A patient's blood pressure is measured as 138/88 mm Hg in the right arm. The nurse will anticipate which action as a result of this finding?

1. Initiation of therapy with a thiazide diuretic
2. Repeating the measurement in the left arm
3. Diagnosis of prehypertension will be made
4. Instructing the patient to follow the DASH (dietary approaches to stop hypertension) diet


Answer: 2

Nursing

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A pregnant adolescent is not gaining weight and reports having a few beers with friends over the weekends. Which response should the nurse make to this client? (Select all that apply.)

a. "This just shows what kind of a mother you will be." b. "No amount of alcohol has been proven safe to consume during pregnancy." c. "An occasional beer may be safe, but why take a chance with your baby's health?" d. "Alcohol use during pregnancy is toxic to the fetus and can affect normal development." e. "Alcohol can prevent the absorption of nutrients that are important for fetal development."

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A child, age 7 years, has a fever associated with a viral illness. She is being cared for at home. What is the principal reason for treating fever in this child?

a. Relief of discomfort b. Reassurance that illness is temporary c. Prevention of secondary bacterial infection d. Avoidance of life-threatening complications

Nursing

The client who is taking corticosteroids daily for severe asthma now has an elevated blood glucose level. He asks the nurse if he is now considered diabetic. What is the nurse's best re-sponse?

A. "Yes, the corticosteroids have destroyed the ability of the pancreas to synthesize insulin." B. "Yes, whenever blood glucose levels are abnormally high, the condition is called diabetes." C. "No, the blood glucose level is elevated because corticosteroids increase the syn-thesis of glucose." D. "No, the lack of insulin is temporary and will return to a normal level when the asthma is better."

Nursing

The nurse is assessing a patient's lymph nodes. Which finding would alert the nurse to the possibility of the patient having non-Hodgkin's lymphoma (NHL)?

a. Enlarged lymph nodes that form an adja-cent line of enlargement. b. Painful widespread enlarged lymph nodes. c. Noncontiguous enlarged lymph nodes. d. Enlarged lymph nodes primarily in the neck and axillary region.

Nursing