During a health screening, a patient's blood pressure is confirmed by two clinic nurses to be 220/120 mm Hg. Which of the following actions should the nurse recommend to the patient?

“Take off work for the rest of the day to rest at home."

"Return to work and have your blood pressure rechecked in 2 days."

"Take two doses of blood pressure medication right now."

"Sit quietly while we call 911 to request an ambulance."

Answer and Explanation

The Correct Answer is D

A. “Take off work for the rest of the day to rest at home.": This advice is not adequate for such a high blood pressure reading, which indicates a hypertensive crisis that requires immediate medical intervention.
B. "Return to work and have your blood pressure rechecked in 2 days.": This is inappropriate as it delays necessary urgent medical evaluation and treatment.
C. "Take two doses of blood pressure medication right now.": Without medical supervision, this could be dangerous and is not appropriate in an emergency situation where the blood pressure is critically high.
D. "Sit quietly while we call 911 to request an ambulance.": A blood pressure of 220/120 mm Hg suggests a hypertensive emergency, which can lead to life-threatening complications like stroke or heart attack. The patient needs immediate medical attention, and calling 911 is the appropriate response.

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

Explanation

A. Monitor pulse before taking medicine: For certain blood pressure medications, such as beta blockers or some calcium channel blockers, monitoring the pulse is important because these medications can lower the heart rate. Patients should be advised to check their pulse and report if it is too low.
B. Continue taking medications even if feeling better: It is crucial for patients to understand that antihypertensive medications manage symptoms but do not cure hypertension. Stopping the medication can lead to a rebound effect, potentially causing dangerously high blood pressure.
C. Do not skip doses: Regular intake of medication is essential for maintaining stable blood pressure levels. Missing doses can lead to ineffective control of hypertension and increase the risk of complications.
D. Eat a diet high in fats and processed food: This is incorrect. Patients should be advised to eat a healthy, balanced diet low in fats and processed foods to help manage their blood pressure and overall cardiovascular health.
E. Exercise regularly: Regular physical activity helps in controlling blood pressure and improving overall cardiovascular health. It is important to include exercise as part of lifestyle modifications for managing hypertension.

A. Bilateral edema of the legs B. Bilateral hyperemia of the legs C. Bilateral full superficial leg veins D. Left leg cool, cyanotic skin

Correct Answer is D

Explanation

A. Bilateral edema of the legs: While significant, bilateral edema is a common symptom of venous insufficiency and generally less urgent compared to signs of compromised circulation.
B. Bilateral hyperaemia of the legs: Hyperaemia (increased blood flow) is less concerning compared to cyanosis and coolness, which suggest severe impairment.
C. Bilateral full superficial leg veins: Prominent veins are typical in venous insufficiency and do not indicate an immediate threat.
D. Left leg cool, cyanotic skin: This is correct. Cool, cyanotic skin indicates poor perfusion and potential arterial involvement or severe venous congestion, requiring urgent assessment to prevent tissue damage.

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During a health screening, a patient's blood pressure is confirmed by two clinic nurses to be 220/120 mm Hg. Which of the following actions should the nurse recommend to the patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When taking blood pressure medications, it is important to reinforce education with the patient on which topics? Select all that apply.

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

Explanation

The nurse is collecting data on a patient with bilateral acute venous insufficiency. Which of the following clinical manifestations would be a priority for the nurse to report?

Correct Answer is D

Explanation

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