a nurse is reviewing the medical record of a client who has hypertension which of the following findings should the nurse identify as a risk factor fo
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ATI PN Comprehensive Predictor 2023 Quizlet

1. A healthcare provider is reviewing the medical record of a client who has hypertension. Which of the following findings should the provider identify as a risk factor for this condition?

Correct answer: C

Rationale: The correct answer is C: Obesity. Obesity is a significant risk factor for hypertension due to its impact on the cardiovascular system. Obesity can lead to increased blood pressure due to the additional workload placed on the heart and blood vessels. Age alone does not necessarily predispose someone to hypertension, and a family history of hypotension or a personal history of hypotension would not increase the risk of developing hypertension. Family history of hypotension is not a known risk factor for hypertension, and a history of hypotension actually indicates low blood pressure, which is the opposite of hypertension.

2. What are the early signs of DVT?

Correct answer: A

Rationale: The correct answer is A: Leg pain, swelling, and redness are early signs of DVT. DVT (Deep Vein Thrombosis) is a condition where blood clots form in deep veins, commonly in the legs. These clots can cause symptoms like pain, swelling, and redness in the affected leg. Choices B, C, and D describe symptoms more commonly associated with other conditions like pulmonary embolism (shortness of breath and high fever), respiratory issues (cough and chest pain), and cardiovascular problems (decreased oxygen saturation and low blood pressure), respectively. Therefore, they are not indicative of early signs of DVT.

3. A client is using a metered-dose inhaler (MDI) for asthma management. Which of the following actions by the client indicates an understanding of the teaching?

Correct answer: C

Rationale: The correct answer is to hold your breath for 5-10 seconds after inhaling when using a metered-dose inhaler (MDI) for asthma management. This action ensures proper medication absorption in the lungs. Inhaling rapidly (choice A) may cause the medication to impact the mouth/throat rather than the lungs. Exhaling completely before inhalation (choice B) does not optimize medication delivery. Inhaling slowly (choice D) may not allow the medication to reach the lungs effectively.

4. When should a nurse suction a client with a tracheostomy?

Correct answer: C

Rationale: The correct answer is to suction the client when they show signs of irritability. Signs of irritability, such as restlessness or agitation, can indicate the need for suctioning in a client with a tracheostomy. This early indicator suggests that there may be an accumulation of secretions affecting the client's airway. Suctioning should be performed promptly to maintain a clear airway and prevent complications. Choices A, B, and D are incorrect because suctioning should be based on clinical signs and symptoms indicating the need for intervention, rather than a fixed schedule or specific vital sign parameters.

5. A client with an NG tube is experiencing nausea and a decrease in gastric secretions. What should the nurse do first?

Correct answer: B

Rationale: The correct first action for a client with an NG tube experiencing nausea and decreased gastric secretions is to irrigate the NG tube with sterile water. This can help clear any blockages in the tube, which may be causing the symptoms. Positioning the client on their left side may be helpful for enteral feedings but is not the priority in this situation. Replacing the NG tube should not be the initial step unless irrigation fails to resolve the issue. Increasing the suction setting without attempting to clear the blockage can be harmful to the client.

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