A client is receiving home care due to an unstable blood pressure. Which nursing intervention is a priority?
A) Assess the client's diet.
B) Assess the client's activity level.
C) Assess the client's blood pressure.
D) Assess the client's medication regimen.
Ans: C
Feedback:
While the diet, activity level, and medication regimen should be assessed, the priority intervention for the client with an unstable blood pressure is to first measure the blood pressure.
You might also like to view...
Which of the following theories would be most appropriate for the nurse to use when educating a 38-year-old diabetic Asian patient about her diet?
a. Adaptation Theory b. Change Theory c. Transcultural Theory d. Values Theory
The nurse is caring for a patient admitted with a drug overdose. What is the nurse's priority responsibility in caring for this patient?
A) Support the patient's respiratory and cardiovascular function. B) Provide for the safety of the patient. C) Enhance clearance of the offending agent. D) Ensure the safety of the staff.
A pregnant woman reports that she is still playing tennis at 32 weeks of gestation. The nurse would be most concerned whether this woman consumes which of the following during and after tennis matches?
1. Several glasses of fluid 2. Extra protein sources such as peanut butter 3. Salty foods to replace lost sodium 4. Easily digested sources of carbohydrate
A client is discharged following a heart attack. In using the Stages of Health Behavior Change as a guide, the nurse recognizes that the client is most likely to begin to accept information on diet changes and an exercise program during which stage?
1. Action 2. Preparation 3. Maintenance 4. Contemplation