A nurse is caring for four clients. Which one would the nurse see first?
Client who needs a beta blocker, and has a blood pressure of 98/58 mm Hg.
Hypertensive client with a blood pressure of 156/90 mm Hg.
Client who needs pain medication prior to a dressing change of a surgical wound.
Client who had a first dose of captopril and needs to use the bathroom.
The Correct Answer is A
A. A client with low blood pressure (98/58 mm Hg) who requires a beta blocker should be seen first because beta blockers can lower blood pressure further, possibly leading to hypotension or dizziness.
B. A hypertensive client with a blood pressure of 156/90 mm Hg is stable and does not require immediate intervention.
C. While pain medication is important, it is not as urgent as addressing a client with low blood pressure and a medication that can worsen the condition.
D. The client who just had captopril can wait to use the bathroom, as the priority is addressing their blood pressure and captopril's effect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Heparin is an anticoagulant and does not typically cause bronchospasm or wheezing.
B. Morphine can cause respiratory depression but not bronchospasm.
C. Propranolol, a non-selective beta-blocker, can cause bronchospasm, particularly in clients with asthma.
D. Nitroglycerin primarily causes vasodilation and does not typically lead to bronchospasm or wheezing.
Correct Answer is A
Explanation
A. The best response is to educate the client about the cause of Prinzmetal angina. It occurs due to spasm in the coronary arteries, which is different from the plaque buildup seen in traditional coronary artery disease. This response addresses the client's concern in an accurate and reassuring manner.
B. While healthy eating is important, Prinzmetal angina is not typically caused by cholesterol or plaque buildup. This response could increase the client's anxiety.
C. While acknowledging the client's emotions is important, this response does not address the underlying concern or provide an accurate explanation of Prinzmetal angina.
D. Offering reassurance without providing accurate information about the condition does not help the client understand the cause of their symptoms and could leave them confused or anxious.
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