A patient is diagnosed with borderline hypertension and states a desire to make lifestyle changes to avoid needing to take medication.
The nurse advises:

Changing from weight-bearing exercise to yoga.

Decreased fluid intake and increased potassium intake.

Stress reduction and increased protein intake.

Weight reduction and decreased sodium intake.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Weight-bearing exercises are beneficial for cardiovascular health and bone density, and substituting them with yoga may not address the underlying factors contributing to hypertension.

Choice B rationale

Decreased fluid intake is not generally recommended as it can lead to dehydration, which may negatively impact blood pressure. Increased potassium intake is beneficial, but not reducing fluid intake.

Choice C rationale

Stress reduction is indeed beneficial for managing hypertension, but increased protein intake is not specifically indicated for lowering blood pressure and may have other health implications.

Choice D rationale

Weight reduction and decreased sodium intake are well-established lifestyle changes for managing hypertension. Reducing sodium helps lower blood pressure, and weight loss reduces the strain on the cardiovascular system.

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Correct Answer is C

Explanation

Choice A rationale

Checking vitamin K levels doesn't directly monitor warfarin's effect.

Choice B rationale

PTT and aPTT assess heparin, not warfarin.

Choice C rationale

INR specifically measures warfarin's effectiveness and safety.

Choice D rationale

Platelet levels don't monitor the anticoagulant effect of warfarin.

A. Maintain the patient’s confidentiality. B. Administer medications ordered immediately. C. Provide teaching about chronic renal failure. D. Call the admitting physician immediately.

Correct Answer is D

Explanation

Choice A rationale

While maintaining patient confidentiality is crucial, it does not address the immediate medical needs of the patient with chronic renal failure. The primary concern should be addressing the health implications of their condition and ensuring proper care coordination.

Choice B rationale

Administering medications ordered immediately is essential, but it is not the first priority without knowing the patient's current status and medical history. The nurse needs to ensure that the medications prescribed are appropriate for a patient with chronic renal failure.

Choice C rationale

Providing teaching about chronic renal failure is important for long-term management but is not the first priority upon admission. Immediate medical needs and communication with the care team take precedence in this acute care setting.

Choice D rationale

Calling the admitting physician immediately is the first priority. The primary care provider needs to be aware of the patient's diagnosis of chronic renal failure to adjust treatment plans accordingly. Immediate communication ensures that all healthcare professionals are on the same page regarding the patient's care. .

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A patient is diagnosed with borderline hypertension and states a desire to make lifestyle changes to avoid needing to take medication.The nurse advises:

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient receiving warfarin and notes bruising and petechiae on the patient's extremities.The nurse will request an order for which?

Correct Answer is C

Explanation

The nurse admits a patient to the unit and learns the patient has recently been diagnosed with chronic renal failure but has not informed the primary care provider of this diagnosis.What is the nurse’s first priority?

Correct Answer is D

Explanation

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A patient is diagnosed with borderline hypertension and states a desire to make lifestyle changes to avoid needing to take medication.
The nurse advises: