Which finding should the nurse recognize as a potential complication in a client with hypertension?
Polydipsia and polyuria.
Elevated blood urea nitrogen.
Dry and irritated skin.
New onset of bradycardia.
The Correct Answer is B
A. Polydipsia and polyuria: These symptoms are more commonly associated with uncontrolled diabetes mellitus rather than hypertension. They are not direct complications of elevated blood pressure.
B. Elevated blood urea nitrogen: Hypertension can damage renal blood vessels, leading to impaired kidney function and elevated BUN levels. This is a significant complication that indicates progressive end-organ damage.
C. Dry and irritated skin: This is a nonspecific symptom that may result from dermatologic conditions, dehydration, or environmental factors. It is not typically associated with hypertension complications.
D. New onset of bradycardia: Bradycardia is not a usual complication of hypertension itself, though it may occur as a side effect of certain antihypertensive medications such as beta-blockers. It is not a primary complication to anticipate.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Polydipsia and polyuria: These symptoms are more commonly associated with uncontrolled diabetes mellitus rather than hypertension. They are not direct complications of elevated blood pressure.
B. Elevated blood urea nitrogen: Hypertension can damage renal blood vessels, leading to impaired kidney function and elevated BUN levels. This is a significant complication that indicates progressive end-organ damage.
C. Dry and irritated skin: This is a nonspecific symptom that may result from dermatologic conditions, dehydration, or environmental factors. It is not typically associated with hypertension complications.
D. New onset of bradycardia: Bradycardia is not a usual complication of hypertension itself, though it may occur as a side effect of certain antihypertensive medications such as beta-blockers. It is not a primary complication to anticipate.
Correct Answer is A
Explanation
A. Complete blood count: Zidovudine can cause bone marrow suppression, leading to thrombocytopenia. Pinpoint red spots, or petechiae, are a sign of low platelet count. A CBC is the most relevant test to evaluate for cytopenias and should be reported promptly to the provider.
B. Skin biopsy: A biopsy would help diagnose dermatologic conditions such as rashes, lesions, or malignancies, but petechiae are usually vascular in nature and related to platelet abnormalities.
C. Allergy test: Allergy testing evaluates hypersensitivity to specific allergens but is not relevant here. Petechiae are not typical of allergic reactions; instead, they reflect impaired clotting or low platelets.
D. Electromyography: EMG measures electrical activity in muscles to assess for neuromuscular disorders. It has no connection to the client’s presentation of petechiae and is unrelated to zidovudine’s known adverse effects.
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