A nurse is assessing a client with hypertension. Which clinical manifestation should the nurse recognize as a possible consequence of hypertensive encephalopathy?

Increased appetite and weight gain

Visual disturbances and headache

Pain and tingling in the extremities

Reduced urine output and fatigue

Answer and Explanation

The Correct Answer is B

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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Correct Answer is C

Explanation

A) This option is incorrect. An electrocardiogram (ECG) measures electrical activity in the heart, not blood pressure levels.

B) This option is incorrect. A blood glucose test measures blood sugar levels, not blood pressure.

C) Correct answer. Ambulatory Blood Pressure Monitoring (ABPM) is a diagnostic test that measures blood pressure levels at regular intervals over 24 hours, providing a comprehensive view of a client's blood pressure variations.

D) This option is incorrect. A renal function panel assesses kidney function, not blood pressure levels.

A. "Uncontrolled hypertension can lead to kidney damage and liver dysfunction." B. "Hypertension can cause vision changes and increased risk of cataracts." C. "Complications of hypertension include heart failure and peripheral neuropathy." D. "Uncontrolled high blood pressure can lead to stroke, heart attack, and kidney damage."

Correct Answer is D

Explanation

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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A nurse is assessing a client with hypertension. Which clinical manifestation should the nurse recognize as a possible consequence of hypertensive encephalopathy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing diagnostic tests for hypertension with a client. Which test directly measures blood pressure levels for 24 hours?

Correct Answer is C

Explanation

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

Correct Answer is D

Explanation

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?

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A nurse is providing education on hypertension risk factors to a group of clients. Which client statement indicates a need for further clarification?

A nurse is assessing a client with long-standing uncontrolled hypertension. Which clinical manifestation should the nurse anticipate as a result of target organ damage?

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

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

A nurse is explaining the purpose of blood tests for hypertension diagnosis to a client. Which parameter should the nurse indicate as essential in assessing kidney function?