A nurse is planning 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?
Standards of care for monitoring clients who have a history of blood pressure elevation.
A critical pathway for clients who have had a stroke.
Acute care facility protocol for clients who are experiencing a hypertensive crisis.
Clinical practice guidelines for the management of high blood pressure.
The Correct Answer is D
Choice A rationale:
Standards of care for monitoring clients with a history of blood pressure elevation are important, but they are not the best resource for health promotion activities for clients with hypertension. This choice is more focused on monitoring and care standards.
Choice B rationale:
A critical pathway for clients who have had a stroke is specific to a different condition and not related to health promotion for clients with hypertension. It does not provide the information needed for the presentation.
Choice C rationale:
Acute care facility protocol for clients experiencing a hypertensive crisis is important for managing emergencies, but it is not the best resource for health promotion activities. It deals with crisis management rather than prevention.
Choice D rationale:
Clinical practice guidelines for the management of high blood pressure are the most appropriate resource for the nurse's presentation on health promotion activities for clients with hypertension. These guidelines provide evidence-based recommendations for managing and preventing high blood pressure, making them the best choice for the presentation. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Step 1: Identify the amount of lidocaine required, which is50 mg.
Step 2: Identify the concentration of available lidocaine, which is200 mg/mL.
Step 3: Calculate the volume of lidocaine to be administered using the formula:
Volume (mL) = Amount (mg) ÷ Concentration (mg/mL)
So, the calculation is:
Volume (mL) = 50 mg ÷ 200 mg/mL = 0.25 mL
Therefore, the nurse should administer0.25 mLof lidocaine per dose. This is the final answer and it is rounded off to the nearest hundredth as required.
Correct Answer is C
Explanation
Choice A rationale:
Phlebitis is inflammation of a vein, often associated with pain, redness, and warmth at the catheter site. In this case, the client's catheter site is described as cool and taut, which is not consistent with the manifestations of phlebitis.
Choice B rationale:
Infection typically presents with signs such as redness, warmth, swelling, and pain at the catheter site. The description of the client's catheter site as cool and taut is not indicative of infection.
Choice C rationale:
The client's symptoms, including a cool and taut catheter site and IV fluid leaking, are indicative of infiltration. Infiltration occurs when IV fluids inadvertently enter the surrounding tissue instead of the vein. It can lead to localized swelling and discomfort.
Choice D rationale:
Circulatory overload is characterized by symptoms such as shortness of breath, elevated blood pressure, and tachycardia. These symptoms are not consistent with the client's description of a cool and taut catheter site with IV fluid leaking.
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