During a health screening, a patient's blood pressure is confirmed by two clinic nurses to be 220/120 mm Hg. Which of the following actions should the nurse recommend to the patient?

“Take off work for the rest of the day to rest at home."

"Return to work and have your blood pressure rechecked in 2 days."

"Take two doses of blood pressure medication right now."

"Sit quietly while we call 911 to request an ambulance."

Answer and Explanation

The Correct Answer is D

A. “Take off work for the rest of the day to rest at home.": This advice is not adequate for such a high blood pressure reading, which indicates a hypertensive crisis that requires immediate medical intervention.
B. "Return to work and have your blood pressure rechecked in 2 days.": This is inappropriate as it delays necessary urgent medical evaluation and treatment.
C. "Take two doses of blood pressure medication right now.": Without medical supervision, this could be dangerous and is not appropriate in an emergency situation where the blood pressure is critically high.
D. "Sit quietly while we call 911 to request an ambulance.": A blood pressure of 220/120 mm Hg suggests a hypertensive emergency, which can lead to life-threatening complications like stroke or heart attack. The patient needs immediate medical attention, and calling 911 is the appropriate response.

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

Explanation

A. Reducing risk for fall: Patients with fractures are at higher risk for falls, which can exacerbate their injuries or cause new ones. Ensuring the environment is safe and assisting with mobility can reduce this risk.
B. Healing the surrounding tissue: While important, the primary focus in the acute phase is stabilizing the fracture itself. Healing surrounding tissue is more of a long-term goal and indirectly supported by proper fracture management.
C. Alignment of the bone: Proper alignment is crucial for healing. It ensures that the bone ends are in the correct position to heal properly and reduces the risk of complications such as malunion.
D. Immobilization of the leg: Immobilization is necessary to maintain bone alignment and prevent further injury or displacement of the fracture.
E. Preventing pain: Pain management is a fundamental aspect of patient care for fractures, as it not only provides comfort but also aids in compliance with treatment and rehabilitation.

A. Uric acid B. Blood urea nitrogen C. Creatinine D. Cholesterol

Correct Answer is A

Explanation

A. Uric acid: Elevated uric acid levels are the hallmark of gout and are used to monitor and diagnose the condition. Managing uric acid levels is crucial to prevent gout attacks.
B. Blood urea nitrogen: This is more related to kidney function and not directly relevant to gout.
C. Creatinine: Also related to kidney function. While kidney function is important in gout patients, uric acid levels are more directly related to gout management.
D. Cholesterol: High cholesterol is a cardiovascular risk but is not directly related to gout. Monitoring cholesterol is important but not the primary focus for gout management.

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During a health screening, a patient's blood pressure is confirmed by two clinic nurses to be 220/120 mm Hg. Which of the following actions should the nurse recommend to the patient?

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Naxlex Comprehensive Predictor Exams

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