The treatment of hypertension in patients is accomplished at many sites in the body. The nurse administers diuretics to help achieve the goal of reducing the blood pressure through which means? (Select all that apply.)
a. Water is lost with fluid intake directly.
b. Indirect production of sodium and water loss
c. Lowering peripheral resistance
d. Reduction of arterial tone
e. Reduction of arterial rigidity
ANS: B, D, E
Diuretics indirectly reduce blood pressure by producing sodium and water loss and lowering the tone or rigidity of the arteries.
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A patient's weekly blood pressure readings for 2 months have ranged between 124/84 mm Hg and 136/88 mm Hg, with an average reading of 126/86 mm Hg. The nurse knows that this blood pressure falls within which blood pressure category?
a. Normal blood pressure b. Prehypertension c. Stage 1 hypertension d. Stage 2 hypertension
The nurse who uses the computer during client care notices a tingling in one hand. In order to minimize potential harm to the wrist, the nurse plans to:
1. Use a glare filter. 2. Obtain a wrist rest. 3. Use a firm board to rest the palm. 4. Use a lumbar support.
What do standards of care measure?
A) Minimal levels of care B) Optimal levels of care C) Universal and cultural standards of practice D) Levels of gross negligence
The patient is a 56-year-old man who has terminal cirrhosis and severe ascites. He is lethargic but is demonstrating signs of discomfort and respiratory distress
The physician has spoken with the patient's wife and has obtained consent to perform an abdominal paracentesis on the patient. After the physician leaves to prepare for the procedure, the wife asks the nurse whether the procedure is really necessary. The nurse should respond by saying this: a. is the first step in the patient's recovery. b. may help the patient feel better. c. is needed to detect increased intracranial pressure. d. is needed to analyze pleural fluid.