A 45-year-old patient who is alert and oriented has a blood pressure of 98/66 mm Hg, radial pulse of 76 beats/min (irregular), and respirations of 18 breaths/min (regular). The best nursing intervention is to:

check the patient's record to determine his baseline blood pressure.

notify the charge nurse of the hypotension.

check medications that might be the cause of the irregularity.

notify the doctor of the bradycardia.

Answer and Explanation

The Correct Answer is A

A.   This is because the patient's blood pressure of 98/66 mm Hg, while on the lower side, may be normal for them. It's important to compare it to their baseline to determine if there has been a significant change.
B.   The blood pressure is within a normal range for an adult, so immediate notification of hypotension is not required.
C.   This can be done after determining if there is a significant change from the baseline.
D.   The pulse is not bradycardic (it is within a normal range), so there is no immediate need to notify the doctor regarding bradycardia.

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Correct Answer is A

Explanation

A. Lordosis, or an exaggerated inward curve of the lumbar spine, is commonly seen in conditions such as obesity, pregnancy, or spinal abnormalities.
B. Osteoporosis typically leads to a more generalized loss of bone density, not a specific curvature.
C. Kyphosis involves an exaggerated outward curve of the upper back, not the lumbar spine.
D. Scoliosis is characterized by a lateral curvature of the spine, not an exaggerated lumbar curve.

A. literacy assessment. B. financial history. C. cultural assessment. D. psychological history.

Correct Answer is C

Explanation

A. While literacy is an important consideration, the focus should be on understanding the patient's cultural background to ensure appropriate care and address any specific needs related to their ethnicity and traditions.
B. A financial history may be relevant but does not directly relate to the patient's immediate care needs regarding abdominal pain.
C. Cultural assessment is essential to understand the patient's values, beliefs, and preferences in healthcare, particularly in a diverse population, to ensure culturally competent care.
D. Psychological history could be useful in some cases, but it is secondary to cultural considerations in a patient with abdominal pain.

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A 45-year-old patient who is alert and oriented has a blood pressure of 98/66 mm Hg, radial pulse of 76 beats/min (irregular), and respirations of 18 breaths/min (regular). The best nursing intervention is to:

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Naxlex Comprehensive Predictor Exams

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Explanation

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