An obese client is admitted for treatment of kidney stones. Which action by the practical nurse (PN) takes priority?

Choice A reason: A blood pressure measurement of 80/60 mm Hg is significantly low and may indicate hypotension, which can lead to symptoms such as dizziness, fainting, or shock. This requires immediate action to assess and manage the client's condition to prevent complications.
Choice B reason: A blood pressure measurement of 140/90 mm Hg indicates hypertension, which is a concern but does not require immediate emergency intervention. It requires follow-up and management to prevent long-term health issues.
Choice C reason: A blood pressure measurement of 130/85 mm Hg is considered elevated but not critically high. It is important to monitor and manage, but it does not require immediate emergency action.
Choice D reason: A blood pressure measurement of 120/90 mm Hg is slightly elevated diastolic pressure but not critically so. It is important to monitor, but it does not necessitate immediate emergency intervention.

Choice A reason: This response provides the client with reassurance about hair regrowth after chemotherapy. It acknowledges that while hair loss due to chemotherapy is a common side effect, it is usually temporary. By informing the client that hair loss is not permanent, the PN helps alleviate some of the client's anxiety and fear associated with the treatment. Additionally, the response prepares the client for the possibility that the color and texture of the regrown hair may be different. This information helps manage the client's expectations and provides a more comprehensive understanding of what to expect post-treatment.
Choice B reason: Stating that "we can never tell" is not the most supportive or informative response. While it is true that individual responses to chemotherapy can vary, this answer does not provide the client with any specific information or reassurance. It may leave the client feeling uncertain and anxious about the outcome. The PN's role is to provide clear and accurate information to help the client understand and cope with the effects of treatment. A more informative and empathetic response, such as choice A, is more appropriate in this context.
Choice C reason: While acknowledging that wigs are available is practical, it is not the most reassuring response. The focus on the possibility that hair might not grow back can be disheartening for the client. It is important to offer hope and positivity where possible. By emphasizing that hair loss is usually not permanent and discussing the potential changes in hair color and texture, the PN can provide a more balanced and supportive response. If the client does have concerns about wigs, this can be addressed in a separate discussion.
Choice D reason: Indicating that hair regrowth depends on the amount of drug received is somewhat accurate but lacks the reassurance and positivity provided in choice A. It is important to give the client a clearer understanding that, in most cases, hair loss from chemotherapy is temporary, and hair will generally grow back. This helps alleviate some of the stress associated with the treatment and provides a more hopeful outlook. The amount of drug and specific treatment regimens can be discussed further if the client has additional questions.