The nurse is reviewing the laboratory test results for a patient who has recently been diagnosed with hypertension. Which result is most important to communicate to the health care provider?

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Question 1 of 4

The nurse is reviewing the laboratory test results for a patient who has recently been diagnosed with hypertension. Which result is most important to communicate to the health care provider?

Correct Answer: A

Rationale: The elevated creatinine indicates renal damage caused by the hypertension. The other laboratory results are normal.

Question 2 of 4

A patient's medication regimen for the treatment of hypertension includes hydrochlorothiazide. Following administration of this medication, the nurse should anticipate what effect?

Correct Answer: B

Rationale: Thiazide diuretics lower BP by reducing circulating blood volume; this results in a short-term increase in urine output. These drugs do not cause bradycardia, agitation, or drowsiness.

Question 3 of 4

CSF:

Correct Answer: C

Rationale: CSF has a lower concentration of creatinine compared to plasma due to selective filtration processes.

Question 4 of 4

Which ONE of the following prescriptions would NOT be 1st line treatment for a 51-years old Caucasian male who has just been diagnosed with hypertension requiring treatment. No past medical history. Blood pressure 150/92 mmHg.

Correct Answer: D

Rationale: For a Caucasian male under 55 with no comorbidities, ACE inhibitors (e.g., lisinopril, ramipril) are first-line per guidelines like NICE. Enalapril is an ACE inhibitor but less commonly used as a starting dose compared to lisinopril or ramipril, making it not a typical first-line choice.

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