The nurse is presenting a discussion to a senior citizen group on the management of hypertension. A client with a history of diabetes and myocardial infarction asks if the target blood pressure of 120/80 applies to all clients
The nurse would respond to the client's question by stating target blood pressure is
A) the same for all clients.
B) the same for all diagnosed hypertension clients.
C) appropriate only for clients under the age of 60.
D) different for clients with multiple risk factors, such as diabetes and known heart disease.
D
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The client's IV therapy for 6 hours started at 3 AM. What is the correct military time that the nurse should document in the chart that the IV therapy was stopped?
A) 0300 B) 0900 C) 3 AM D) 9 AM
A patient who is receiving intravenous (IV) chemotherapy asks why you are wearing a mask, gloves, and gown when giving the drugs. What is your best response?
a. "These drugs will reduce your immune response, and with these coverings I am protecting you from getting an infection from me." b. "Because your immunity is reduced by this therapy, I am preventing the spread of infection from you to me or any other patient here." c. "The drugs are powerful and I handle them every day. The clothing protects me from accidentally absorbing these strong drugs." d. "The hospital policy is for any person giving these drugs to wear gowns, gloves, and masks to prevent other people from getting cancer."
The nurse is teaching a nursing student the correct technique for assessing an apical pulse. Which method when used by the student demonstrates she knows the correct location to take an adult patient's apical pulse?
a. Percusses the left ventricular wall b. Palpates along the left sternal border c. Directs the patient to lie in a supine posi-tion d. Listens at the fifth intercostal space at the point of maximal impulse (PMI)
A nurse caring for a client in a healthcare facility has completed a client's care plan. Which step should the nurse take to evaluate the client's care plan?
A) Plan future nursing care for the client. B) Assess the client regularly according to the time frame outlined in the care plan. C) Identify the care that the client will need when discharged from the healthcare facility. D) Identify factors contributing to the success or failure of identified goals.