The nurse provides teaching for a newly diagnosed patient with primary hypertension. Which of the following patient statements about the cause of primary hypertension would indicate the need for further teaching? Select all that apply

"It is caused by a tumor of the adrenal gland."

The cause can be identified with magnetic resonance imaging."

"The cause is unknown."

"There are no tests to identify the cause."

"An arteriogram will show why hypertension is occurring."

Answer and Explanation

Correct Answer : A,B,E

A. "It is caused by a tumor of the adrenal gland.": This statement is incorrect as a tumor of the adrenal gland (like a pheochromocytoma) would cause secondary hypertension, not primary hypertension, which has no identifiable cause.
B. "The cause can be identified with magnetic resonance imaging.": Primary hypertension does not have a specific identifiable cause, and imaging like MRI cannot pinpoint a cause for it. This statement indicates a misunderstanding.
C. "The cause is unknown.": This statement is correct for primary hypertension, as it is characterized by having no identifiable underlying cause.
D. "There are no tests to identify the cause.": This is correct for primary hypertension since it has no specific identifiable cause. The diagnosis is based on excluding other potential causes of secondary hypertension.
E. "An arteriogram will show why hypertension is occurring.": An arteriogram might identify blockages or other issues in the arteries, but it will not show the cause of primary hypertension. This indicates a need for further teaching.

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Correct Answer is ["A","B","D"]

Explanation

A. Use a picture board.: A picture board can help patients with expressive aphasia communicate their needs and thoughts visually, bypassing their difficulty with verbal expression.
B. Provide pencil and paper.: Providing pencil and paper allows the patient to write down words or draw pictures, which can facilitate communication.
C. Obtain an interpreter.: An interpreter is not necessary unless the patient has a language barrier in addition to aphasia. Aphasia is a language disorder resulting from brain damage, not a problem with understanding different languages.
D. Speak slowly and clearly.: Speaking slowly and clearly can help the patient understand what is being said, which is important as they may have difficulty processing spoken language.
E. Speak loudly.: Speaking loudly is unnecessary and can be counterproductive. The issue with expressive aphasia is not related to hearing but to the ability to express thoughts through speech.

A. Assist the patient to turn to her side. B. Give an antiemetic as ordered. C. Perform a test for blood on the emesis. D. Call for an aide to get suction set up.

Correct Answer is A

Explanation

A. Assist the patient to turn to her side: This is the priority action to prevent aspiration of vomitus, which can be a serious complication for stroke patients who may have impaired swallowing and a reduced gag reflex.
B. Give an antiemetic as ordered: While important, administering an antiemetic should come after ensuring the patient’s safety and preventing aspiration.
C. Perform a test for blood on the emesis: This is not the immediate priority. Preventing aspiration is the first concern.
D. Call for an aide to get suction set up: Suction may be necessary if the patient is at risk of aspiration, but the first step is to turn the patient to prevent choking and aspiration.

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The nurse provides teaching for a newly diagnosed patient with primary hypertension. Which of the following patient statements about the cause of primary hypertension would indicate the need for further teaching? Select all that apply

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing care for a patient with expressive aphasia. Which intervention does the nurse expect to find in the patient's plan of care? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

The nurse is caring for a patient recently admitted with a stroke. The patient is experiencing nausea and begins to vomit. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

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