The client diagnosed with primary hypertension states, "I don't know why the doctor is worried about my blood pressure. I am feeling just fine." Which statement by the nurse would be the most appropriate response?

Your blood pressure reflects how strong your heart muscle contracts."

"If you feel good your medication is working properly"

"Even if you are feeling good, damage can occur to your heart and kidneys."

"Have you told your doctor that you are feeling good?"

Answer and Explanation

The Correct Answer is C

A. Your blood pressure reflects how strong your heart muscle contracts: This statement oversimplifies the complexities of blood pressure and doesn't directly address the client's misunderstanding about the implications of hypertension.

B. "If you feel good your medication is working properly": While this may be true, it fails to convey the importance of monitoring blood pressure, regardless of symptoms. It might lead the client to believe that feeling well means there are no health concerns.

C. "Even if you are feeling good, damage can occur to your heart and kidneys": This response is the most appropriate as it emphasizes that hypertension can cause silent damage over time, even in the absence of symptoms. It educates the client about the potential long-term consequences of uncontrolled hypertension.

D. "Have you told your doctor that you are feeling good?": While it encourages communication, it does not provide useful information or address the client’s misconceptions about hypertension and its risks.

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Correct Answer is C

Explanation

A. Neutrophils 57%: This value reflects the percentage of neutrophils in the white blood cell count and does not specifically indicate the effectiveness of iron therapy. It is more related to the body’s immune response.

B. International Normalized Ratio (INR) 13 seconds: INR is a measure of blood coagulation and is not directly related to iron levels or the treatment of anemia. Therefore, this result does not indicate the success of ferrous sulfate therapy.

C. Total reticulocyte count 2.2% of total RBC count: An increased reticulocyte count indicates that the bone marrow is producing more red blood cells, which is a positive response to iron supplementation. A reticulocyte count around this percentage suggests an appropriate response to therapy for iron deficiency anemia.

D. Platelet count 250,000/µL: This is a normal platelet count and does not provide information specific to the effectiveness of iron therapy. It does not reflect the state of anemia or the response to iron supplementation.

A. will have some pain that is similar to a toothache." B. understand that this is a sterile procedure." C. The nurse will check the puncture site at least every 4 hours after the procedure." D. The nurse will give me one 650 mg tablet of Aspirin for pain when the procedure is over."

Correct Answer is D

Explanation

A. "I will have some pain that is similar to a toothache.": This statement shows an understanding that discomfort can occur after a bone marrow aspiration, which is a common experience.

B. "I understand that this is a sterile procedure.": This demonstrates awareness of the importance of sterility during the procedure to prevent infection, which is accurate.

C. "The nurse will check the puncture site at least every 4 hours after the procedure.": This indicates an understanding of the need for monitoring the puncture site for complications such as bleeding or infection, which is an appropriate expectation.

D. "The nurse will give me one 650 mg tablet of Aspirin for pain when the procedure is over.": This statement indicates a need for additional teaching because aspirin can increase the risk of bleeding, particularly after a procedure involving puncturing the skin. Generally, acetaminophen (Tylenol) would be recommended for pain relief instead of aspirin.

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The client diagnosed with primary hypertension states, "I don't know why the doctor is worried about my blood pressure. I am feeling just fine." Which statement by the nurse would be the most appropriate response?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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