A nurse caring for a patient on bed rest with a history of respiratory health problems should:

auscultate for bowel sounds once a shift.

auscultate lung sounds at the beginning of a shift.

monitor for skin turgor every shift.

monitor peripheral pulses once a shift.

Answer and Explanation

The Correct Answer is B

A.   Auscultating for bowel sounds once a shift is important but does not directly relate to the respiratory condition.
B.   Auscultating lung sounds at the beginning of a shift is a priority to assess for any signs of respiratory compromise or complications.
C.   Monitoring skin turgor every shift is important for hydration status but is less critical in comparison to lung sounds for a patient with respiratory problems.
D.   Monitoring peripheral pulses once a shift is important but does not address the respiratory condition directly.

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Correct Answer is B

Explanation

A. A blood pressure of 124/84 mm Hg is slightly elevated and falls into the "elevated blood pressure" category.
B. Elevated blood pressure (120-129 systolic and less than 80 diastolic) is considered a risk factor for developing hypertension.
C. Hypertension stage 1 begins at 130/80 mm Hg, not at 124/84 mm Hg.
D. Hypertension stage 2 requires a reading of 140/90 mm Hg or higher.

A. date of previous diagnostic tests B. where the patient is living C. treatment for previous illnesses D. any allergies to medications

Correct Answer is D

Explanation

A. The date of previous diagnostic tests may be important, but it is secondary to immediate safety concerns like allergies.
B. Information about the patient's living situation can be useful for discharge planning but is not the most urgent piece of information.
C. Previous treatment for illnesses is important but does not supersede immediate health threats like allergies.
D. Knowing any allergies to medications is critical to avoid potentially harmful reactions. This is a priority when beginning care, as it informs medication administration and treatment options.

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A nurse caring for a patient on bed rest with a history of respiratory health problems should:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a family history of hypertension. The nurse should inform the client that his blood pressure reading of 124/84 mm Hg places him in which of the following categories?

Correct Answer is B

Explanation

When performing an initial assessment on a patient, which piece of information is of highest priority?

Correct Answer is D

Explanation

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