A nurse on a medical-surgical unit is caring for a group of clients. Which of the following clients should the nurse see first?
A client who is postoperative and reports intermittent nausea
A client whose blood pressure is 160/90 mm Hg and reports a headache
A client who is scheduled for surgery in 2 hr
A client who is postoperative and has a Jackson-Pratt drain
The Correct Answer is B
Hypertensive crisis is a severe increase in blood pressure that can lead to organ damage or other complications. Prompt assessment and intervention are necessary to prevent further escalation of blood pressure and potential complications.
While all the clients mentioned require attention, the client with elevated blood pressure and a headache poses a higher immediate risk. The nurse should assess the client's blood pressure, evaluate for signs of target organ damage, and initiate appropriate interventions, which may include administering antihypertensive medications as prescribed and monitoring closely for any changes in the client's condition.
The client who is postoperative and reports intermittent nausea can be assessed and managed after addressing the client with the elevated blood pressure and headache.
The client scheduled for surgery in 2 hours can be addressed according to the scheduled timeline.
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Related Questions
Correct Answer is A
Explanation
Explanation
A. Write the information at an 8 th grade reading level
Writing the information at an 8th-grade reading level ensures that it is accessible and understandable to a wide range of individuals in the community. Hypertension is a common health condition, and it is important to provide information in a clear and concise manner that can be easily comprehended by the target audience.
Explaining medical terminology using basic, one-syllable in words in (option B) is not recommendable because it may oversimplify the information and potentially undermine the importance of accuracy and precision in healthcare communication.
Using a 12-point font size in (option C) is not recommendable because it is a general guideline for readability, but it is not the most critical aspect when developing a brochure. The readability of the content itself is more important than the specific font size.
D. Presenting information from complex to simple in (option D) is not recommendable because it is not the most effective approach when developing a brochure about hypertension. It is more beneficial to present information in a simple and straightforward manner from the beginning to enhance understanding and engagement.
Therefore, the nurse should write the information at an 8th-grade reading level (option A) to ensure that it is easily accessible and comprehensible for the target audience.
Correct Answer is B
Explanation
The client's symptoms of feeling dizzy, having a racing heart, and becoming pale while lying on their back are consistent with supine hypotension syndrome, also known as vena cava syndrome. This occurs when the weight of the uterus compresses the inferior vena cava, reducing blood flow and causing symptoms.
To address this issue, the nurse should Position the client on their left side. Lying on the left side helps relieve the pressure on the inferior vena cava and improves blood flow. This can alleviate the symptoms and prevent further complications.
Instructing the client to take a brisk walk is not appropriate in this situation, as it may exacerbate the symptoms by increasing heart rate and potentially causing further dizziness or fainting. Checking the client's temperature is not necessary in relation to these symptoms, as they are not indicative of a fever or infection.
Providing the client with a glass of orange juice may be helpful in some situations, such as if the client is experiencing hypoglycemia. However, in this case, the symptoms are likely due to supine hypotension syndrome, and repositioning the client is the priority intervention.
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