A 45-year-old mother of 3 young children is at the doctor's office and her blood pressure is 152/92. This is the first time that has ever shown an elevated reading. She is concerned that she has hypertension. The nurse's best response would be:
"Fortunately, hypertension isn't related to other diseases and is easily treated"
"A single reading may not mean anything. We will take it again, 2 more times, within the next few weeks."
"It looks like you have high blood pressure now. We'll check it again in 3 months"
"You may have hypertension, but there is little else that can be done except medication."
The Correct Answer is B
A. "Fortunately, hypertension isn’t related to other diseases and is easily treated":
This is misleading-hypertension is related to many other diseases (e.g., cardiovascular, renal).
B. "A single reading may not mean anything. We will take it again, 2 more times, within the next few weeks.":
Hypertension diagnosis requires two or more elevated readings on separate occasions. One elevated BP does not confirm diagnosis.
C. "It looks like you have high blood pressure now. We'll check it again in 3 months":
Waiting 3 months may delay early detection. BP should be rechecked within a few weeks to confirm or rule out hypertension.
D. "You may have hypertension, but there is little else that can be done except medication":
Hypertension can often be managed with lifestyle changes in addition to or instead of medication, especially initially.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Determine the client’s BP 1 min after each position change:
This is done after the initial supine BP is obtained. It is not the first action.
B. Assist the client into a standing position:
This comes after checking the BP while the client is supine and sitting. Standing without prior measurements is unsafe.
C. Check the blood pressure with the client in a supine position:
Orthostatic hypotension is diagnosed by comparing BP in different positions; the baseline (supine) is always assessed first.
D. Place the client in a sitting position:
Sitting comes after the supine measurement. It is not the first step.
Correct Answer is A
Explanation
A. Place the client’s arm above the level of the heart:
The arm should be at heart level. Positioning it above the heart can lead to a falsely low BP reading.
B. Check the instrument gauge to ensure the reading starts at zero:
This ensures that the starting point is accurate, avoiding false readings.
C. Center the cuff bladder over the brachial artery:
Correct placement of the cuff ensures accurate compression of the artery during measurement.
D. Wrap the blood pressure cuff snugly around the arm:
The cuff should be snug but not tight, which helps in getting an accurate reading.
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