At a community health fair, the blood pressure of a 62-year-old patient is 160/96 mmHg. The patient states "My blood pressure is usually much lower." What is the best response by the nurse?

Have your blood pressure checked again in 2 months.

Have your blood pressure checked within the next 48-72 hours.

Visit your health care provider within 1 week for a blood pressure check.

See your health care provider immediately.

Answer and Explanation

The Correct Answer is D

A.   This response may downplay the significance of the current elevated blood pressure reading. Given that the reading indicates stage 2 hypertension, waiting two months without further assessment could be inappropriate, as the patient may be at risk for complications.
B.   This option suggests a follow-up in a reasonable timeframe. It acknowledges the need for a prompt reassessment but still allows for some delay. However, it may not convey the urgency that may be warranted given the current high reading.
C.   While this option provides a specific timeframe for follow-up, it may also imply that the situation is less urgent than it is. A week could be too long to wait for someone with a reading indicative of hypertension, especially considering potential risks.
D.   This is the best response because it prioritizes the patient's health by recommending immediate evaluation. The current blood pressure reading of 160/96 mmHg is significantly elevated and may warrant urgent assessment to rule out any underlying conditions, initiate management, and prevent complications such as cardiovascular events.

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Correct Answer is ["A","D","E"]

Explanation

A. It is important to place a surgical mask on the patient when transporting them to minimize the risk of spreading TB droplets in the environment. This practice helps reduce transmission during transport.
B. TB is primarily transmitted via airborne particles, not droplets. Therefore, patients with active TB should be placed on airborne precautions, not droplet precautions. Airborne precautions include the use of specialized masks and a negative airflow room to prevent the spread of infectious aerosols.
C. While a surgical mask is not adequate for protecting healthcare workers from TB, they should wear a fitted N95 respirator or a powered air-purifying respirator (PAPR) when providing care to a patient with active TB. A surgical mask does not filter out the small particles that can carry TB bacteria.
D. Patients with active TB should be placed in a private room that has negative pressure ventilation. This design helps prevent airborne TB particles from escaping into other areas of the healthcare facility, protecting other patients and staff.
E. Eye protection is recommended when collecting sputum samples from a patient with active TB, as it helps protect against potential splashes of respiratory secretions that may contain infectious droplets. This is particularly important during procedures that may aerosolize the bacteria.

Correct Answer is ["3.4"]

Explanation

1 pound is approximately 0.453592 kilograms.

25 pounds * 0.453592 kg/pound = 11.3398 kg Calculate the total daily dosage:

15 mg/kg/12 hours * 11.3398 kg = 170.097 mg/12 hours

170.097 mg/12 hours * 2 doses/day = 340.194 mg/day Determine the amount of elixir needed per dose:

250 mg/5 mL = 50 mg/mL (strength of the elixir)

340.194 mg/day ÷ 2 doses/day = 170.097 mg/dose

170.097 mg/dose ÷ 50 mg/mL = 3.4 mL/dose

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At a community health fair, the blood pressure of a 62-year-old patient is 160/96 mmHg. The patient states "My blood pressure is usually much lower." What is the best response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which interventions does the nurse implement when providing care for a patient who is admitted for the treatment of active tuberculosis? (Select All that Apply.)

Correct Answer is ["A","D","E"]

Explanation

Correct Answer is ["3.4"]

Explanation

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