A nurse is teaching an adolescent about primary hypertension. The ...

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A nurse is teaching an adolescent about primary hypertension. The nurse knows that which of the following is correct?
 
  a. Primary hypertension should be treated with diuretics as soon as it is detected.
  b. Congenital heart defects are the most common cause of primary hypertension.
  c. Primary hypertension may be treated with weight reduction.
  d. Primary hypertension is not affected by exercise.

Question 2

What is the appropriate priority nursing action for the infant with a CHD who has an increased respiratory rate, is sweating, and is not feeding well?
 
  a. Recheck the infant's blood pressure. c. Withhold oral feeding.
  b. Alert the physician. d. Increase the oxygen rate.

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Answer to Question 1

ANS: C
Primary hypertension in children may be treated with weight reduction and exercise programs. If ineffective, pharmacologic intervention may be needed. Primary hypertension is considered an inherited disorder.

Answer to Question 2

ANS: B
These are signs of early congestive heart failure, and the physician should be notified. Although rechecking blood pressure may be indicated, it is not the priority action. Withholding the infant's feeding is an incomplete response to the problem. Increasing oxygen may alleviate symptoms; however, medications such as digoxin and furosemide are necessary to improve heart function and fluid retention. Notifying the physician is the priority nursing action.

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Thank you

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