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The nurse is screening for hypertension at a local health fair.
A community resident has a blood pressure reading of 138/80 mm Hg. What interventions should the nurse implement for this client? Select all that apply.

Encourage the client to “keep doing whatever you are doing.”.

Assess the client’s lifestyle and other risk factors for hypertension.

Ask the client about any current antihypertensive medications.

Obtain another blood pressure reading to verify the first reading.

Recommend further evaluation for possible pre-hypertension.

Answer and Explanation

Correct Answer : B,C,D,E

Answer and explanation

The correct answers are Choices B, C, D, and E.

Choice A rationale

Encouraging the client to “keep doing whatever you are doing” is not an appropriate intervention for a client with a blood pressure reading of 138/80 mm Hg. This blood pressure reading is considered elevated and could indicate pre-hypertension. Therefore, the nurse should assess the client’s lifestyle and other risk factors for hypertension, ask the client about any current antihypertensive medications, obtain another blood pressure reading to verify the first reading, and recommend further evaluation for possible pre-hypertension.

Choice B rationale

Assessing the client’s lifestyle and other risk factors for hypertension is an important intervention for a client with a blood pressure reading of 138/80 mm Hg. Lifestyle factors, such as diet, physical activity, alcohol consumption, and tobacco use, can significantly influence

blood pressure levels. Therefore, the nurse should assess these factors and provide appropriate education and interventions.

Choice C rationale

Asking the client about any current antihypertensive medications is an important intervention for a client with a blood pressure reading of 138/80 mm Hg. The client may be taking medications that could affect their blood pressure. Therefore, the nurse should ask about these medications and consider their potential impact on the client’s blood pressure.

Choice D rationale

Obtaining another blood pressure reading to verify the first reading is an important intervention for a client with a blood pressure reading of 138/80 mm Hg. Blood pressure can fluctuate throughout the day and can be influenced by various factors, such as stress, physical activity, and caffeine consumption. Therefore, the nurse should obtain another reading to confirm the initial measurement.

Choice E rationale

Recommending further evaluation for possible pre-hypertension is an important intervention for a client with a blood pressure reading of 138/80 mm Hg. A blood pressure reading of 138/80 mm Hg is considered elevated and could indicate pre-hypertension. Therefore, the nurse should recommend further evaluation to confirm this diagnosis and determine appropriate treatment.

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Correct Answer is C

Explanation

Answer and explanation

The correct answer is Choice C.

Choice A rationale

A 65-year-old aide working in a nursing home is at high risk of contracting and spreading influenza due to their exposure to a vulnerable population. Therefore, they should be prioritized for vaccination.

Choice B rationale

An 8-year-old girl with poorly-controlled asthma is also at high risk for complications from influenza and should be prioritized for vaccination.

Choice C rationale

A 60-year-old client with diabetes is at increased risk for complications from influenza. However, their agoraphobia (fear of crowds) might make them less likely to be exposed to the

virus compared to the other individuals. Therefore, they could be advised to return to the clinic when more vaccines are available.

Choice D rationale

An 80-year-old resident in an Alzheimer’s unit is at high risk due to their age and living situation. They should be prioritized for vaccination.

A. Survey parents 3 weeks after pamphlets are sent home to assess their understanding of the condition. B. Evaluate the teacher’s ability to identify pediculosis capitis 2 months after initiation of the program. C. Measure the prevalence of pediculosis capitis among the children after four months. D. Conduct an initial examination of each child in the school to obtain baseline data.

Correct Answer is C

Explanation

Answer and explanation The correct answer is C. Choice A rationale

Surveying parents 3 weeks after the pamphlets are sent home would provide information about their understanding of the condition, but it would not directly measure the effectiveness of the program in eradicating pediculosis capitis in the school.

Choice B rationale

Evaluating the teacher’s ability to identify pediculosis capitis 2 months after the initiation of the program would provide information about the teacher’s knowledge and awareness, but it would not directly measure the effectiveness of the program in eradicating the condition in the school.

Choice C rationale

Measuring the prevalence of pediculosis capitis among the children after four months would directly assess the effectiveness of the program. A decrease in the prevalence of the condition would indicate that the program was effective.

Choice D rationale

Conducting an initial examination of each child in the school to obtain baseline data would be a useful step in the beginning of the program to understand the extent of the problem, but it would not evaluate the effectiveness of the program.

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The nurse is screening for hypertension at a local health fair.A community resident has a blood pressure reading of 138/80 mm Hg. What interventions should the nurse implement for this client? Select all that apply.

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Naxlex Comprehensive Predictor Exams

Given the limited supply, the local health department is required to prioritize the distribution of influenza vaccines. Who should the public health nurse advise to return to the clinic when more vaccines are available?

Correct Answer is C

Explanation

Correct Answer is C

Explanation

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The nurse is screening for hypertension at a local health fair.A community resident has a blood pressure reading of 138/80 mm Hg. What interventions should the nurse implement for this client? Select all that apply.

The nurse is screening for hypertension at a local health fair.
A community resident has a blood pressure reading of 138/80 mm Hg. What interventions should the nurse implement for this client? Select all that apply.