The nurse should first address the client's blood pressure followed by the client's platelet count.
Blood pressure should be checked before platelet count.
Platelet count is more important than blood pressure.
Address both simultaneously.
Ignore blood pressure.
The Correct Answer is A
Choice A rationale
Blood pressure should be checked before platelet count because it is an immediate indicator of the client's hemodynamic status. Uncontrolled blood pressure can lead to life-threatening conditions such as stroke or heart attack. Monitoring and addressing blood pressure helps ensure the client's cardiovascular stability, making it a priority in acute settings.
Choice B rationale
While platelet count is important, it reflects the client's clotting ability and overall blood health but does not provide immediate information about cardiovascular stability. It is typically monitored in cases of suspected bleeding disorders or thrombocytopenia but is not the primary concern in an acute setting.
Choice C rationale
Addressing both simultaneously can be ideal but may not always be feasible in urgent situations. Prioritizing blood pressure allows immediate intervention to stabilize the client, whereas platelet count can be assessed and managed subsequently without as high a risk of immediate life-threatening consequences.
Choice D rationale
Ignoring blood pressure is inappropriate as it could lead to undetected hypertension or hypotension, resulting in severe complications such as shock, organ damage, or cardiovascular events. Blood pressure monitoring is essential for timely and appropriate medical intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
A history of gallbladder disease is not a contraindication for intrauterine device (IUD) use. IUDs are generally safe for women with various medical histories, excluding pregnancy.
Choice B rationale
A positive pregnancy test is a contraindication for IUD insertion. IUDs should not be used in pregnant women as they can cause adverse outcomes for both the mother and the fetus.
Choice C rationale
Smoking increases health risks but is not a direct contraindication for IUD use. However, it's essential to consider the overall health and habits of the client.
Choice D rationale
Allergy to latex is relevant only if the IUD contains latex. Non-latex IUDs are available, so this is not a general contraindication.
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A,B,C"},"D":{"answers":"A"}}
Explanation
|
Client Findings |
Placenta Previa |
Preterm Labor |
Abruptio Placentae |
|
Pain report |
X |
||
|
Uterine contractions |
X |
||
|
Perineal pad findings |
X |
X |
X |
|
Cervical dilation |
X |
- Pain report: The client reports low back pain and abdominal cramping, which can be associated with both preterm labor and abruptio placentae.
- Uterine contractions: Regular uterine contractions are a sign of preterm labor.
- Perineal pad findings: Bright red bleeding is consistent with all three conditions.
- Cervical dilation: Cervical dilation is a sign of preterm labor and placenta previa.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.