A nurse is caring for a client with hypertension and instructs them on self-monitoring blood pressure at home. What should the nurse include in the teaching?
"Check your blood pressure once a week, preferably at the same time each day."
"Use the arm with the highest blood pressure reading consistently for accurate monitoring."
"Rest for at least 5 minutes before taking your blood pressure, and sit with your legs crossed to stabilize your posture."
"Record your blood pressure readings and any symptoms you experience in a journal for your healthcare provider to review."
The Correct Answer is D
A) This option is incorrect. Checking blood pressure once a week is insufficient for effective monitoring, as it may not provide a comprehensive view of blood pressure trends.
B) This option is incorrect. Using the arm with the highest blood pressure reading consistently is not recommended. Blood pressure should be measured in the arm with the higher reading only if there
is a significant difference between the arms.
C) This option is incorrect. To obtain accurate blood pressure readings, the client should rest for at least 5 minutes in a comfortable seated position with their feet flat on the floor and arms supported at heart level. Crossing the legs may affect blood flow and accuracy of the reading.
D) Correct answer. Recording blood pressure readings and any symptoms in a journal is essential for effective self-monitoring. It provides valuable information for the healthcare provider to assess blood pressure control and make necessary adjustments to the treatment plan.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) This option is incorrect. An electrocardiogram (ECG) measures electrical activity in the heart, not blood pressure levels.
B) This option is incorrect. A blood glucose test measures blood sugar levels, not blood pressure.
C) Correct answer. Ambulatory Blood Pressure Monitoring (ABPM) is a diagnostic test that measures blood pressure levels at regular intervals over 24 hours, providing a comprehensive view of a client's blood pressure variations.
D) This option is incorrect. A renal function panel assesses kidney function, not blood pressure levels.
Correct Answer is B
Explanation
A) This option is incorrect. Increased appetite and weight gain are not typical manifestations of hypertensive encephalopathy.
B) Correct answer. Hypertensive encephalopathy is characterized by visual disturbances, severe headaches, and neurological symptoms resulting from uncontrolled hypertension and cerebral edema.
C) This option is incorrect. Pain and tingling in the extremities are not directly associated with hypertensive encephalopathy.
D) This option is incorrect. Reduced urine output and fatigue are more likely related to kidney damage and heart failure, respectively, rather than hypertensive encephalopathy.
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