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."

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Legs in adduction: Adduction can increase the risk of dislocating the hip prosthesis and should be avoided.
B. More than 90-degree hip flexion: Flexing the hip more than 90 degrees can increase the risk of dislocation and should be avoided.
C. Internal leg rotation: Internal rotation of the leg can increase the risk of hip dislocation postoperatively.
D. Legs in abduction: Maintaining legs in abduction (spreading them apart) helps keep the hip joint stable and reduces the risk of dislocation after hip replacement surgery.

A. Monitoring for infection B. Monitoring circulatory status C. Validating proper mobility D. Checking discomfort level

Correct Answer is A

Explanation

Correct answer: A
A. Monitoring for infection: Infection is a significant risk with external fixation devices due to the presence of pins that penetrate the skin and soft tissues. Monitoring for signs of infection, such as redness, swelling, discharge, or increased pain, is crucial.
B. Monitoring circulatory status: While circulatory status is important, especially in cases of limb injury or immobilization, it is not the most immediate concern compared to the risk of infection from the external fixation device.
C. Validating proper mobility: Ensuring proper mobility is important, but it is secondary to the prevention and detection of infection. Mobility assessments can be done after confirming that there are no infections or complications.
D. Checking discomfort level: While assessing discomfort is important for pain management and comfort, it is not as critical as monitoring for infection, which can lead to severe complications if not addressed promptly.

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The LPN/LVP is discussing types of hypertension with a patient. Which statement by the patient would reflect understanding of secondary hypertension?

Nursing Test Bank

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