The nurse is caring for a patient in hypertensive emergency. What should the nurse expect to be the goal when treatment is provided for this patient
Ensure an adequate potassium blood level.
Gradually reduce BP.
Negate the impact of sodium in the body.
Increase urine output.
The Correct Answer is B
A. Ensure an adequate potassium blood level.: While potassium levels are important, they are not the primary goal in a hypertensive emergency.
B. Gradually reduce BP.: In hypertensive emergencies, the goal is to gradually reduce blood pressure to avoid causing further damage to organs. Rapid reduction can lead to ischemia or stroke.
C. Negate the impact of sodium in the body.: Although reducing sodium intake is a general recommendation for hypertension management, it is not the immediate goal in an emergency situation.
D. Increase urine output.: While diuretics might be used, the main goal is the controlled reduction of blood pressure rather than just increasing urine output.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
A. Paresthesia: Numbness or tingling sensations (paresthesia) can occur due to decreased blood supply and nerve function.
B. Pruritus: Itching (pruritus) is not typically associated with arterial occlusion. It is more often related to skin conditions or allergies.
C. Pain: Pain is a hallmark symptom of arterial occlusion, often described as severe and sudden, due to tissue ischemia.
D. Pallor: Affected limbs or areas may appear pale (pallor) because of reduced blood flow.
E. Palpitations: Palpitations are not a direct symptom of arterial occlusion. They are more related to cardiac conditions.
Correct Answer is C
Explanation
A. Asks patient to self-position leg: This is not advisable because the patient may not have the strength or capability to safely reposition the leg, especially if they are in pain or sedated.
B. Monitors dampness of cast and avoids moving it until it is dry: The cast may need to be moved before it is completely dry, for example, for patient comfort or to prevent pressure ulcers. Delaying repositioning may cause complications.
C. Uses palms to move the cast: This is the correct method. Using the palms prevents indentations in the cast that could create pressure points and lead to skin breakdown. Fingers can create pressure points that can dent the cast, compromising its integrity and potentially causing skin issues.
D. Uses fingers to grasp cast: Using fingertips can create indentations in the cast, which can lead to pressure sores or improper bone alignment.
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