A patient is being treated for hypertensive emergency. When treating this patient, the nurse recognizes the initial goal is to lower the mean blood pressure (BP) by 20-25% because

the goal is to lower the BP to 120/80.

lowering the BP quickly may decrease cerebral, coronary or renal perfusion.

IV antihypertensive medications have a slow onset.

Lowering the BP slowly allows the patient to rest.

Answer and Explanation

The Correct Answer is B

A. While lowering BP to 120/80 may be an ultimate goal, it is not the initial target in a hypertensive emergency.

B. Rapid reduction in blood pressure can cause hypoperfusion of vital organs such as the brain, heart, and kidneys, leading to ischemic injury. The aim is to reduce the BP gradually to prevent these complications.

C. IV antihypertensive medications generally have a rapid onset, not a slow one.

D. While gradual reduction is important, it is not done to allow rest but to protect organ perfusion.

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Correct Answer is B

Explanation

A. While a CVP catheter might be in place for an extended period, its purpose is not directly related to heart healing.

B. The CVP catheter is used to monitor central venous pressure, which helps guide fluid management and assess right heart function.

C. The CVP catheter does not extend into the left ventricle; it is typically positioned in the superior vena cava or right atrium.

D. The CVP catheter may have multiple lumens for administering fluids, but its primary purpose is hemodynamic monitoring, not just providing IV access.

A. Crackles upon auscultation of the lungs B. Hepatomegaly C. Jugular venous distention D. Orthopnea E. Peripheral edema

Correct Answer is ["B","C","E"]

Explanation

A. Crackles are more commonly associated with left ventricular failure, which leads to pulmonary congestion.

B. Hepatomegaly, or an enlarged liver, is a sign of right ventricular failure due to blood backing up in the systemic circulation.

C. Jugular venous distention is a classic sign of right ventricular failure as blood accumulates in the venous system.

D. Orthopnea, or difficulty breathing while lying down, is more indicative of left ventricular failure.

E. Peripheral edema is a hallmark of right ventricular failure, resulting from increased venous pressure.

A nurse is caring for a client who has heart failure.

<div id="exhibits">Exhibits</div>

For each potential provider's prescription, click to specify if the prescription is essential (high priority) non-essential (low priority) or contraindicated(unrelated) for the client.

View Question and Answer

A nurse is caring for a client in the emergency department (ED).

<div id="exhibits">Exhibits</div>

The nurse is planning care for the client. For each potential prescription, indicate whether it is an anticipated (high priority), nonessential (low priority), contraindicated(unrelated).

Select one or more in each option.

View Question and Answer

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A patient is being treated for hypertensive emergency. When treating this patient, the nurse recognizes the initial goal is to lower the mean blood pressure (BP) by 20-25% because

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Naxlex Comprehensive Predictor Exams

The nurse is educating a patient's family member about a central venous pressure catheter (CVP). Which statement by the family member best indicates understanding of the purpose of the CVP?

Correct Answer is B

Explanation

Which clinical manifestations are indicative of right ventricular failure? (Select all that apply.)

Correct Answer is ["B","C","E"]

Explanation

A nurse is caring for a client who has heart failure. <div id="exhibits">Exhibits</div> For each potential provider's prescription, click to specify if the prescription is essential (high priority) non-essential (low priority) or contraindicated(unrelated) for the client.

When treating hypertensive emergencies, the nurse identifies the most appropriate route of administration for antihypertensive agents as being which of the following?

The nurse is caring for a patient who has an intraaortic balloon pump in place. Which action should be included in the plan of care?

A patient was admitted for terminal heart failure and is now eligible for a transplant. The family wants everything possible done to maintain life. Which procedure might be offered to the patient for this condition to increase the patient's quality of life?

An essential aspect of teaching that may prevent recurrence of heart failure exacerbations is

A patient is being treated for hypertensive emergency. When treating this patient, the nurse recognizes the initial goal is to lower the mean blood pressure (BP) by 20-25% because

A patient who has been in the intensive care unit for 4 days has disturbed sensory perception from sleep deprivation. Which action should the nurse include in the plan of care?