tingling in the extremities are not directly associated with hypertensive encephalopathy.
D) This option is incorrect. Reduced urine output and fatigue are more likely related to kidney damage and heart failure, respectively, rather than hypertensive encephalopathy.
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