A female patient with chronic hypertension is admitted to the emergency department with a sudden rise in blood pressure (BP) Which question is the priority for the nurse to ask the patient?

"Are you pregnant?”

"Do you need to urinate?”

"Do you have a headache or confusion?”

"Are you taking antiseizure medications?”

Answer and Explanation

The Correct Answer is C

Choice A rationale:

While pregnancy can contribute to increased blood pressure, it is not the priority question in this scenario. The sudden rise in blood pressure could indicate a hypertensive crisis, which needs immediate attention.

Choice B rationale:

Urination is not directly related to sudden rises in blood pressure. While urinary issues could be a sign of certain conditions, they are not the priority when dealing with a hypertensive emergency.

Choice C rationale:

A sudden rise in blood pressure can lead to symptoms such as headache and confusion, which could indicate a hypertensive crisis. This question is crucial to assess neurological symptoms, which can be indicative of target organ damage due to hypertension.

Choice D rationale:

Antiseizure medications are not directly related to sudden increases in blood pressure. Neurological symptoms (like those in choice C) are more indicative of a hypertensive crisis and require immediate attention.

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Correct Answer is D

Explanation

Choice A rationale:

Taking a daily walk is a beneficial activity for patients with venous leg ulcers. Walking promotes blood circulation, which can aid in wound healing. This statement indicates that the patient understands the importance of physical activity for their condition.

Choice B rationale:

Trying to lose weight is another positive step for a patient with venous leg ulcers, especially if the patient is overweight. Excess body weight can put additional pressure on the veins in the legs, worsening venous insufficiency. Losing weight can alleviate this pressure and improve venous circulation, supporting the healing process of leg ulcers.

Choice C rationale:

Wearing stockings after getting out of bed is a proper technique for managing venous leg ulcers. Compression stockings help improve blood flow in the legs and reduce swelling, which is beneficial for patients with venous insufficiency and leg ulcers. This statement indicates that the patient understands the importance of wearing compression stockings consistently.

Choice D rationale:

Not wearing knee-high socks that are tight around the calf is essential advice for patients with venous leg ulcers. Tight clothing, including socks or stockings, can impede blood circulation in the legs, worsening venous insufficiency and delaying wound healing. This statement indicates the need for further education because the patient should avoid any tight clothing around the affected area to promote optimal blood flow and wound healing.

A. The electrolyte is the most abundant intracellular cation present in the body. B. The electrolyte may cause extracellular fluid overload. C. Magnesium may affect neuromuscular excitability and contractility. D. The patient is at risk for hypotension when the levels of magnesium decrease.

Correct Answer is C

Explanation

Choice A rationale:

While magnesium is indeed the most abundant intracellular cation in the body, this fact alone does not explain why the nurse would assess the patient's magnesium level.

Choice B rationale:

Magnesium imbalance can cause issues in the extracellular fluid compartment, but this choice does not explain why the nurse would specifically assess the patient's magnesium level.

Choice D rationale:

While hypotension can be a symptom of severe magnesium deficiency, this choice does not provide a rationale for assessing the patient's magnesium level. In this case, choice C is correct because magnesium plays a crucial role in neuromuscular excitability and contractility. Abnormal magnesium levels can lead to neuromuscular symptoms such as muscle weakness, tremors, and spasms. Additionally, magnesium is involved in cardiac muscle function, and low magnesium levels can lead to arrhythmias and other cardiac issues. Therefore, assessing the patient's magnesium level is essential in understanding their neuromuscular and cardiac health.

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A female patient with chronic hypertension is admitted to the emergency department with a sudden rise in blood pressure (BP) Which question is the priority for the nurse to ask the patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse provides discharge teaching to a patient with venous leg ulcers.Which statement made by the patient indicates the need for further education?

Correct Answer is D

Explanation

Which rationale supports the nurse's assessment of a patient's magnesium level?

Correct Answer is C

Explanation

The nurse notes that a patient has a smooth and shiny tongue surface.The nurse would attribute these findings to which condition?

The nurse provides education to a patient with thrombocytopenia about precautions to be taken at home. The nurse identifies that further teaching is needed when the patient performs which action?

Which strategy is most important for a nurse to include when planning care for a patient who has neutropenia?

The nurse provides education to a patient about the symptoms of uncontrolled hypertension.Which symptom would the nurse include? Select all that apply.One, some, or all responses may be correct.

Which fluid replacement therapy would the nurse prepare to administer for a patient who is exhibiting clinical manifestations of hypovolemic shock?

Which information would the nurse include when discussing pain due to chronic stable angina with the patient?

The nurse receives a health care provider's prescription to change a patient's IV from D5. half-normal saline with 40 mEq KCl/L to DSNS with 20 mEq KCl/L. Which set of serum laboratory values supports the rationale for this IV prescription change?