At a community health fair, the blood pressure of a 62-year-old patient is 160/96 mmHg. The patient states "My blood pressure is usually much lower." What is the best response by the nurse?

Have your blood pressure checked again in 2 months.

Have your blood pressure checked within the next 48-72 hours.

Visit your health care provider within 1 week for a blood pressure check.

See your health care provider immediately.

Answer and Explanation

The Correct Answer is D

A.   This response may downplay the significance of the current elevated blood pressure reading. Given that the reading indicates stage 2 hypertension, waiting two months without further assessment could be inappropriate, as the patient may be at risk for complications.
B.   This option suggests a follow-up in a reasonable timeframe. It acknowledges the need for a prompt reassessment but still allows for some delay. However, it may not convey the urgency that may be warranted given the current high reading.
C.   While this option provides a specific timeframe for follow-up, it may also imply that the situation is less urgent than it is. A week could be too long to wait for someone with a reading indicative of hypertension, especially considering potential risks.
D.   This is the best response because it prioritizes the patient's health by recommending immediate evaluation. The current blood pressure reading of 160/96 mmHg is significantly elevated and may warrant urgent assessment to rule out any underlying conditions, initiate management, and prevent complications such as cardiovascular events.

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Correct Answer is A

Explanation

A. Beta-adrenergic agents (often called bronchodilators) work by stimulating beta-2 adrenergic receptors in the airway smooth muscle, leading to relaxation of the muscles and dilation of the airways. This helps improve airflow and relieve symptoms of asthma.
B. A beta-adrenergic agent should ideally increase peak expiratory flow (PEF) by dilating the airways and improving airflow, not decrease it.
C. This is not a direct action of beta-adrenergic agents. While some medications (like mucolytics or certain expectorants) can thin secretions, beta-adrenergic agents primarily focus on bronchodilation and do not significantly affect the viscosity of respiratory secretions.
D. While beta-adrenergic agents can sometimes cause mild tachycardia (increased heart rate) as a side effect, they are not intended to increase the respiratory rate directly. The primary goal of these medications is to improve airway patency rather than change the rate of breathing.

A. Isoniazid B. Vancomycin C. Pyrazinamide D. Pantoprazole E. Rifampin F. Propranolol G. Ethambutol

Correct Answer is ["A","C","E","F"]

Explanation

A. This is a first-line anti-TB medication that is commonly used in the treatment of active TB infections.
B. Vancomycin is an antibiotic that is effective against certain bacteria, but it is not used in the treatment of TB.
C. This is another first-line anti-TB medication that is often used in combination with other drugs to treat active TB infections.
D. Pantoprazole is a proton pump inhibitor used to treat acid reflux and ulcers. It is not used in the treatment of TB.
E. This is a first-line anti-TB medication that is commonly used in the treatment of active TB infections.
F. Propranolol is a beta-blocker used to treat conditions such as high blood pressure and heart rhythm disorders. It is not used in the treatment of TB.
G. This is a first-line anti-TB medication that is commonly used in the treatment of active TB infections.

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At a community health fair, the blood pressure of a 62-year-old patient is 160/96 mmHg. The patient states "My blood pressure is usually much lower." What is the best response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which statement describes the action of a beta-adrenergic agent for a patient with a respiratory disorder such as asthma?

Correct Answer is A

Explanation

In providing teaching for a patient recently diagnosed with an active tuberculosis (TB) infection, the nurse incorporates teaching about which medications? (Select All that Apply.)

Correct Answer is ["A","C","E","F"]

Explanation

A school-age child is admitted to the ER with status asthmaticus. The parent states the child is taking montelukast, albuterol, and fluticasone. Which is the most important piece of information that the nurse needs to ask the parent to best treat the child?

Which interventions does the nurse implement when providing care for a patient who is admitted for the treatment of active tuberculosis? (Select All that Apply.)

In providing care to a patient admitted with an acute asthma exacerbation, the nurse prepares which "rescue" medication for administration first?

The nurse is caring for a homeless patient at risk for tuberculosis (TB). Which clinical manifestations of the disease would the nurse include in the teaching plan? (Select All that Apply.)

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