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
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Missing pulse. - This term implies the complete absence of a pulse, which might not be the case here; the pulse is present but disappears with light pressure.
B. Thready pulse volume. - A thready pulse refers to a weak pulse that is easily obliterated with light pressure. This accurately describes the finding observed by the PN.
C. Light pressure applied to pulse. - This description simply explains the technique used to assess the pulse and does not adequately capture the quality of the pulse.
D. Pulse skips beats. - This term refers to an irregularity in the pulse rhythm, not to the disappearance with light pressure.
Correct Answer is D
Explanation
A. Allowing the client to go to the bathroom independently may pose a safety risk, particularly if the labor progresses rapidly or if she experiences increased discomfort.
B. Assisting the client to the bathroom might not be advisable if she is in active labor, as her condition can change quickly, and she may need immediate access to care.
C. Offering the client a bedpan or urinal would allow for bladder emptying but may not address the urgency of her desire to ambulate.
D. Encouraging the client to hold off until she is further dilated is appropriate, as a full bladder can impede labor progression and lead to complications. This allows for monitoring and assessment of her condition, ensuring that she remains safe and that labor can continue effectively.
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