A patient with a history of hypertension arrives in the emergency department with a blood pressure (BP) reading of 213/126 mm Hg. The patient has a history of drug abuse.

Which of the following initial questions posed by the nurse is MOST appropriate?.

"Did you take any Tylenol today?".

"Have there been recent stressful events in your life?".

"Have you recently taken any cocaine or crack?".

"Have you eaten any salty foods lately?". .

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Tylenol, or acetaminophen, is a common over-the-counter medication used to reduce fevers and manage mild aches and pains. It does not directly affect blood pressure.

Choice B rationale:

While stress can cause temporary spikes in blood pressure, it’s not clear whether stress can cause long-term increases in blood pressure34.

Choice C rationale:

Cocaine or crack use can cause a significant and dangerous increase in blood pressure. Given the patient’s history of drug abuse and the current high blood pressure reading, this is a critical question to ask.

Choice D rationale:

Eating salty foods can contribute to high blood pressure over time, but it’s unlikely to cause an immediate severe increase in blood pressure.

So, the correct answer is Choice C, after analyzing all choices. .

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Correct Answer is B

Explanation

Choice A rationale:

Teaching the patient to take deep, slow breaths might not be effective in controlling the pain due to acute pericarditis.

Choice B rationale:

Placing the patient in Fowler’s position, leaning forward on the table, can help relieve the pain associated with acute pericarditis.

Choice C rationale:

Forcing fluids to 3000 mL/day to decrease inflammation is not a recommended action for managing pain due to acute pericarditis.

Choice D rationale:

Providing a fresh ice bag every hour for the patient to place on the chest is not a recommended action for managing pain due to acute pericarditis.

So, the correct answer is B, after analyzing all choices.

A. "Do not stand still for prolonged periods of time.”. B. "Even if you feel fine, do not stop taking the drugs.”. C. "Eat foods with low potassium.”. D. "Upon waking up in the morning, get out of bed slowly.”. .

Correct Answer is C

Explanation

Choice A rationale:

This is correct. Standing still for prolonged periods can cause blood to pool in the legs, increasing blood pressure.

Choice B rationale:

This is also correct. Stopping the medication abruptly can cause a rebound increase in blood pressure.

Choice C rationale:

This is incorrect. Furosemide is a diuretic that can cause the body to lose potassium, so it’s important to consume potassium-rich foods.

Choice D rationale:

This is correct. Furosemide can cause orthostatic hypotension, a form of low blood pressure that happens when you stand up from sitting or lying down.

So, the correct answer is Choice C, after analyzing all choices.

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A patient with a history of hypertension arrives in the emergency department with a blood pressure (BP) reading of 213/126 mm Hg. The patient has a history of drug abuse. Which of the following initial questions posed by the nurse is MOST appropriate?.

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Naxlex Comprehensive Predictor Exams

A patient has pain due to acute pericarditis. Which action would the nurse take?.

Correct Answer is B

Explanation

A nurse is supervising a new graduate who is providing discharge teaching to a patient diagnosed with hypertension. While teaching a patient about their newly prescribed diuretic (furosemide), which of the following statements made by the new graduate requires correction by the supervising nurse?.

Correct Answer is C

Explanation

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After receiving a change-of-shift report on four patients, which patient would the nurse assess first?.

Which patient statement would help the nurse confirm the previous diagnosis of chronic stable angina?.

A patient with a history of hypertension arrives in the emergency department with a blood pressure (BP) reading of 213/126 mm Hg. The patient has a history of drug abuse.

Which of the following initial questions posed by the nurse is MOST appropriate?.