A nurse is preparing a client for Ambulatory Blood Pressure Monitoring (ABPM). Which instruction should the nurse provide to the client regarding this test?

"You will need to remain perfectly still during the entire test to obtain accurate results."

"You can remove the blood pressure cuff when you need to shower or bathe."

"Please refrain from any physical activity while the monitoring device is in place."

"Record your daily activities and symptoms in a diary during the 24-hour monitoring period."

Answer and Explanation

The Correct Answer is B

A) This option is incorrect. While the client should avoid excessive movement during blood pressure measurements, they do not need to remain perfectly still during the entire 24-hour monitoring period of ABPM.

B) Correct answer. The client can remove the blood pressure cuff briefly for activities like showering or bathing. However, it is essential to reapply the cuff promptly after these activities to ensure continuous monitoring.

C) This option is incorrect. Mild physical activities, such as walking, are generally allowed during ABPM, but strenuous exercise should be avoided.

D) This option is incorrect. The client is not required to record daily activities and symptoms during the 24-hour monitoring period for ABPM. Instead, the device automatically records blood pressure readings at regular intervals throughout the day and night.

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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.

A. "Have you experienced any sudden weight loss or gain recently?" B. "Do you often feel tired or fatigued throughout the day?" C. "Have you been experiencing any abdominal pain or discomfort?" D. "Have you noticed any changes in your skin texture or color?"

Correct Answer is B

Explanation

A) This option is incorrect. Sudden weight loss or gain is not typically associated with hypertension-related symptoms.

B) Correct answer. Fatigue and tiredness can be symptoms of hypertension, especially if it is uncontrolled or has led to target organ damage.

C) This option is incorrect. Abdominal pain or discomfort is not commonly associated with hypertension.

D) This option is incorrect. Changes in skin texture or color are not typical symptoms of hypertension.

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A nurse is preparing a client for Ambulatory Blood Pressure Monitoring (ABPM). Which instruction should the nurse provide to the client regarding this test?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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