When visiting a community health clinic, a client's blood pressure is measured at 146/94 mm Hg. Which information should the nurse provide the client?

Increase dietary intake of omega-3 fatty acids.

Participate in an exercise program for six weeks.

Begin a low sodium diet immediately.

Obtain a blood pressure daily for two weeks.

Answer and Explanation

The Correct Answer is C

Choice A reason: While omega-3 fatty acids have cardiovascular benefits, including reducing triglycerides and potentially lowering blood pressure modestly, they are not the first-line dietary intervention for stage 1 hypertension. Their effect is more preventive and supplemental rather than therapeutic in acute blood pressure management.

Choice B reason: Exercise is a cornerstone of hypertension management, but the recommendation to participate in a six-week program lacks immediacy and specificity. It is a long-term strategy rather than an immediate intervention. The nurse should prioritize dietary changes that can begin immediately and have a direct impact on sodium-related fluid retention and vascular resistance.

Choice C reason: A blood pressure of 146/94 mm Hg meets the criteria for stage 1 hypertension. The most evidence-based and immediate recommendation is to begin a low sodium diet, which directly reduces fluid retention and vascular tone, lowering blood pressure. Sodium restriction is a foundational lifestyle modification supported by clinical guidelines.

Choice D reason: Monitoring blood pressure daily for two weeks may help identify trends or confirm a diagnosis, but it does not address the elevated reading or initiate treatment. It is a passive approach that delays intervention and does not provide the client with actionable steps to reduce cardiovascular risk.

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Correct Answer is B

Explanation

Choice A reason: Hand hygiene is important for preventing transmission of infectious agents, but it does not help differentiate the cause of acute eye symptoms. It is more relevant in infection control than in immediate assessment.

Choice B reason: Asking about eye discharge helps determine the nature of the condition—whether it is infectious (e.g., bacterial conjunctivitis), inflammatory, or allergic. Discharge type (purulent, watery, mucous) provides diagnostic clues essential for treatment.

Choice C reason: Immunization status is relevant for systemic disease prevention but not immediately helpful in evaluating acute eye symptoms. It does not guide the clinical decision-making for localized eye inflammation.

Choice D reason: New medications can cause allergic reactions or side effects, but this is less likely than an infectious or inflammatory cause in the context of pain, redness, and swelling. It is a secondary consideration after assessing local symptoms.

A. A postmenopausal woman who reports that she has never performed a breast self-exam. B. An older woman whose screening test shows a significant decrease in bone density. C. An adolescent who demonstrates early signs of community-acquired methicillin-resistant Staphylococcus aureus (MRSA). D. A teenage girl who reports she is sexually active and does not use birth control.

Correct Answer is C

Explanation

Choice A reason: Lack of breast self-exams may delay detection of breast cancer, but it is not an urgent issue. Clinical breast exams and mammography are more reliable screening tools, especially in postmenopausal women.

Choice B reason: Decreased bone density indicates osteoporosis risk, which requires follow-up but is not immediately life-threatening. It is a chronic condition that can be managed with medication and lifestyle changes.

Choice C reason: MRSA is a serious bacterial infection that is resistant to many antibiotics. Early signs require prompt medical evaluation to prevent progression to systemic infection or transmission to others. This is the most urgent concern.

Choice D reason: Unprotected sexual activity increases the risk of STIs and unintended pregnancy, which are important public health concerns. However, they do not pose an immediate health threat compared to a potentially invasive MRSA infection.

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When visiting a community health clinic, a client's blood pressure is measured at 146/94 mm Hg. Which information should the nurse provide the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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