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 ["A","B","C","E"]

Explanation

A. Diversity, which emphasizes the importance of inclusivity and respect for the varied backgrounds and perspectives within the nursing community.
B. Professionalism is another key value, highlighting the need for integrity, responsibility, and excellence in the nursing profession.
C. Advocacy is also central to the NSNA's ethical framework, as it involves working on behalf of others to promote health and well-being.
D. While Safety is a crucial aspect of nursing practice, it is not explicitly listed as part of the NSNA's core values according to the information available.
E. Quality Education is recognized as a fundamental value, ensuring that student nurses receive the knowledge and training necessary to provide high-quality care.
F. While confidentiality is a crucial aspect of nursing practice, it is not explicitly listed as part of the NSNA's core values according to the information available.

A. Incubation B. Period of convalescence C. Acute illness D. Prodromal

Correct Answer is C

Explanation

A. During this time, the person may be infected but does not exhibit any symptoms. Since the client is already experiencing symptoms (sneezing, productive cough, muscle aches, headache, and fever), they are not in the incubation stage.
B. This stage occurs after the acute phase of an infection when the symptoms begin to subside, and the individual starts to recover. The client is still exhibiting significant symptoms, so this stage does not apply.
C. This is the stage of an infection where the individual experiences the most severe symptoms. The
client’s symptoms, including sneezing, cough, muscle aches, headache, and fever, indicate that they are
likely in this stage, as these signs point to a full-blown illness.
D. The prodromal stage is the period following the incubation stage, where the first signs and symptoms appear but are not yet specific or severe. Symptoms can be vague and may include mild aches or fatigue. Since the client is presenting with significant symptoms, they are beyond the prodromal stage.

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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

A nurse is reviewing the National Student Nurses Association (NSNA) website. Which of the following values are part of the NSNA code of ethics? (Select All that Apply.)

Correct Answer is ["A","B","C","E"]

Explanation

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Correct Answer is C

Explanation

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