The nurse contributes to the plan of care for a patient with hypertension. Which of the following nursing diagnoses is the focus of care for the patient with hypertension?
Impaired Physical Mobility
Readiness for Enhanced Health Literacy
Decreased Activity Tolerance
Ineffective Airway Clearance
The Correct Answer is B
A. Impaired Physical Mobility: This is not directly related to hypertension management. While hypertension can affect physical activity, it is not the primary focus in the context of managing high blood pressure.
B. Readiness for Enhanced Health Literacy: This is the correct focus. Educating the patient about hypertension management, lifestyle modifications, and medication adherence is crucial in managing and controlling blood pressure.
C. Decreased Activity Tolerance: This could be a related issue but is not the primary focus. It addresses the impact of hypertension on physical capacity rather than managing the condition itself.
D. Ineffective Airway Clearance: This is unrelated to hypertension. It focuses on respiratory issues rather than blood pressure management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
A. Computed tomography: CT angiography can visualize the arteries and detect blockages or narrowing, making it useful in diagnosing peripheral arterial disease (PAD).
B. Duplex ultrasound: This test combines traditional ultrasound with Doppler to assess blood flow and the structure of blood vessels, which is useful for diagnosing PAD by identifying areas of reduced blood flow or blockages.
C. Ankle-brachial index: The ankle-brachial index (ABI) is a non-invasive test that compares the blood pressure in the ankle with the blood pressure in the arm to detect reduced blood flow in the legs, indicative of PAD.
D. Troponin T: Troponin T is a biomarker used to diagnose myocardial infarction (heart attack) and is not relevant for diagnosing PAD, which involves peripheral arteries.
E. Electrocardiogram: An electrocardiogram (ECG) measures the electrical activity of the heart and is used to diagnose cardiac issues, not peripheral artery disease.
Correct Answer is ["A","B","C","E"]
Explanation
A. Monitor pulse before taking medicine: For certain blood pressure medications, such as beta blockers or some calcium channel blockers, monitoring the pulse is important because these medications can lower the heart rate. Patients should be advised to check their pulse and report if it is too low.
B. Continue taking medications even if feeling better: It is crucial for patients to understand that antihypertensive medications manage symptoms but do not cure hypertension. Stopping the medication can lead to a rebound effect, potentially causing dangerously high blood pressure.
C. Do not skip doses: Regular intake of medication is essential for maintaining stable blood pressure levels. Missing doses can lead to ineffective control of hypertension and increase the risk of complications.
D. Eat a diet high in fats and processed food: This is incorrect. Patients should be advised to eat a healthy, balanced diet low in fats and processed foods to help manage their blood pressure and overall cardiovascular health.
E. Exercise regularly: Regular physical activity helps in controlling blood pressure and improving overall cardiovascular health. It is important to include exercise as part of lifestyle modifications for managing hypertension.
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