A nurse is assisting with a presentation on health promotion activities for clients who have hypertension. Which of the following should the nurse utilize as a resource for this information?

A critical pathway for clients who have had a stroke

Standards of care for monitoring clients who have a history of blood pressure elevation

Acute care facility protocols for clients experiencing an abrupt change in mental status

Clinical practice guidelines for the management of high blood pressure

Answer and Explanation

The Correct Answer is D

A. A critical pathway for clients who have had a stroke:
Critical pathways are structured multidisciplinary care plans that outline essential steps in the care of patients with specific conditions. While critical pathways are valuable tools for standardized care, they are not specifically focused on health promotion activities for clients with hypertension.

B. Standards of care for monitoring clients who have a history of blood pressure elevation:
Standards of care typically outline the minimum level of care that should be provided to clients based on evidence-based practice. While monitoring clients with a history of blood pressure elevation is important, it does not encompass the comprehensive health promotion activities related to hypertension.

C. Acute care facility protocols for clients experiencing an abrupt change in mental status:
Acute care facility protocols are designed to guide the management of acute changes in a patient's condition. While relevant to patient care, these protocols do not specifically address health promotion activities for clients with hypertension.

D. Clinical practice guidelines for the management of high blood pressure:
Clinical practice guidelines provide evidence-based recommendations for the management of specific health conditions. They typically include information on health promotion activities, risk factor modification, lifestyle interventions, and pharmacological management for clients with hypertension. Therefore, clinical practice guidelines are the most appropriate resource for information on health promotion activities for clients with hypertension.

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Correct Answer is C

Explanation

(A) Meloxicam 5 mg PO once daily: Meloxicam is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve pain and inflammation. It does not typically affect potassium levels.

(B) Acyclovir 400 mg PO twice daily: Acyclovir is an antiviral medication used to treat viral infections such as herpes simplex and varicella-zoster. It does not typically affect potassium levels.

(c) Furosemide 80 mg PO daily: Furosemide is a loop diuretic that promotes diuresis by inhibiting the reabsorption of sodium and chloride in the ascending loop of Henle and distal renal tubule. This can lead to increased excretion of potassium in the urine, potentially causing hypokalemia.

(D) Cimetidine 300 mg PO four times per day: Cimetidine is a histamine H2 receptor antagonist used to treat and prevent certain types of ulcer, and to treat conditions that cause the stomach to produce too much acid. It does not typically affect potassium levels.

A. pH 7.48 B. pH 7.50 C. pH 7.31 D. pH 7.39

Correct Answer is C

Explanation

A. pH 7.48:

A pH of 7.48 indicates alkalosis, not acidosis. Respiratory acidosis is characterized by a pH below the normal range (7.35-7.45).

B. pH 7.50:

Similar to choice A, a pH of 7.50 indicates alkalosis, not acidosis.

C. pH 7.31:

This pH value falls below the normal range (7.35-7.45), indicating acidemia. In respiratory acidosis, there is an increase in the partial pressure of carbon dioxide (PaCO2) in the blood, leading to an accumulation of carbonic acid and a decrease in pH.

D. pH 7.39:

A pH of 7.39 falls within the normal range (7.35-7.45), indicating a normal acid-base balance. It does not indicate acidosis.

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A nurse is assisting with a presentation on health promotion activities for clients who have hypertension. Which of the following should the nurse utilize as a resource for this information?

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Naxlex Comprehensive Predictor Exams

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