A nurse is reviewing the documentation of a client's blood pressure by a newly licensed nurse. The documentation states, "Blood pressure 102/58 mm Hg. client sitting up in a chair." Which of the following information should the nurse clarify?

Systolic blood pressure

Location of blood pressure cuff

Unit of measurement

Position of the client

Answer and Explanation

The Correct Answer is B

A.   The systolic blood pressure is clearly stated as "102 mm Hg" in the documentation. There is no need for clarification regarding the systolic value.
B.   It is essential to document the site where the blood pressure was taken, as this can affect the accuracy of the reading. Typically, the blood pressure is measured in the brachial artery in the upper arm. If the cuff was placed on a different site, such as the wrist or ankle, this should be noted in the documentation.
C.   The unit of measurement for blood pressure is correctly indicated as "mm Hg" (millimeters of mercury). There is no need for clarification regarding the unit since it is standard and clear.
D.   The position of the client is correctly documented as sitting up in a chair.

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Correct Answer is D

Explanation

A. This is a healthcare system determinant of health, not a social determinant.
B. This is a demographic determinant of health, not a social determinant.
C. This is a biological determinant of health, not a social determinant.
D. Education level is considered a social determinant of health. Education level is one of the social determinants of health, as it can influence a person's access to jobs, housing, and healthcare, as well as their health behaviors and outcomes.

A. Quaternary B. Primary C. Secondary D. Tertiary

Correct Answer is D

Explanation

A. Quaternary prevention focuses on preventing unnecessary interventions or overmedicalization. It aims to protect patients from harm and ensure that they receive only the necessary care. Administering insulin does not fit this definition.
B. Primary prevention involves measures taken to prevent the onset of disease or injury before it occurs. This includes health education, vaccinations, and lifestyle changes to prevent diseases. Administering insulin does not fall under this category, as it does not prevent diabetes but rather manages it.
C. Secondary prevention aims to detect and treat diseases early to reduce their impact. This includes screenings and interventions that occur after a disease has developed but before significant symptoms appear. Administering insulin is not a preventive measure in this context.
D. Tertiary prevention involves managing and reducing the impact of an existing disease. It focuses on rehabilitation and maintaining quality of life. Administering insulin to a client with type 1 diabetes is an example of tertiary prevention, as it is part of the management and treatment of a chronic condition to prevent complications.

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A nurse is reviewing the documentation of a client's blood pressure by a newly licensed nurse. The documentation states, "Blood pressure 102/58 mm Hg. client sitting up in a chair." Which of the following information should the nurse clarify?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is considered a social determinant of health?

Correct Answer is D

Explanation

A nurse is preparing to administer insulin to a client who has type 1 diabetes mellitus. Which of the following types of prevention is the nurse demonstrating?

Correct Answer is D

Explanation

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