A patient's chart shows a blood pressure of 190/137, with a usual blood pressure of 170/110.
What is a possible diagnosis?
Hypotensive crisis
Hypertensive crisis
Stage 2 hypertension
Stage 1 hypertension
The Correct Answer is B
A hypertensive crisis is defined as a systolic blood pressure (top number) of 180 mm Hg or higher or a diastolic blood pressure (bottom number) of 120 mm Hg or higher. A patient with a blood pressure of 190/137 meets this criterion and has a significantly elevated risk of organ damage and cardiovascular complications. A usual blood pressure of 170/110 indicates that the patient has chronic hypertension, which is a risk factor for hypertensive crisis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Vitamin B12 is a water-soluble vitamin that is involved in the production of red blood cells, DNA synthesis, and nerve function. Vitamin B12 deficiency can cause anemia, neurological problems, and cognitive impairment. Vitamin B12 deficiency can be attributed to alcoholism because alcohol interferes with the absorption and metabolism of vitamin B12 in the stomach and liver. Alcohol also damages the lining of the intestines, where vitamin B12 is absorbed from food sources.
Correct Answer is B
Explanation
A. Hyperglycemia: Hyperglycemia is characteristic of diabetes mellitus, not diabetes insipidus. Diabetes insipidus involves an issue with antidiuretic hormone (ADH) and water balance, not glucose regulation.
B. Polydipsia: This is a hallmark symptom of diabetes insipidus. It refers to excessive thirst due to the body’s inability to retain water, leading to dehydration and compensatory increased fluid intake.
C. Weight gain: Weight gain is not typically associated with diabetes insipidus. The condition usually leads to weight loss due to fluid loss.
D. Oliguria: Oliguria (reduced urine output) is the opposite of what occurs in diabetes insipidus. The condition is characterized by polyuria, or excessive urination, due to the kidneys' inability to concentrate urine.
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