Author Question: A client is admitted to determine the cause of secondary hypertension. Which diagnostic tests should ... (Read 52 times)

burchfield96 · **on:** Jun 25, 2018

A client is admitted to determine the cause of secondary hypertension. Which diagnostic tests should the nurse suspect the client will be prescribed and need to include in the client's teaching plan?

Select all that apply.
A) Cerebral angiogram
B) Intravenous pyelogram
C) Renal angiogram
D) Cardiac catheterization
E) Myelogram

Question 2

A nurse working in the intensive care unit (ICU) is caring for a client in a hypertensive emergency due to acute nephritis.

When discussing this data with a novice nurse during change of shift report, which statement by the nurse is appropriate when discussing the effects of the renal system on the client's blood pressure?
A) The release of the catecholamines epinephrine and norepinephrine cause an increase in blood pressure.
B) The release of renin causes an increase in blood pressure.
C) The release of atrial natriuretic peptide (ANP) and brain natriuretic peptide (BNP) cause an increase in blood pressure.
D) The synthesis and release of adrenomedullin causes an increase in blood pressure.

cegalasso · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: B, C

When secondary hypertension is suspected, diagnostic tests include an intravenous pyelogram and renal ultrasound to determine if the renal system is the cause of the hypertension. Cerebral angiogram, cardiac catheterization, and myelogram are not diagnostic tests to determine the cause for secondary hypertension.

Answer to Question 2

Answer: B

A drop in renal perfusion stimulates renin release. Renin converts angiotensinogen to angiotensin I, which is then converted to angiotensin II in the lungs. ANP and BNP are released from the atrial cells, not the renal system. The catecholamines epinephrine and norepinephrine are released from the adrenal cortex, not from the kidneys.