A graduate nursing student requests information, including laboratory findings and chest X-ray results, about all clients with symptoms of H1N1 who have been seen during the last month in a community health clinic.
What action should the charge nurse take?

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.

Answer and explanation

The correct answer is Choice D.

Choice A rationale

Increasing physical activity is a key component of weight loss. It helps to burn calories, build muscle, and boost metabolism. However, physical activity alone may not be sufficient for weight loss. It’s also important to consider dietary habits.

Choice B rationale

Improving diet is another crucial aspect of weight loss. This can involve eating more fruits, vegetables, and whole grains, reducing the intake of processed foods and sugary drinks, and watching portion sizes. However, diet alone may not be enough for weight loss, and it’s also important to incorporate physical activity.

Choice C rationale

Reducing portion sizes can help to decrease calorie intake, which can contribute to weight loss. However, portion control alone may not lead to weight loss if the individual is not consuming a balanced diet or if they are not physically active.

Choice D rationale

All of the above strategies - increasing physical activity, improving diet, and reducing portion sizes - are important for weight loss. They work together to create a calorie deficit, which is necessary for weight loss. It’s also important to note that these strategies should be implemented as part of a sustainable lifestyle change, rather than a short-term diet.