A nurse is caring for a client with hypertension who is prescribed antihypertensive medications. The client asks the nurse about the best time to take their medication. What should the nurse instruct the client?

"Take your medication first thing in the morning on an empty stomach for optimal absorption."

"It is best to take your medication with a large meal to minimize potential side effects."

"Take your medication at the same time every day, regardless of meals, to maintain consistent blood levels."

"Avoid taking your medication in the evening to prevent disturbances in your sleep pattern."

Answer and Explanation

The Correct Answer is C

A) This option is incorrect. Taking antihypertensive medications on an empty stomach may lead to gastrointestinal irritation and is not the recommended approach.

B) This option is incorrect. While taking medication with a meal can help reduce potential stomach upset, it is not the primary consideration when timing antihypertensive medications.

C) Correct answer. It is essential to take antihypertensive medications at the same time every day to maintain consistent blood levels and ensure effectiveness. Consistency in medication administration is critical for controlling blood pressure.

D) This option is incorrect. Some antihypertensive medications, such as diuretics, may be best taken in the morning to avoid nighttime urination. However, the timing of medications should be discussed with the prescribing healthcare provider based on the specific medication regimen.

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Correct Answer is B

Explanation

A) This option is incorrect. Proteinuria (presence of protein in urine) is not directly related to hypertensive retinopathy.

B) Correct answer. Blurred vision is a common symptom of hypertensive retinopathy, a condition characterized by damage to the blood vessels in the retina due to hypertension.

C) This option is incorrect. Peripheral edema is a sign of fluid retention and may be related to heart failure or kidney problems but is not specifically associated with hypertensive retinopathy.

D) This option is incorrect. Tingling in the extremities is not a typical manifestation of hypertensive retinopathy. It may be related to other conditions, such as peripheral neuropathy.

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 caring for a client with hypertension who is prescribed antihypertensive medications. The client asks the nurse about the best time to take their medication. What should the nurse instruct the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client with long-standing hypertension. Which symptom should the nurse recognize as a potential indication of hypertensive retinopathy?

Correct Answer is B

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 providing education to a client about hypertension. Which statement made by the nurse is accurate?

A nurse is explaining the importance of an electrocardiogram (ECG) in the diagnosis of hypertension. Which statement should the nurse include in the discussion?

A client with long-standing hypertension asks the nurse about the potential complications of the condition. Which complication should the nurse recognize as a result of hypertensive nephropathy?

A nurse is assessing a client with hypertension. Which symptom should the nurse be particularly vigilant about, as it could indicate a hypertensive emergency?

A nurse is educating a client about the significance of self-monitoring blood pressure at home. Which benefit should the nurse emphasize?

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