A nurse is reviewing blood pressure classifications with a group of nurses at an in-service meeting. Which of the following should the nurse include as a risk factor for the development of hypertension?

High-density lipoprotein (HDL) level of 70 mg/dL

A diet high in potassium

Obstructive sleep apnea (OSA)

Taking benazepril

Answer and Explanation

The Correct Answer is C

A. High-density lipoprotein (HDL) level of 70 mg/dL: Having a high HDL level is generally considered a protective factor against cardiovascular disease, including hypertension.

B. A diet high in potassium: A diet high in potassium is often associated with a lower risk of hypertension. Potassium helps balance sodium levels and supports healthy blood pressure.

C. Obstructive sleep apnea (OSA): This is the correct answer. Obstructive sleep apnea is a known risk factor for hypertension. The repeated episodes of interrupted breathing during sleep can contribute to increased blood pressure.

D. Taking benazepril: Benazepril is an angiotensin-converting enzyme (ACE) inhibitor commonly used to treat hypertension. While it is used to manage high blood pressure, taking the medication itself is not a risk factor for developing hypertension.

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Correct Answer is B

Explanation

Correct answer: B

A. "I will take my diuretic before sleep and drink fluids during the day": This statement is not correct. Diuretics are usually taken in the morning to avoid disrupting sleep with increased urination at night. Additionally, fluid intake is generally restricted in congestive heart failure to manage fluid balance.

B. "I plan to slow down if I am tired the day after exercising":This statement reflects an understanding of the need to manage activity levels and recognize the signs of overexertion, which is crucial for clients with congestive heart failure. Pacing activities and allowing for adequate rest can help prevent exacerbations of heart failure symptoms.

C. "I will read food labels and limit my sodium to 4 grams per day": This is incorrect. Limiting sodium intake is a key component of heart failure management. The recommended sodium intake for individuals with heart failure is often much lower than 4 grams per day, typically around 2 grams or less.

D. "I should use naproxen to manage discomfort": Using nonsteroidal anti-inflammatory drugs (NSAIDs) like naproxen can contribute to fluid retention and worsen heart failure symptoms. This statement is not indicative of effective teaching.

A. Elevate the head of the bed 45". B. Keep the affected leg slightly flexed. C. Keep the client NPO for 4 hr. D. Have the client lie flat in bed.

Correct Answer is D

Explanation

Correct answer: D

A.Elevate the head of the bed 45":Do not elevate the head of the bed more than 15 degrees.Elevating the head of the bed can increase the risk of bleeding from the insertion site.

B.Keep the affected leg slightly flexed: The affected leg should be kept straight to prevent movement at the insertion site, which can cause bleeding

C. Keep the client NPO for 4 hr: There is typically no need to keep the client NPO for an extended period after a cardiac catheterization. However, individual protocols may vary, and the nurse should follow the specific instructions provided by the healthcare provider.

D.Have the client lie flat in bed: After a cardiac catheterization, it is important to keep the client lying flat to prevent bleeding or hematoma formation at the catheter insertion site. This position helps to maintain pressure on the insertion site, particularly if the catheter was inserted through the femoral artery.

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A nurse is reviewing blood pressure classifications with a group of nurses at an in-service meeting. Which of the following should the nurse include as a risk factor for the development of hypertension?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions for a client who has congestive heart failure. Which of the following client statements indicates to the nurse that the teaching was effective?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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