The nurse obtains the following information from a patient newly diagnosed with elevated blood pressure. Which finding is most important to address with the patient?

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Cardiovascular Multiple Choice Questions and Answers Questions

Question 1 of 5

The nurse obtains the following information from a patient newly diagnosed with elevated blood pressure. Which finding is most important to address with the patient?

Correct Answer: B

Rationale: The recommendations for preventing hypertension include exercising aerobically for 30 minutes most days of the week. A weight that is 5 pounds over the ideal body weight is not a risk factor for hypertension. The Dietary Approaches to Stop Hypertension (DASH) diet is high in fiber but increasing fiber alone will not prevent hypertension from developing. The patient's alcohol intake is within guidelines and will not increase the hypertension risk.

Question 2 of 5

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 3 of 5

A patient with secondary hypertension has come into the clinic for a routine check-up. The nurse is aware that the difference between primary hypertension and secondary hypertension is which of the following?

Correct Answer: A

Rationale: Secondary hypertension has a specific identified cause. A cause could include narrowing of the renal arteries, renal parenchymal disease, hyperaldosteronism, certain medications, pregnancy, and coarctation of the aorta. Secondary hypertension does respond to antihypertensive drug therapy and can cause target organ damage if left untreated.

Question 4 of 5

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 5 of 5

CSF:

Correct Answer: C

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

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