The client diagnosed with primary hypertension states, "I don't know why the doctor is worried about my blood pressure. I am feeling just fine." Which statement by the nurse would be the most appropriate response?

Your blood pressure reflects how strong your heart muscle contracts."

"If you feel good your medication is working properly"

"Even if you are feeling good, damage can occur to your heart and kidneys."

"Have you told your doctor that you are feeling good?"

Answer and Explanation

The Correct Answer is C

A. Your blood pressure reflects how strong your heart muscle contracts: This statement oversimplifies the complexities of blood pressure and doesn't directly address the client's misunderstanding about the implications of hypertension.

B. "If you feel good your medication is working properly": While this may be true, it fails to convey the importance of monitoring blood pressure, regardless of symptoms. It might lead the client to believe that feeling well means there are no health concerns.

C. "Even if you are feeling good, damage can occur to your heart and kidneys": This response is the most appropriate as it emphasizes that hypertension can cause silent damage over time, even in the absence of symptoms. It educates the client about the potential long-term consequences of uncontrolled hypertension.

D. "Have you told your doctor that you are feeling good?": While it encourages communication, it does not provide useful information or address the client’s misconceptions about hypertension and its risks.

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Correct Answer is ["A","D","E"]

Explanation

A. Bottle spoon-shaped fingernails: This is a classic sign associated with iron deficiency anemia, known as koilonychia. The nails may appear thin, brittle, and spoon-shaped, indicating a deficiency in iron.

B. Platelets 400,000/µL: This platelet count is within the normal range (typically 150,000 to 450,000/µL) and does not specifically indicate iron deficiency anemia. Thus, it is not an expected finding.

C. Red blood cell count 4.5 million/mm³: This value is within the normal range for females (approximately 4.2 to 5.4 million/mm³). In iron deficiency anemia, one would expect the RBC count to be low or at least on the lower end of normal.

D. Hemoglobin 8.0 g/dL: This low hemoglobin level is indicative of anemia. In iron deficiency anemia, hemoglobin levels are often significantly decreased, so this finding aligns with the client's condition.

E. Tachypnea: Increased respiratory rate can occur in response to anemia, as the body attempts to compensate for decreased oxygen-carrying capacity by increasing breathing rate. Therefore, tachypnea is a likely finding in this client.

A. Encourage oral fluids. B. Record the client's weight C. Take a pulse oximetry reading D. Place the call bell in reach of the client

Correct Answer is D

Explanation

A. Encourage oral fluids: While hydration is important, it is not the most immediate concern following the administration of prazosin.

B. Record the client's weight: Weight monitoring is not specifically indicated after the initial dose of prazosin and is not a priority action in this context.

C. Take a pulse oximetry reading: While monitoring oxygen saturation is important in many situations, it is not directly related to the administration of prazosin, which primarily affects blood pressure.

D. Place the call bell in reach of the client: This is the most appropriate action. Prazosin can cause orthostatic hypotension, particularly after the first dose, leading to dizziness or fainting. Ensuring that the call bell is within reach allows the client to request help if they feel lightheaded or need assistance.

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The client diagnosed with primary hypertension states, "I don't know why the doctor is worried about my blood pressure. I am feeling just fine." Which statement by the nurse would be the most appropriate response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A female client with iron-deficiency anemia is experiencing increased fatigue and a shiny red tongue. The nurse would anticipate seeing which additional assessment finding(s) (SELECT ALL THAT APPLY)

Correct Answer is ["A","D","E"]

Explanation

The nurse administers the first dose of prazosin 1 mg PO to a client. Which nursing action is most appropriate following the administration of this medication?

Correct Answer is D

Explanation

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