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."

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Cover the wound with a sterile normal saline soaked dressing:
This keeps the exposed organs moist and reduces infection risk until surgical intervention.

B. Apply an abdominal binder to the wound area:
This can increase pressure and cause further damage to exposed organs.

C. Assure the client that this is an expected occurrence after surgery:
Evisceration is a surgical emergency, not expected.

D. Turn the client onto her side:
The client should be placed in a low Fowler’s position with knees bent to reduce abdominal strain-not on the side.

A. Temperature of 39° C (102.2° F). B. Hypoglycemia C. Report of dizziness D. History of cigarette smoking

Correct Answer is C

Explanation

A. Temperature of 39°C (102.2°F):
Fever typically causes an increase in heart rate, not bradycardia.

B. Hypoglycemia:
Hypoglycemia is more commonly associated with tachycardia, sweating, and tremors, not bradycardia.

C. Report of dizziness:
Bradycardia (HR <60/min) can lead to decreased cardiac output and cerebral perfusion, causing dizziness.

D. History of cigarette smoking:
Smoking is associated with cardiovascular disease but not specifically bradycardia.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client whose surgical abdominal wound has eviscerated. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is collecting data on client who has a heart rate of 56/min. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is contributing to the plan of care for a client who has a superficial skin tear with no exudate. Which of the following dressings should the nurse recommend to cover the wound?

A nurse is caring for an older adult client who is at risk for skin breakdown. Which of the following interventions should the nurse use to help maintain the client's skin integrity?

A nurse is assisting in the care of a client. Exhibits Click to highlight the findings that indicate the interventions were effective. To deselect a finding, click on the finding again. T 38° C (100.4)°F, oral. BP 106/60 mm Hg, supine HR 99/min R 20/min Pulse oximetry 95% on room air

A nurse is collecting data on a client to check for orthostatic hypotension. Which of the following actions should the nurse take first?

A nurse is reviewing blood pressure classifications with a client who has been newly diagnosed with hypertension. Which of the following should the nurse include as an example of stage 1 hypertension?

A nurse palpates a client's radial pulses bilaterally and notes the client's right radial pulse is bounding, and the client's left radial pulse is as expected. The client's heart rate is 80/min. Which of the following documentations should the nurse make?

A nurse is preparing to measure a client's oral temperature. The client states that he has just had some ice chips in his mouth. Which of the following actions should the nurse take?