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

Explanation

A. Social determinants of health refer to the social and economic conditions that influence health outcomes. This includes factors such as income, education, employment, social support, and access to healthcare. These conditions can significantly impact an individual's overall well-being and health status.
B. While ethnic background can influence health outcomes and access to resources, SDOH are broader and encompass various factors, including socioeconomic status, geographic location, and education level, rather than being solely determined by ethnicity. Therefore, this option oversimplifies the concept of SDOH.
C. Identifying and understanding SDOH is essential for addressing and reducing health disparities, not increasing them. By recognizing these determinants, healthcare providers and policymakers can develop targeted interventions and policies to improve health equity and access to care.
D. While psychological factors, such as mental health and stress, can influence health outcomes, they are not typically categorized under the traditional definition of social determinants of health. SDOH primarily focus on social, economic, and environmental conditions rather than individual psychological factors. However, mental health can be affected by social determinants.

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?

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Naxlex Comprehensive Predictor Exams

A nurse is assisting with preparing an educational session at a community health center about the social determinants of health (SDOH). Which of the following information should the nurse include?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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