The nurse is caring for a group of patients. Which patient is the priority?

A patient with a BP of 170/80 mm Hg with a mild headache

A patient with a BP of 180/120 mm Hg who is asymptomatic

A patient with a BP of 150/60 mm Hg who is anxious

A patient with a blood pressure (BP) of 140/70 mm Hg who has a nosebleed

Answer and Explanation

The Correct Answer is B

A. A patient with a BP of 170/80 mm Hg with a mild headache: Although high, this BP is not as immediately critical as 180/120 mm Hg. The patient is experiencing only a mild headache, indicating less urgency.
B. A patient with a BP of 180/120 mm Hg who is asymptomatic: This BP level indicates a hypertensive crisis, which can lead to life-threatening complications such as stroke or heart attack, even if the patient is asymptomatic. Immediate intervention is needed to lower the BP safely.
C. A patient with a BP of 150/60 mm Hg who is anxious: This BP is elevated but not critically so. Anxiety management may be necessary but is not as urgent as managing a hypertensive crisis.
D. A patient with a blood pressure (BP) of 140/70 mm Hg who has a nosebleed: This BP is relatively mild compared to 180/120 mm Hg and is less immediately threatening, even with a nosebleed.

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Free Nursing Study Resources

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

Explanation

A. "You should increase your daily exercise.": Regular physical activity helps lower blood pressure, improve cardiovascular health, and reduce the risk of stroke.
B. "Eat a low-sodium and low-potassium diet.": While reducing sodium intake is beneficial, potassium is actually important for blood pressure regulation. A diet rich in potassium is often recommended to help manage blood pressure.
C. "Oral contraceptives have no effect on stroke risk.": This statement is incorrect. Some oral contraceptives, especially those with higher estrogen content, can increase the risk of stroke, particularly in women with other risk factors.
D. "Strict blood glucose control is important.": Proper management of blood glucose levels is crucial for preventing stroke, especially in individuals with diabetes, as poorly controlled diabetes can lead to vascular complications.
E. "Excessive alcohol intake can increase your risk.": Excessive alcohol consumption is a known risk factor for hypertension and stroke. Moderation is key to reducing stroke risk.

A. Hemorrhage B. Elevated blood urea nitrogen and creatinine C. Infection D. Fat embolism syndrome E. Elevated serum potassium

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

Explanation

A. Hemorrhage: This is correct. Fractures, especially in large bones like the femur or pelvis, can cause significant bleeding, either internally or externally.
B. Elevated blood urea nitrogen and creatinine: This is not directly related to fractures. These values indicate kidney function and are not typical complications of fractures.
C. Infection: This is correct. Open fractures and surgical interventions for fractures can lead to infections, including osteomyelitis.
D. Fat embolism syndrome: This is correct. Fat embolism syndrome can occur when fat globules from bone marrow enter the bloodstream, typically after fractures of long bones or the pelvis, and cause serious complications.
E. Elevated serum potassium: This is not typically a direct complication of fractures. Elevated potassium can occur due to other factors, such as crush injuries or tissue necrosis, but is not a common concern with simple fractures.

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The nurse is caring for a group of patients. Which patient is the priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient asks the nurse how to prevent a stroke. Which statement by the nurse is correct? Select all that apply.

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

Explanation

The nurse is caring for a patient with a fracture. Which complications should the nurse monitor for? Select all that apply.

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

Explanation

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