The nurse is caring for a child with secondary hypertension. What renal disorders are associated with secondary hypertension? (Select all that apply.)

a. Renal tumor
b. Hydronephrosis
c. Vesicoureteral reflux
d. Glomerulonephritis
e. Urinary tract infection


ANS: A, B, D
Renal disorders that can cause secondary hypertension include a renal tumor, hydronephrosis, and glomerulonephritis. Vesicoureteral reflux or urinary tract infections do not cause secondary hypertension.

Nursing

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When discussing the patient's elevated LDL and lowered HDL levels, the patient shows an understanding of the significance of these levels by stating:

A) "Increased LDL and decreased HDL increase my risk of coronary artery disease." B) "Increased LDL and decreased HDL decrease my risk of coronary artery disease." C) "The decreased HDL level will increase the amount of cholesterol moved away from the artery walls." D) "The increased LDL will decrease the amount of cholesterol deposited on the artery walls."

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Which statement correctly describes normal changes of aging?

a. All age-related changes are the result of disease. b. When comparing functional abilities of an older client, it is important to not allow social or cultural influences to cloud your assessment. c. It is usually easy to tell the difference between normal aging and the results of one's lifelong poor habits. d. Individual variations are enormous at every age and in every part of the body.

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Which stool characteristic should the nurse expect to assess with a child diagnosed with intussusception?

a. Ribbon-like stools b. Hard stools positive for guaiac c. "Currant jelly" stools d. Loose, foul-smelling stools

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A client with HIV has been started on AZT as part of the pharmacotherapeutic regimen. What is appropriate for the nurse to teach the client who is on this medication?

Standard Text: Select all that apply. 1. The appropriate use of condoms with sexual activity 2. The importance of taking St. John's wort in conjunction with AZT 3. The need to notify the health care provider if pregnancy occurs 4. That breast-feeding is safe when taking this medication 5. Not to discontinue the medication without notifying the health care provider

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