A nurse is going to teach a patient about hypertension. Which action should the nurse implement first?

Set mutual goals for knowledge of hypertension.

Teach what the patient wants to know about hypertension.

Assess what the patient already knows about hypertension.

Evaluate the outcomes of patient education for hypertension.

Answer and Explanation

The Correct Answer is C

Choice A reason: Setting mutual goals is important but premature without assessing the patient’s knowledge. Goals depend on understanding gaps, which are identified through assessment. Without this, goals may be irrelevant, reducing teaching effectiveness, per patient education and learning theory principles.

Choice B reason: Teaching what the patient wants to know assumes prior assessment of their needs and knowledge of their baseline. Without assessing existing knowledge, the nurse risks delivering redundant or irrelevant information, decreasing engagement and retention, per adult learning and education strategies.

Choice C reason: Assessing the patient’s current knowledge of hypertension is the first, as it establishes a baseline understanding, identifying gaps and misconceptions. This guides tailored education, ensuring relevance and effectiveness, enhancing patient engagement, and adherence to management, per patient-centered education and health literacy principles.

Choice D reason: Evaluating outcomes follows education, not precedes it. Assessment of knowledge is needed first to inform teaching. Evaluation without teaching is illogical, as there are no interventions to assess, making this step irrelevant at the start, per educational process and nursing teaching frameworks.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A reason: Assessment is the first step in the nursing process, involving data collection on the client’s fever, vital signs, and symptoms. Fever increases metabolic rate and oxygen demand, potentially causing dehydration or tachycardia. Initial assessment identifies underlying causes (e.g., infection) and guides interventions, ensuring timely treatment to stabilize the client’s physiological status.

Choice B reason: Discharge planning is premature at first contact, as it occurs after assessing and stabilizing the client. Fever may indicate infection, requiring immediate evaluation of vital signs and symptoms to determine etiology. Planning discharge without understanding the client’s condition risks neglecting critical interventions, as fever can escalate systemic inflammatory responses if untreated.

Choice C reason: Counseling addresses emotional or educational needs but is inappropriate at first contact with a high fever. Fever, often from infection, activates inflammatory cytokines, increasing body temperature and heart rate. Assessment of physiological status takes precedence to identify causes and initiate treatment, ensuring patient safety before addressing psychological or educational needs.

Choice D reason: No fourth option was provided, but any non-assessment action would be less urgent. Fever signals a physiological disturbance, like infection, increasing metabolic demand and risking complications like dehydration. Initial assessment of vital signs, history, and symptoms is critical to identify the cause and guide interventions, ensuring effective management of the client’s condition.

A. Carotid B. Apical C. Radial D. Brachial

Correct Answer is A

Explanation

Choice A reason: The carotid pulse is used for unresponsive, non-breathing patients, as it is the most reliable central pulse, reflecting cardiac output during cardiac arrest. Its accessibility and strength make it ideal for rapid assessment, guiding CPR initiation, per ACLS and emergency assessment protocols.

Choice B reason: The apical pulse, assessed via auscultation, is impractical for an unresponsive, non-breathing patient, requiring time and equipment. In emergencies, the carotid pulse is faster and more reliable to confirm pulselessness, ensuring timely CPR, per cardiac arrest management guidelines.

Choice C reason: The radial pulse is peripheral and less reliable in cardiac arrest, as it may be absent due to poor perfusion. The carotid pulse better reflects central circulation, critical for assessing unresponsiveness and apnea, guiding immediate resuscitation efforts, per emergency care standards.

Choice D reason: The brachial pulse is used in infants or for blood pressure but is less accessible than the carotid in adults during arrest. The carotid provides a quick, reliable pulse check, ensuring rapid initiation of life-saving measures, per ACLS and pulse assessment protocols.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is going to teach a patient about hypertension. Which action should the nurse implement first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assigned a client who has been admitted with a high fever. Which nursing skill should the nurse use at the first contact with the client?

Correct Answer is A

Explanation

The patient is found to be unresponsive and not breathing. Which pulse site will the nurse use?

Correct Answer is A

Explanation

The nurse is caring for a postoperative adult client who has developed pneumonia. The nurse should assess the client frequently for symptoms of:

During an assessment of the cranial nerves, the nurse asks the client to smile, frown, wrinkle the forehead, and puff out the cheeks. Which nerve is affected? being tested?

A nurse working on a busy medical-surgical unit does not take the vital signs of a client who is preparing for discharge but instead documents the same vital signs obtained earlier in the morning. For which tort would the nurse be potentially liable?

The focal point of nursing is the nurse-client interaction. What must nurses consider about themselves when assessing clients from other cultures?

The nurse is taking vital signs. The patient’s radial pulse has an irregular rhythm. What should the nurse do next?

Kübler-Ross defines five stages of psychosocial responses to dying and death. Which statement is characteristic of the bargaining stage?

A nurse is assessing a client who has a fever, has an infection of a flank incision, and is in severe pain. What type of pulse rate would the client most likely exhibit?

The nurse is taking vital signs on a patient with a fractured femur. The blood pressure reading is 150/96. The patient does not have a history of hypertension. What action should the nurse take next?