NCLEX® QOTD: Hypertension findings
Published on Jul 31, 2024. Updated on Jul 22, 2024.
The nurse in a primary care office is reviewing a new patient’s vital signs and medical intake form and suspects they have hypertension. Click to highlight the finding(s) that correlate(s) with the diagnosis of hypertension.
Vital Signs |
Temperature: 37.1°C (98.8°F) |
Pulse: 84/min |
Respirations: 14/min |
Blood Pressure: 156/86 mmHg |
New Patient Intake Form Check yes or no to indicate whether you are experiencing any of the following symptoms | ||
Symptom | Yes | No |
Memory Problems |
| ✔ |
Headaches | ✔ |
|
Dizziness | ✔ |
|
Vision Changes |
| ✔ |
Hearing Loss |
| ✔ |
Depression | ✔ |
|
Anxiety |
| ✔ |
Swelling |
| ✔ |
Unexplained Weight Changes |
| ✔ |
Night Sweats |
| ✔ |
Fatigue | ✔ |
|
Difficulty Breathing |
| ✔ |
Joint Pain |
| ✔ |
Constipation | ✔ |
|
Diarrhea |
| ✔ |
Difficulty Urinating |
| ✔ |
Rash |
| ✔ |
The correct answers to today's NCLEX-RN® Question are...
Vital Signs |
Temperature: 37.1°C (98.8°F) |
Pulse: 84/min |
Respirations: 14/min |
Blood Pressure: 156/86 mmHg |
New Patient Intake Form Check yes or no to indicate whether you are experiencing any of the following symptoms | ||
Symptom | Yes | No |
Memory Problems |
| ✔ |
Headaches | ✔ |
|
Dizziness | ✔ |
|
Vision Changes |
| ✔ |
Hearing Loss |
| ✔ |
Depression | ✔ |
|
Anxiety |
| ✔ |
Swelling |
| ✔ |
Unexplained Weight Changes |
| ✔ |
Night Sweats |
| ✔ |
Fatigue | ✔ |
|
Difficulty Breathing |
| ✔ |
Joint Pain |
| ✔ |
Constipation | ✔ |
|
Diarrhea |
| ✔ |
Difficulty Urinating |
| ✔ |
Rash |
| ✔ |
Major Takeaway
The first step in the clinical judgment measurement model (CJMM) is to recognize cues, which involves identifying relevant information from different sources, such as the patient’s history and vital signs. The nurse should note that a patient with elevated blood pressure, headaches, dizziness, and fatigue could be experiencing hypertension. Hypertension is when the systolic blood pressure is above 130 mmHg or the diastolic blood pressure is above 80 mmHg. Elevated blood pressure can affect blood vessels throughout the body and increase the workload of the heart, leading to symptoms like headaches, dizziness, and fatigue. While this patient is also experiencing depression and constipation, these symptoms are not cues that point to hypertension.
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