If a patient's blood pressure is 152/94 mm Hg, they have
a. normal blood pressure.
b. prehypertension.
c. stage 1 hypertension.
d. stage 2 hypertension.
C
Blood pressure of 152/94 mm Hg is considered stage 1 hypertension. Stage 1 hypertension is systolic blood pressure 140 to 159 mm Hg or diastolic blood pressure 90 to 99 mm Hg. Stage 2 hypertension is systolic blood pressure >160 mm Hg or diastolic blood pressure 110 mm Hg. Prehypertension is systolic blood pressure 120 to 139 mm Hg or diastolic blood pressure 80 to 89 mm Hg. Normal blood pressure is systolic blood pressure <120 mm Hg and diastolic blood pressure <80 mm Hg.
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The patient is hemorrhaging and the nurses are assisting in preparing the nursing care plan for the patient. Nursing diagnoses for this patient include which of the following?
1. Increased cardiac output related to vasodilation and fear related to possible im-pending death 2. Increased cardiac output related to hypervolemia and fear related to possible im-pending death 3. Decreased cardiac output related to hypertension and fear related to possible im-pending death 4. Decreased cardiac output related to hypovolemia and fear related to possible im-pending death
After surgical debridement of diseased bone, a client with acute osteomyelitis asks how long antibiotics will be administered. The nurse should respond that the antibiotic protocol will be
a. oral antibiotics for 2-4 weeks. b. oral antibiotics for 4-8 weeks. c. parenteral for 4-8 weeks, then oral for 4-8 weeks. d. parenteral for 4-8 weeks, then oral for 1 year.
Which of the following statements illustrates the effect of the sociocultural dimension on health and illness?
A) "Why shouldn't I drink and drive? Everyone else does." B) "My mother has sickle cell anemia, and so do I." C) "I know I have heart problems, so I have changed my diet." D) "I used biofeedback to lower my blood pressure."
Four minutes after the birth of a client's baby, there is a sudden gush of blood from the client's vagina and about eight inches of umbilical cord slides out of her vagina. What action should the nurse take first?
A. Place the bed in Trendelenberg position. B. Watch for the emergence of the placenta. C. Prepare for the delivery of an undiagnosed twin. D. Roll her onto her left side.