A nurse is screening a group of people at a community health event for hypertension. Which patient will the nurse identify is at risk for hypertension?

A 29-year-old female who reports drinking a glass of wine with dinner.

A 35-year-old male who works 50 hours a week.

A 50-year-old male who reports smoking 2 packs of cigarettes a day.

A 30-year-old female with a family history of diabetes mellitus.

Answer and Explanation

The Correct Answer is C

A. A 29-year-old female who reports drinking a glass of wine with dinner: While excessive alcohol consumption can contribute to hypertension, moderate alcohol intake, such as drinking a glass of wine with dinner, is not typically a significant risk factor for hypertension in the absence of other contributing factors. Therefore, this individual may not be considered at high risk for hypertension solely based on this information.

B. A 35-year-old male who works 50 hours a week: While chronic stress from long work hours can potentially contribute to hypertension, working 50 hours a week alone may not be sufficient to significantly increase the risk of hypertension, especially in the absence of other significant risk factors. Therefore, this individual may not be considered at high risk for hypertension solely based on this information.

C. A 50-year-old male who reports smoking 2 packs of cigarettes a day: Smoking is a significant risk factor for hypertension. Nicotine in cigarettes can cause blood vessels to narrow, leading to increased blood pressure. Smoking also damages blood vessel walls, making them more susceptible to plaque buildup and narrowing, further increasing the risk of hypertension. Therefore, this individual is at high risk for hypertension due to their smoking habit.

D. A 30-year-old female with a family history of diabetes mellitus: While a family history of diabetes mellitus may increase the risk of developing hypertension due to shared risk factors such as obesity and unhealthy lifestyle habits, it is not as directly associated with hypertension as smoking. Additionally, the individual's age and family history alone may not be sufficient to determine a significant risk for hypertension without additional information about lifestyle and other risk factors.

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Correct Answer is B

Explanation

A. Loss of hair over toes:
Loss of hair over the toes is not typically associated with deep vein thrombosis (DVT). Instead, it may be indicative of peripheral arterial disease (PAD) or poor peripheral circulation. In DVT, symptoms are more related to venous congestion and inflammation rather than hair loss.

B. Tenderness in the thigh:
Tenderness in the thigh is a common clinical manifestation of deep vein thrombosis (DVT). It occurs due to the presence of a thrombus within the deep veins of the thigh, causing local inflammation and irritation of the vessel wall. This tenderness may be elicited by palpation along the course of the affected vein.

C. Rest pain:
Rest pain is not typically associated with deep vein thrombosis (DVT). Rest pain is more commonly seen in conditions such as peripheral arterial disease (PAD), where inadequate blood supply to the extremities leads to ischemic pain at rest, especially during periods of reduced blood flow.

D. Auscultation of bruit over pedal pulse:
Auscultation of a bruit over the pedal pulse is not typically associated with deep vein thrombosis (DVT). A bruit is an abnormal sound caused by turbulent blood flow through a narrowed or obstructed vessel, commonly heard in arterial conditions such as atherosclerosis. In DVT, venous obstruction does not typically produce bruits.

Correct Answer is ["200"]

Explanation

Infusion rate (mL/hr) = 100/30 × 60

Infusion rate (mL/hr) = 100/30 × 60 = 200

Therefore, the nurse should set the IV pump to deliver 200 mL/hr.

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A nurse is screening a group of people at a community health event for hypertension. Which patient will the nurse identify is at risk for hypertension?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a patient diagnosed with deep-vein thrombosis. Which clinical manifestation is consistent with the diagnosis?

Correct Answer is B

Explanation

Correct Answer is ["200"]

Explanation

A nurse is screening a group of people at a community health event for hypertension. Which patient will the nurse identify is at risk for hypertension?

The nurse is caring for a patient taking diltiazem for blood pressure management. The nurse instructs the patient to report which side effect to the provider?

The nurse is assessing a patient diagnosed with hypertension several years ago. What assessment finding may indicate that target organ damage is now occurring?

A nurse is developing a discharge teaching plan for a patient diagnosed with peripheral arterial disease. Which instruction will the nurse include in the plan?

The nurse is assessing a patient who is complaining of blurred vision. The patient's blood pressure reading is 195/130, the heart rate is 95 beats per minute. Which assessment finding by the nurse is consistent with a diagnosis of hypertensive emergency?

The nurse is caring for a patient who has been taking metoprolol as a second medication to control hypertension. The nurse will assess for which side effect?