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","D"]
Explanation
A. A slightly raised rash with ragged edges might indicate a mild skin condition but isn't typically an immediate concern for intervention in this scenario.
B. Red, hot, and swollen joints could indicate a serious condition like septic arthritis and would require immediate attention.
C. While an elevated heart rate can be a concern, it might be expected in a distressed child and might not be as urgent as other symptoms in this case.
D. A pulse oximetry reading of 88% O2 saturation indicates a significant decrease in oxygen levels and requires immediate intervention to ensure adequate oxygenation.
Correct Answer is C
Explanation
A. When all wounds are closed, complete recovery has been achieved. - Closure of wounds is an important part of recovery but might not encompass the entirety of rehabilitation goals.
B. Full recovery means performing all activities of daily living independently. - While important, full recovery might not necessarily imply independence in all activities.
C. Recovery attainment is when one's highest level of functioning is achieved. - This statement best reflects the goal of rehabilitation after a burn injury, aiming for the client to achieve the highest level of functional ability possible.
D. Continuous rehabilitation will be required for the rest of a lifetime. - While some individuals might need ongoing support, it's not the primary focus of the rehabilitation goal.
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