A nurse is explaining the pathophysiology of hypertension to a client. Which process is primarily responsible for elevated blood pressure in hypertension?
Vasodilation and increased sodium excretion
Activation of the renin-angiotensin-aldosterone system (RAAS)
Decreased sympathetic nervous system activity
Enhanced nitric oxide production
The Correct Answer is B
Rationale:
A) This option is incorrect. In hypertension, there is often vasoconstriction and increased sodium retention, leading to elevated blood pressure.
B) Correct answer. Activation of the renin-angiotensin-aldosterone system (RAAS) is a key mechanism in hypertension. It leads to vasoconstriction and increased water and sodium retention, elevating blood pressure.
C) This option is incorrect. In hypertension, sympathetic nervous system activity is often increased, not decreased.
D) This option is incorrect. In hypertension, there is reduced nitric oxide production, which contributes to arterial stiffness and elevated blood pressure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct answer. Deep-breathing exercises are a relaxation technique that can help reduce stress and lower blood pressure. Deep breathing triggers the relaxation response, leading to decreased heart rate and blood pressure.
B) This option is incorrect. While regular exercise is beneficial for managing hypertension, high-intensity workouts may not be the best choice for stress reduction. Low to moderate-intensity exercises are more effective in promoting relaxation.
C) This option is incorrect. Consuming alcohol can have negative effects on blood pressure and overall health. It is not a recommended relaxation technique.
D) This option is incorrect. Social interactions and maintaining a support system are essential for mental well-being. Limiting social interactions may lead to increased stress and feelings of isolation.
Correct Answer is C
Explanation
A) This question is not relevant to identifying a modifiable risk factor, as family history is a non-modifiable risk factor.
B) This question is not relevant to identifying a modifiable risk factor, as age is a non-modifiable risk factor.
C) Correct answer. This question is relevant in identifying a modifiable risk factor. Regular physical activity is a lifestyle choice that can impact blood pressure and overall cardiovascular health.
D) This question is not relevant to identifying a modifiable risk factor, as ethnicity is a non-modifiable risk factor.
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