The nurse is caring for a client newly diagnosed with hypertension. Which statement by the client indicates the need for further teaching?

"If I take my blood pressure and it is normal, I don't have to take my blood pressure pills."

"When getting up from bed, I will sit for a short period before standing up."

"I will consult a dietician to help get my weight under control."

"I think I'm going to sign up for a yoga class twice a week to help reduce my stress."

Answer and Explanation

The Correct Answer is A

A. "If I take my blood pressure and it is normal, I don't have to take my blood pressure pills": This statement reflects a misunderstanding of hypertension management. Blood pressure medications are typically prescribed to help control blood pressure over the long term, regardless of individual blood pressure readings. Stopping medication without consulting a healthcare provider can be dangerous and is not recommended.

B. "When getting up from bed, I will sit for a short period before standing up": This statement demonstrates an understanding of orthostatic hypotension prevention, which is important for clients with hypertension and can be a side effect of certain medications.

C. "I will consult a dietician to help get my weight under control": This statement indicates the client's awareness of the importance of weight management in hypertension control and is a positive step toward healthy lifestyle changes.

D. "I think I'm going to sign up for a yoga class twice a week to help reduce my stress": This statement shows the client's proactive approach to stress reduction, which is beneficial for hypertension management as stress can contribute to elevated blood pressure.

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Correct Answer is ["B","E"]

Explanation

A. Confirm that the room number matches the medical record.Room numbers should never be used as a sole method to identify a client. Room assignments can change, and relying on them could lead to errors.

B. Compare the client identification number to the blood component tag number.Matching the client identification number to the blood component tag ensures the blood is being administered to the correct client. This is a key step in preventing transfusion errors.

C. Verify the provider's prescription with another RN.While this is an important step in the blood administration process, it is not specifically related to identifying the client.

D. Ask the client to verbalize if the blood type is Rh-negative or positive.Clients may not know their blood type, and relying on their verbal confirmation is unsafe. The blood type must be confirmed through laboratory testing and matched with the blood being administered.

E. Scan the barcode on the client's identification band.Scanning the barcode on the client’s identification band is a reliable and commonly used method for verifying the client’s identity in modern healthcare settings. This ensures that the blood is administered to the correct client.

A. ribs B. humerus C. femur D. Iliac crest

Correct Answer is D

Explanation

A. Ribs: Ribs are not typically used for bone marrow aspiration procedures due to the difficulty of accessing bone marrow in this area.

B. Humerus: While bone marrow aspiration can technically be performed in the humerus (upper arm bone), it is not commonly used as a primary site because other sites like the iliac crest offer easier access and a larger volume of bone marrow.

C. Femur: The femur (thigh bone) is a potential site for bone marrow aspiration, especially in certain situations or specific patient populations. However, it is less commonly used compared to the iliac crest.

D. Iliac crest: The iliac crest is a primary site for bone marrow aspiration due to its accessibility, the relatively low risk of complications, and the ability to obtain an adequate sample of bone marrow for diagnostic purposes.

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The nurse is caring for a client newly diagnosed with hypertension. Which statement by the client indicates the need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer blood to a client. Which of the following actions should the nurse take to identify the client? (Select All that Apply.)

Correct Answer is ["B","E"]

Explanation

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Correct Answer is D

Explanation

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