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 D

Explanation

A. Bradypnea, or a slow respiratory rate, is concerning but not typically associated with asthma exacerbations. In asthma, patients usually experience tachypnea (increased respiratory rate) as they try to compensate for difficulty breathing.
B. A decreased respiratory rate in an asthma patient can be alarming, but it may not necessarily indicate an immediate need for intervention unless it’s associated with other severe symptoms. In general, asthma patients often have an increased respiratory rate due to respiratory distress.
C. While crackles can indicate fluid in the lungs and may suggest an underlying issue, they are not the most immediate concern in a patient with asthma. Crackles can occur in various conditions, and they alone may not necessitate urgent intervention.
D. Diminished breath sounds are a critical finding in asthma patients. This may indicate severe airway obstruction or a lack of air movement due to severe bronchospasm. In the context of asthma, diminished breath sounds can signify that the patient is not able to move air effectively, which requires immediate intervention to prevent respiratory failure.

A. Hamburger, steak fries, and an orange B. Turkey sandwich on whole wheat bread, green beans, and banana C. Pork sausage and baked beans D. Enriched cereal in whole milk

Correct Answer is B

Explanation

A. This meal includes a hamburger, which is typically high in saturated fat and sodium, especially if it's made from fatty cuts of meat and includes processed cheese or condiments. Steak fries are often high in fat and sodium due to being fried. While the orange is a healthy fruit, the rest of the meal does not align with the DASH diet principles.
B. This meal is a good example of the DASH diet. The turkey provides lean protein, whole wheat bread offers whole grains, and the green beans are a vegetable. The banana adds a serving of fruit. This combination emphasizes a variety of food groups that are encouraged in the DASH diet, making it a balanced and heart-healthy option.
C. Pork sausage is typically high in saturated fat and sodium, which is not aligned with the DASH diet's recommendations to limit these components. Baked beans can be a good source of fiber but may also contain added sugars and sodium depending on how they are prepared. Overall, this meal does not fit well within the DASH diet framework.
D. While enriched cereal can provide essential vitamins and minerals, it may also be high in added sugars, which is discouraged on the DASH diet. Whole milk is higher in saturated fat compared to low-fat or non- fat dairy options recommended by the DASH diet. Therefore, this meal does not fully meet DASH guidelines.

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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

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Explanation

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Correct Answer is B

Explanation

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