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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Correct Answer is B

Explanation

A. Hydrofiber dressing:
Hydrofiber dressings are designed for moderate to heavy exudate, not dry or non-exudative wounds.

B. Transparent-film dressing:
Transparent-film dressings are ideal for superficial, non-draining wounds like skin tears. They protect the area while allowing for oxygen exchange and visualization of the wound.

C. Alginate dressing:
Alginate dressings are highly absorbent and used for moderate to heavy exudating wounds, not for dry superficial tears.

D. Foam dressing:
Foam dressings are best for wounds with exudate. They are thicker and may not adhere well to superficial skin tears without drainage.

A. Use a cuff of the appropriate size for the client. B. Assist the client to the bathroom to void. C. Apply the cuff loosely around the client's arm. D. Obtain the reading in the early morning.

Correct Answer is A

Explanation

A. Use a cuff of the appropriate size for the client:
Using a cuff that is too small or too large can cause inaccurate readings. Proper sizing is crucial.

B. Assist the client to the bathroom to void:
While a full bladder can slightly affect BP, this is not the most essential step to ensure an accurate reading.

C. Apply the cuff loosely around the client’s arm:
A loose cuff will cause an inaccurate (falsely high) reading.

D. Obtain the reading in the early morning:
While BP naturally varies, the time of day is not critical to accurate technique unless part of a specific assessment schedule.

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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 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?

Correct Answer is B

Explanation

A nurse is preparing to obtain a client's blood pressure. Which of the following actions should the nurse take to measure the blood pressure accurately?

Correct Answer is A

Explanation

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