The LPN/LVP is discussing types of hypertension with a patient. Which statement by the patient would reflect understanding of secondary hypertension?
"Permanent structural changes in my kidneys and eyes have already occurred."
"My blood pressure can return to normal with treatment of my kidney disease."
"I don't know the cause of my hypertension."
"My essential hypertension must be treated with medications."
The Correct Answer is B
A. "Permanent structural changes in my kidneys and eyes have already occurred.": This statement is more indicative of the complications of chronic, uncontrolled hypertension, whether primary or secondary. It does not reflect understanding that secondary hypertension is due to a specific, often treatable cause.
B. "My blood pressure can return to normal with treatment of my kidney disease.": This statement correctly reflects an understanding of secondary hypertension, which is caused by an underlying condition (like kidney disease). Treating the underlying condition can potentially normalize blood pressure.
C. "I don't know the cause of my hypertension.": This statement reflects primary (essential) hypertension, where the cause is generally unknown.
D. "My essential hypertension must be treated with medications.": This statement describes essential hypertension, not secondary. Essential hypertension typically requires lifelong medication management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Acutely inflamed joints will respond best to heat therapy: Heat can help relieve chronic joint stiffness and pain, but acutely inflamed joints are best treated with cold therapy to reduce inflammation and pain.
B. It is essential to monitor all body systems for effects of the disease: RA is a systemic autoimmune disorder that can affect multiple body systems, including the cardiovascular, respiratory, and integumentary systems, making comprehensive monitoring crucial.
C. Injury and age are the greatest contributors to disease development: RA is not primarily caused by injury or aging. It is an autoimmune condition that can develop at any age, although it is more common in middle age and is influenced by genetic and environmental factors.
D. Exercise is poorly tolerated and frequent rest is needed: While rest is important during flare-ups, regular, gentle exercise is beneficial for maintaining joint function and overall health in RA patients. It helps maintain mobility and reduces joint stiffness.
Correct Answer is C
Explanation
A. Dislocation injury: This refers to a joint being forced out of its normal position and is not related to strains.
B. Compression injury: This typically involves pressure that causes damage to a body part, such as crushing injuries, and does not describe a strain.
C. Muscle or tendon injury: A strain involves stretching or tearing of muscle or tendon fibers, making this the correct description of a strain.
D. Ligament injury: Injuries to ligaments are referred to as sprains, not strains.
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