Based on annual physical assessments, an older adult female's blood pressure readings have changed from 120/82 to 155/86 mm Hg over the past two years.

The practical nurse (PN) should recognize which factors in the client's history are likely to be associated with this finding? (Select all that apply.)

Leads an aerobics class.

Increase in age.

Body mass index of 22

History of diabetes mellitus.

Hyperlipidemia

Answer and Explanation

Correct Answer : B,D,E

A.   Leading an aerobics class typically contributes to better cardiovascular health and may not directly correlate with an increase in blood pressure.
B.   An increase in age is a common factor associated with an elevation in blood pressure.
C.   Having a body mass index (BMI) of 22, which falls within the healthy range, might not significantly contribute to a substantial increase in blood pressure.
D.   History of diabetes mellitus can contribute to changes in blood pressure over time.
E.   Hyperlipidemia, especially if poorly managed, can lead to an elevation in blood pressure.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

A. Eating green leafy vegetables high in vitamin K can interfere with the action of certain anticoagulants; however, it's not the primary instruction given post-cardioversion.
B. Using an electric razor helps prevent cuts and bleeding, which can be more significant due to anticoagulant therapy.
C. Doubling the dose after a missed dose is incorrect and potentially dangerous.

D. Taking the medication before meals might not be the primary concern regarding anticoagulant use.

A. A Irrigate an indwelling urinary catheter for a client with bladder suspension. B. Empty bedside drainage unit for a client with indwelling urinary catheter. C. Transport a urine culture sample to the laboratory. D. Obtain a post-voided residual (PVR) volume.

Correct Answer is ["B","C","D"]

Explanation

A. Irrigate an indwelling urinary catheter for a client with bladder suspension. - This procedure requires specialized skills and should be performed by a licensed nurse.
B. Empty bedside drainage unit for a client with an indwelling urinary catheter. - UAP can safely perform this task by following established protocols to maintain catheter hygiene.
C. Transport a urine culture sample to the laboratory. - This task involves safely transporting a specimen and does not require specialized medical knowledge.
D. Obtain a post-voided residual (PVR) volume. - This task can be performed by UAP under supervision or with appropriate training, using a bladder scanner or assisting the client to measure remaining urine.
E. Teach the client with fluid restrictions how to measure urine output. - Teaching tasks generally fall under the responsibility of licensed nursing staff and may require specific medical knowledge.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After a successful cardioversion, a male client with a new onset of atrial fibrillation receives a prescription for an anticoagulant. What instruction should the practical nurse (PN) reinforce with the client?

Correct Answer is B

Explanation

The practical nurse (PN) is assigning care for a group of clients on the urology medical unit. Which client care interventions should the PN assign to the unlicensed assistive personnel (UAP)? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

A client who was recently diagnosed with atrial fibrillation is receiving warfarin. To see the drug's effectiveness, which laboratory finding should the practical (PN) review?

A female client who is scheduled to be discharged within several hours shows the practical nurse (PN) a knife on her tray and states that she could use it to cut herself. What intervention is most important for the PN to implement?

During the first trimester of pregnancy, a client who was treated for genital herpes with acyclovir prior to this pregnancy tells the practical nurse (PN) that she is experiencing an episode of genital herpes. Which nursing intervention has the highest priority?

A 2-day-old infant with hydrocephalus returns from surgery following placement of a ventriculoperitoneal shunt. Which nursing intervention(s) should the practical nurse (PN) implement during postoperative care? (Select all that apply.)

What factors are important in determining the level of hypoxemia that the child may have experienced during the submersion? Select all that apply.

When a small fire breaks out in the kitchen of a long-term care facility, which task should be performed by the practical nurse (PN) rather than the unlicense assistive personnel (UAP)?

The practical nurse (PN) administers an injection using a syringe with a retractable needle. After the needle is removed from the client's skin, the needle does not retract, and the PN gets stuck in the finger with the used needle. What action should the PN take first?