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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Bradycardia, or a slower-than-normal heart rate, is not typically associated with anemia due to blood loss. Instead, anemia often leads to tachycardia (increased heart rate) as the body compensates for the reduced oxygen-carrying capacity of the blood.
B. Hypertension, or elevated blood pressure, is not a common finding in cases of anemia from blood loss. In fact, blood loss often results in hypotension (low blood pressure) due to decreased blood volume and circulating fluid.
C. Fatigue is a common symptom of anemia. As the body's ability to transport oxygen decreases due to the lack of sufficient red blood cells, the client may experience weakness, tiredness, and general fatigue, especially after surgery.
D. Diarrhea is not a typical finding associated with anemia from blood loss. While certain conditions causing anemia (such as gastrointestinal bleeding) could lead to changes in bowel habits, diarrhea itself is not a direct consequence of anemia. Instead, clients may experience symptoms more related to fluid volume status and energy levels.
Correct Answer is ["3.4"]
Explanation
1 pound is approximately 0.453592 kilograms.
25 pounds * 0.453592 kg/pound = 11.3398 kg Calculate the total daily dosage:
15 mg/kg/12 hours * 11.3398 kg = 170.097 mg/12 hours
170.097 mg/12 hours * 2 doses/day = 340.194 mg/day Determine the amount of elixir needed per dose:
250 mg/5 mL = 50 mg/mL (strength of the elixir)
340.194 mg/day ÷ 2 doses/day = 170.097 mg/dose
170.097 mg/dose ÷ 50 mg/mL = 3.4 mL/dose
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