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A nurse is reviewing blood pressure classifications with a client who has been newly diagnosed with hypertension.
Which of the following should the nurse include as an example of stage 1 hypertension?

108/60 mm Hg.

154/96 mm Hg.

164/104 mm Hg.

128/88 mm Hg.

Answer and Explanation

The Correct Answer is B

The correct answer is choice B.

Choice A rationale:

A blood pressure of 108/60 mm Hg is considered normal, as it is less than 120/80 mm Hg.

Choice B rationale:

A blood pressure of 154/96 mm Hg falls into the category of stage 1 hypertension. Stage 1 hypertension is classified as a systolic blood pressure reading that falls between 130 and 139 mm Hg or a diastolic reading that is between 80 and 89 mm Hg.

Choice C rationale:

A blood pressure of 164/104 mm Hg is considered stage 2 hypertension, as the systolic blood pressure is 140 mm Hg or higher, or the diastolic pressure is 90 mm Hg or higher.

Choice D rationale:

A blood pressure of 128/88 mm Hg is considered elevated, as the systolic blood pressure ranges from 120 to 129 mm Hg and the diastolic blood pressure is below 80 mm Hg.

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Correct Answer is D

Explanation

Choice A rationale:

Increased deep tendon reflexes are not typically associated with anaphylaxis. This is more commonly seen in conditions affecting the nervous system.

Choice B rationale:

While erythema of the skin can occur in anaphylaxis, it is not the most indicative symptom of this condition.

Choice C rationale:

Bradycardia is not typically associated with anaphylaxis. Anaphylaxis is more likely to cause tachycardia, or a rapid heart rate.

Choice D rationale:

Hypotension, or low blood pressure, is a common symptom of anaphylaxis. This occurs due to widespread vasodilation in response to the allergen.

A. Ask someone to call 911. B. Ask the victim if he can speak. C. Use the jaw-thrust maneuver. D. Administer an abdominal thrust.

Correct Answer is B

Explanation

Choice A rationale:

While calling 911 is important, it is not the first action the nurse should take. The nurse should first assess the victim’s condition.

Choice B rationale:

The first action when someone is choking is to ask if they can speak. If they can speak, it means air is still passing through the windpipe.

Choice C rationale:

The jaw-thrust maneuver is used to open the airway in an unconscious victim, not in a choking victim.

Choice D rationale:

Abdominal thrusts (Heimlich maneuver) are used when the victim cannot speak, indicating a complete airway obstruction.

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A nurse is reviewing blood pressure classifications with a client who has been newly diagnosed with hypertension. Which of the following should the nurse include as an example of stage 1 hypertension?

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A nurse is reviewing blood pressure classifications with a client who has been newly diagnosed with hypertension.
Which of the following should the nurse include as an example of stage 1 hypertension?