After taking the vital signs of a client, the nurse notes the client has a high systolic blood pressure reading. Which factors should the nurse include when explaining the possible cause of this increase? Select all that apply.
Caffeine intake
Post meal
Stress
Drinking a glass of water
Time of day
Correct Answer : A,C,E
A. Caffeine intake: Can cause a temporary increase in blood pressure due to its stimulant effects.
B. Post meal: While eating can cause temporary changes in blood pressure, it is less likely to be a significant factor compared to other causes.
C. Stress: Can lead to temporary increases in blood pressure due to the body's stress response.
D. Drinking a glass of water: Typically does not significantly affect blood pressure unless there is an underlying issue such as dehydration.
E. Time of day: Blood pressure can naturally vary throughout the day, often being higher in the morning and lower in the evening.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Increased jugular venous pressure: Right-sided heart failure often leads to increased jugular venous pressure due to the backup of blood in the systemic venous system.
B. Decreased right-sided volume: Right-sided heart failure typically results in increased blood volume in the right heart chambers, not decreased.
C. Decreased stroke volume: While right-sided heart failure can affect stroke volume, increased jugular venous pressure is a more direct indicator of right-sided heart failure.
D. Decreased central venous pressure: Right-sided heart failure usually results in increased, not decreased, central venous pressure.
Correct Answer is B
Explanation
A. S3: This sound is associated with early diastole, often related to heart failure or volume overload.
B. S1: The first heart sound (S1) marks the beginning of systole and corresponds to the closure of the mitral and tricuspid valves.
C. S2: The second heart sound (S2) indicates the end of systole and the beginning of diastole, associated with the closure of the aortic and pulmonic valves.
D. S4: This sound is associated with late diastole, often related to decreased ventricular compliance.
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