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Take the medication on an empty stomach: Hydrochlorothiazide can be taken with or without food. Taking it with food can reduce gastrointestinal upset, so this is not necessary advice.

Take the medication at bedtime: Hydrochlorothiazide is a diuretic, and taking it at bedtime may cause nocturia (frequent nighttime urination), which can disturb sleep.

Muscle weakness is an expected adverse effect: Muscle weakness is not an expected effect but can be a sign of hypokalemia, a possible adverse effect due to potassium loss.

Instructing the patient to fast for at least 12 hours before the procedure: Fasting is not required for an ECG. It is a non-invasive test that doesn’t involve food interactions.

Using a higher room temperature to keep the patient warm: While comfort is important, this is not a primary preparation step. ECG accuracy is not dependent on room temperature.

Applying electrodes directly over bony prominences: Electrodes should be placed on flat, muscular areas to ensure proper contact, not over bones.

A client who is of Asian ethnicity: While Asians may have health risks, African Americans have a statistically higher risk for developing hypertension.

A female client who is 44-years-old: Middle-aged women can develop hypertension, but other groups are at greater risk.

A male client who is 53-years-old: Age and gender are risk factors, but race/ethnicity (African American) carries a higher relative risk for hypertension.

Place a moist heating pad under the client's feet: Moist heat could cause burns or further tissue damage in patients with impaired circulation.

Rub the client's feet briskly for several minutes: Brisk massage is contraindicated in clients with vascular occlusion, as it may damage tissues or dislodge clots.

Increase the client's oral fluid intake: While hydration is generally important, it doesn’t directly address cold feet from vascular occlusion.

Unbroken skin with un-blanchable erythema: This describes a stage 1 pressure ulcer, where the skin is intact but red and does not blanch.

Full-thickness tissue loss extending to underlying support structures: This describes a stage 4 pressure ulcer, where there is exposure of bone, tendon, or muscle.

A shallow, ruptured or intact skin blister without slough: This describes a stage 2 pressure ulcer, which involves partial-thickness skin loss or a blister.

Normal blood pressure range: Normal BP is defined as <120/<80 mm Hg. This reading is above that range.

Hypertension stage 2: Stage 2 is defined as ≥140 systolic or ≥90 diastolic.

Hypertension stage 1: Stage 1 hypertension is 130–139 systolic or 80–89 diastolic. The client’s BP is not within this range.

Infection: Infected wounds may have purulent drainage, foul odor, warmth, or increased pain, but red, soft tissue that bleeds easily typically indicates healing, not infection.

An inflammatory response: Inflammation typically shows redness, warmth, swelling, and pain—not soft red tissue that bleeds easily.

Decreased perfusion: Decreased perfusion would lead to pale or necrotic tissue, not red bleeding tissue.

Initiate humidification therapy: While this may help loosen secretions, it is not the first priority when oxygen saturation is critically low.

Encourage the client to cough and deep breathe: This is helpful but should follow positioning to optimize lung function first.

Increase the client's oral fluid intake: Hydration is important for mucus thinning but not the first step to correct hypoxia.

Cover exhalation slots of the spacer with lips when inhaling: The child should seal lips around the mouthpiece but not cover any exhalation ports, which may interfere with airflow.

The spacer increases the amount of medication delivered to the oropharynx: A spacer actually reduces oropharyngeal deposition and increases delivery to the lungs.

Inhale rapidly when using the spacer with the MDI: The child should inhale slowly and deeply to draw the medication deep into the lungs.