Author Question: The nurse is instructing a 26-year-old client diagnosed with hypertension. What should the nurse ... (Read 61 times)

SAVANNAHHOOPER23 · **on:** Jun 25, 2018

The nurse is instructing a 26-year-old client diagnosed with hypertension. What should the nurse instruct the client to do to determine an adverse effect of the disease process?

1. Have hearing checked.
2. Make an appointment with an ophthalmologist.
3. Make an appointment with a cardiovascular surgeon.
4. Prepare for a colonoscopy.

Question 2

The nurse is examining a client with hypertension who is complaining of mid-abdominal pain. What would be a priority for the nurse to assess in this client?

1. The eyes, for jaundice
2. Temperature
3. Workplace responsibilities
4. The abdomen, for a pulsating mass and bruit

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

Answer to Question 1

Answer: 2

1. Hypertension does not affect hearing.
2. Hypertension causes vasoconstriction, and can cause permanent damage to the optic nerve. Clients with hypertension should be encouraged to have regular eye examinations.
3. Surgery is not indicated at this time.
4. Colonoscopies are recommended after the age of 50.

Answer to Question 2

Answer: 4

1. The client is exhibiting symptoms of an abdominal aortic aneurysm. Jaundice is not a sign of an aneurysm.
2. The client's temperature is not relevant.
3. Workplace responsibilities would apply if the client were having back pain.
4. Mid-abdominal pain when a client is hypertensive should alert the nurse to check the abdomen for a pulsating mass and listen for a bruit.