A nurse is caring for a client with hypertension and instructs them on self-monitoring blood pressure at home. What should the nurse include in the teaching?
"Check your blood pressure once a week, preferably at the same time each day."
"Use the arm with the highest blood pressure reading consistently for accurate monitoring."
"Rest for at least 5 minutes before taking your blood pressure, and sit with your legs crossed to stabilize your posture."
"Record your blood pressure readings and any symptoms you experience in a journal for your healthcare provider to review."
The Correct Answer is D
A) This option is incorrect. Checking blood pressure once a week is insufficient for effective monitoring, as it may not provide a comprehensive view of blood pressure trends.
B) This option is incorrect. Using the arm with the highest blood pressure reading consistently is not recommended. Blood pressure should be measured in the arm with the higher reading only if there
is a significant difference between the arms.
C) This option is incorrect. To obtain accurate blood pressure readings, the client should rest for at least 5 minutes in a comfortable seated position with their feet flat on the floor and arms supported at heart level. Crossing the legs may affect blood flow and accuracy of the reading.
D) Correct answer. Recording blood pressure readings and any symptoms in a journal is essential for effective self-monitoring. It provides valuable information for the healthcare provider to assess blood pressure control and make necessary adjustments to the treatment plan.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) This option is incorrect. Reduced lung function is not directly related to hypertensive retinopathy.
B) Correct answer. Hypertensive retinopathy refers to damage to the blood vessels in the retina caused by uncontrolled high blood pressure. It can lead to vision impairment and, in severe cases, blindness.
C) This option is incorrect. Gastrointestinal bleeding is not a typical complication of hypertensive retinopathy.
D) This option is incorrect. Hypertensive retinopathy does not cause thyroid dysfunction.
QUESTIONS
Correct Answer is D
Explanation
A) This option is incorrect. While hypertension can lead to kidney damage, it does not directly cause liver dysfunction.
B) This option is incorrect. While hypertension can impact blood vessels in the eyes, leading to hypertensive retinopathy, it does not increase the risk of cataracts.
C) This option is incorrect. Peripheral neuropathy is not a common complication of hypertension. Heart failure is a potential complication, but it is not directly related to peripheral neuropathy.
D) Correct answer. Uncontrolled high blood pressure can lead to various complications, including stroke (brain damage due to reduced blood flow), heart attack (damage to the heart muscle), and kidney damage (nephrosclerosis). These are among the most serious and common complications of hypertension.
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