Which blood pressure (BP) finding by the nurse indicates that no changes in therapy are needed for a 48-year-old patient with newly diagnosed hypertension?

128/76 mm Hg

148/78 mm Hg

98/56 mm Hg

128/92 mm Hg

Answer and Explanation

The Correct Answer is A

Choice A reason: A blood pressure of 128/76 mm Hg is within the target range for a patient with hypertension, indicating that the current therapy is effectively managing the condition. This reading is below the generally accepted threshold for hypertension, which is 140/90 mm Hg.

Choice B reason: A blood pressure of 148/78 mm Hg is above the target range for hypertension management. This reading suggests that the patient may need an adjustment in their therapy to better control their blood pressure and reduce the risk of cardiovascular complications.

Choice C reason: A blood pressure of 98/56 mm Hg is too low and may indicate hypotension, which can be a concern, especially if the patient experiences symptoms like dizziness or fainting. This reading suggests that the patient's therapy may need to be adjusted to avoid excessively lowering blood pressure.

Choice D reason: A blood pressure of 128/92 mm Hg shows an elevated diastolic pressure, which is above the target range. This indicates that the patient's hypertension is not fully controlled, and adjustments in therapy may be needed to bring both systolic and diastolic pressures within the desired range.

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

Explanation

Choice A reason: Performing assisted coughing is crucial for patients with spinal cord injuries who may have weakened respiratory muscles. Assisted coughing helps clear secretions from the airways, thus improving oxygenation and preventing respiratory complications like pneumonia.

Choice B reason: Administering steroids is not a primary intervention for addressing hypoxia in patients with spinal cord injuries. Steroids can be used to reduce inflammation, but they do not directly improve respiratory status or oxygenation.

Choice C reason: Administering oxygen is a direct and effective intervention for managing hypoxia. Supplemental oxygen helps ensure that the patient maintains adequate blood oxygen levels, which is critical for overall tissue perfusion and function.

Choice D reason: Administering antibiotics is not immediately relevant to the treatment of hypoxia unless there is an underlying infection causing or contributing to respiratory distress. Antibiotics are used to treat infections, not directly to improve respiratory status in cases of hypoxia.

A. Weight gain B. Cardiovascular problems C. Swallowing challenges D. Obesity

Correct Answer is C

Explanation

Choice A reason: Weight gain is not commonly associated with Parkinson's disease. In fact, patients with PD often experience weight loss due to increased energy expenditure from tremors and muscle rigidity, as well as difficulties with eating.

Choice B reason: Cardiovascular problems are not directly caused by Parkinson's disease. While PD patients may have cardiovascular issues, these are typically related to age or other comorbid conditions rather than PD itself.

Choice C reason: Swallowing challenges, or dysphagia, are a significant concern for patients with Parkinson's disease. The motor symptoms of PD, including muscle rigidity and bradykinesia, can affect the muscles involved in swallowing, leading to difficulty eating and an increased risk of aspiration and choking. Addressing swallowing challenges is crucial for maintaining nutrition and preventing respiratory complications.

Choice D reason: Obesity is not a typical issue for patients with Parkinson's disease. As mentioned earlier, weight loss is more common due to the disease's impact on motor function and the effort required for daily activities.

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Which blood pressure (BP) finding by the nurse indicates that no changes in therapy are needed for a 48-year-old patient with newly diagnosed hypertension?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The arterial blood gas (ABG) report of a patient with a spinal cord injury indicates hypoxia. Select two interventions the nurse would perform to improve the patient's respiratory status.

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

Explanation

Which clinical problem would the nurse include in the care plan for a patient with Parkinson's disease (PD)?

Correct Answer is C

Explanation

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