(1 point):. Which guideline should the nurse use to determine normal blood pressure in a patient?

Systolic pressure between 130-139 mmHg and diastolic pressure between 80-89 mmHg.

Systolic pressure greater than or equal to 140 mmHg and diastolic pressure greater than or equal to 90 mmHg.

Systolic pressure less than 120 mmHg and diastolic pressure less than 80 mmHg.

Systolic pressure between 120-129 mmHg and diastolic pressure less than 80 mmHg.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

A systolic pressure between 130-139 mmHg and diastolic pressure between 80-89 mmHg is not considered normal. It falls within the range of prehypertension according to the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7), which classifies normal blood pressure as systolic pressure less than 120 mmHg and diastolic pressure less than 80 mmHg. The rationale for this choice is that the range provided does not align with the current standards for normal blood pressure.

Choice B rationale:

The correct answer is choice B because a systolic pressure greater than or equal to 140 mmHg and a diastolic pressure greater than or equal to 90 mmHg are indicative of hypertension, as per the JNC 7 guidelines. Normal blood pressure is defined as systolic pressure less than 120 mmHg and diastolic pressure less than 80 mmHg. Hypertension is a significant risk factor for cardiovascular diseases and requires medical attention and lifestyle modifications to manage. The rationale for this choice is that it correctly identifies the threshold for hypertension, which is crucial for patient assessment and care.

Choice C rationale:

A systolic pressure less than 120 mmHg and diastolic pressure less than 80 mmHg is indeed considered normal, according to JNC 7 guidelines. However, this choice does not provide an accurate representation of the guidelines as it lacks a systolic pressure range between 120 and 129 mmHg. This gap in the guidelines would lead to confusion when categorizing blood pressure, and the answer is therefore not correct.

Choice D rationale:

A systolic pressure between 120-129 mmHg and diastolic pressure less than 80 mmHg is categorized as elevated blood pressure, not normal. The JNC 7 guidelines clearly specify that normal blood pressure falls below 120 mmHg systolic and below 80 mmHg diastolic. This range is associated with an increased risk of hypertension and should not be considered normal. The rationale for this choice is that it provides an inaccurate representation of normal blood pressure as per the guidelines.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A rationale:

Systolic heart failure results in increased left ventricular preload. In systolic heart failure, the heart's ability to contract and eject blood effectively is impaired. This leads to decreased ejection fraction, which means that a significant amount of blood is left in the left ventricle at the end of systole. This increased volume of blood in the left ventricle during diastole is referred to as "preload.”. The increased preload is a compensatory mechanism that the heart uses to maintain cardiac output. However, over time, this increased preload can lead to symptoms of congestion and fluid overload.

Choice B rationale:

Systolic heart failure is characterized by decreased ejection fraction, not increased. Ejection fraction is a measure of the percentage of blood ejected from the left ventricle with each heartbeat. In systolic heart failure, this percentage is reduced.

Choice C rationale:

Systolic heart failure does not directly affect right ventricular preload. Right ventricular preload is more related to conditions that affect the right side of the heart, such as pulmonary hypertension.

Choice D rationale:

Systolic heart failure does not necessarily result in decreased right ventricular end-diastolic pressure. Right ventricular end-diastolic pressure can be influenced by a variety of factors, and its alteration is not a specific hallmark of systolic heart failure.

A. Increased LDL level and increased HDL level. B. Increased LDL level and decreased HDL level. C. Decreased LDL level and decreased HDL level. D. Decreased LDL level and increased HDL level.

Correct Answer is B

Explanation

Choice A rationale:

This choice is not consistent with the typical laboratory results seen in a patient who smokes. Smoking is known to be a risk factor for cardiovascular disease, and it tends to increase LDL (low-density lipoprotein) levels, which is considered "bad" cholesterol, while also decreasing HDL (high-density lipoprotein) levels, which is considered "good" cholesterol.

Choice C rationale:

Decreased LDL (low-density lipoprotein) levels and decreased HDL (high-density lipoprotein) levels are not the typical findings in a patient who smokes. Smoking is associated with an increase in LDL levels and a decrease in HDL levels.

Choice D rationale:

Decreased LDL (low-density lipoprotein) levels and increased HDL (high-density lipoprotein) levels are not the usual laboratory results in a patient who smokes. Smoking tends to raise LDL levels (considered "bad" cholesterol) and lower HDL levels (considered "good" cholesterol).

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

(1 point):. Which guideline should the nurse use to determine normal blood pressure in a patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

(1 point). Listen.A nurse recalls that systolic heart failure results in which of the following intraventricular hemodynamic changes?

Correct Answer is A

Explanation

(1 point). Listen.Which of the following laboratory results will the nurse expect to find in a patient who smokes?

Correct Answer is B

Explanation

(1 point). Listen.A nurse is teaching about obesity and adipokines.Which information should the nurse include? Obesity causes a decrease of:.

(1 point). Listen.Which statement indicates that the patient needs more teaching regarding the Virchow triad? A component of the Virchow triad is:.

(1 point). Listen. Which assessment finding is typical for a patient with stable angina?

(1 point). Listen.A nurse is describing the pathophysiology of acute rheumatic fever.Which information should the nurse include? Acute rheumatic fever is a result of an acute, abnormal immune response to group A streptococcal cell membrane antigens called:.

(1 point):. A patient has peripheral artery disease and experiences pain on ambulation.Which term should the nurse use to describe this finding?

(1 point). Listen.A nurse is discussing the substance that mediates arteriolar remodeling in hypertension.Which substance is the nurse describing?

A nurse is receiving change-of-shift report for four clients.Which of the following clients should the nurse see first?

(1 point). Listen.A nurse is assisting the primary care provider to determine if a patient had a myocardial infarction.Which laboratory values should the nurse check?