A patient with a blood pressure of 170/110 is prescribed an ACE (angiotensin-converting enzyme) inhibitor. The nurse stresses the need to take his ACE inhibitor as prescribed to prevent which complication associated with the long-term effects of hypertension?
Hematuria and proteinuria.
Venous Insufficiency.
Increased elastase activity.
Decreased high-density lipoproteins.
The Correct Answer is A
A. Long-term hypertension can lead to renal damage, resulting in glomerular injury and subsequent hematuria and proteinuria. ACE inhibitors help to protect renal function by reducing pressure in the glomeruli.
B. Venous insufficiency is generally not a direct complication of hypertension; it is more associated with conditions affecting venous return.
C. Increased elastase activity is related to the breakdown of elastin and is not a direct consequence of hypertension or the primary focus of ACE inhibitor therapy.
D. Decreased high-density lipoproteins (HDL) is not a direct complication of hypertension and does not specifically relate to the effects of ACE inhibitors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Large amounts of IV fluids are generally not used in ESRD because the kidneys cannot effectively remove excess fluids, potentially worsening fluid overload.
B. Potassium supplements are avoided, as ESRD patients often have elevated potassium levels due to reduced excretion, which can lead to dangerous cardiac complications.
C. While ESRD is serious, postmortem care is premature; many patients manage ESRD with appropriate treatment.
D. Dialysis or kidney transplantation is the standard treatment for ESRD to take over the functions that the kidneys can no longer perform, such as waste removal and fluid balance.
Correct Answer is D
Explanation
A. Aortic atherosclerosis and mitral insufficiency could lead to some symptoms of congestion but would not fully explain jugular venous distension and liver congestion.
B. Aortic valve stenosis and left heart failure primarily affect left-sided heart function, which typically does not present with jugular venous distension or peripheral edema.
C. Bronchogenic cancer and diaphoresis do not explain the cardiovascular symptoms present in this case.
D. Pulmonic valve stenosis can lead to right heart failure, causing systemic venous congestion, which results in JVD, liver congestion, ascites, and ankle edema, thus accounting for all aspects of the patient's presentation.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.