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.

Position of the client.

Unit of measurement.

Location of blood pressure cuff.

Answer and Explanation

The Correct Answer is D

The correct answer is choice d. Location of blood pressure cuff.

Choice A rationale: The systolic blood pressure of 102 mm Hg is within a normal range and does not require clarification.

Choice B rationale: The position of the client, “sitting up in a chair,” is clearly documented and does not need further clarification.

Choice C rationale: The unit of measurement, “mm Hg,” is the standard unit for blood pressure and is correctly documented.

Choice D rationale: The location of the blood pressure cuff is not specified in the documentation. It is important to document whether the blood pressure was taken on the left or right arm, or another location, to ensure accuracy and consistency in future measurements.

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Correct Answer is A

Explanation

A. Health promotion. B. Holistic health. C. Health education. D. Primary prevention.

Correct Answer is A

Explanation

Choice A rationale:

Health promotion is the correct concept demonstrated by the nurse. Health promotion refers to activities and strategies that aim to enhance an individual's overall health and well-being. Educating the client with heart disease about the importance of eating a heart-healthy diet is a proactive step towards improving their health.

Choice B rationale:

Holistic health is a broader approach that considers the whole person, including physical, mental, and social aspects. While it is an important concept, the nurse, in this scenario, is primarily focused on educating the client about a specific aspect of their health, which is heart disease management.

Choice C rationale:

Health education is a component of health promotion, but it specifically refers to the process of providing individuals with knowledge and skills to make informed decisions about their health. In this case, the nurse is providing education as a means of promoting the client's health.

Choice D rationale:

Primary prevention involves measures to prevent the development of a disease or condition before it occurs. While promoting a heart-healthy diet is a form of prevention, it does not specifically align with the concept of primary prevention, which typically involves actions taken to avoid the initial occurrence of a health problem.

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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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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?