Which are (is a) potential result(s) of end-organ damage from chronic hypertension?
a. Carotid stenosis
b. Diabetes mellitus
c. Renal insufficiency
d. Coronary artery disease
e. Isolated systolic hypertension
f. Familial hypercholesterolemia
A, C, D
a. Correct. Carotid stenosis refers to occlusion of the carotid artery from atherosclerotic pla-que and can result from chronic hypertension. Older adults with carotid stenosis are at high risk for strokes owing to the risk of a thromboembolic event from the plaque.
b. Incorrect. Diabetes mellitus (DM) is not a result of end-organ damage from chronic hypertension; however, when it accompanies hypertension, DM accelerates the process of end-organ damage and greatly increases the risk of cardiovascular disease.
c. Correct. Renal dysfunction can occur as a result of chronic hypertension as the intimal lin-ing of the renal arteries is damaged over time. This leads to renal artery stenosis and de-creased renal perfusion.
d. Correct. Coronary artery disease is a common result of chronic hypertension.
e. Incorrect. Isolated systolic hypertension is a common consequence of aging but not a result of end-organ damage.
f. Incorrect. Familial hypercholesterolemia is determined by genetic factors and cannot be caused by end-organ damage.
You might also like to view...
Tobacco use is significantly related to all but which of the following cancers in older persons?
a. lung b. larynx c. breast d. bladder
In which abdominal quadrant is most of the liver located?
a. right upper quadrant c. left upper quadrant b. right lower quadrant d. left lower quadrant
The nurse is monitoring the client's ability to tolerate the tube feeding through a new g-tube. The client's gastric residual is currently 315 milliliters
Which of the following nursing interventions should be performed at this time? (Select all that apply.) 1. Increase the head-of-bed to a 45-degree angle 2. Change tube feeding setup 3. Hold tube feeding formula 4. Add blue food dye to formula 5. Consider bolus tube feeding
During the admission assessment of a new client, the nurse has collected and documented a set of vital signs to serve as baselines for future assessment. The client's vital signs would be considered to be what?
A) Judgments B) Nursing diagnoses C) Cues D) Inferences