When assessing an older, female, African American adult, the ...

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When assessing an older, female, African American adult, the nurse notes that she has been a type 2 insulin-dependent diabetic 10 years. The nurse notes that the patient's greatest risk for developing secondary hypertension is her
 
  a. gender.
  b. ethnic origin.
  c. vascular system status.
  d. insulin therapy.

Question 2

An older adult patient has been prescribed warfarin (coumadin). The nurse's primary intervention involves daily review of the patient's
 
  a. prothrombin time.
  b. body for bruising.
  c. serum creatinine level.
  d. reflex tone.

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Answer to Question 1

C
Secondary hypertension identified in the vascular system refers to elevated blood pressure caused by underlying disease such as renal artery disease, renal parenchymal disorders, endocrine and metabolic disorders, central nervous system (CNS) disorders, coarctation of the aorta, and increased intravascular volume. Gender, ethnic origin, and insulin are not diseases that cause hypertension.

Answer to Question 2

A
Warfarin therapy is monitored by the international normalized ratio (INR) or INR with proth-rombin time.

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TYSM

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