A client's blood pressure has been measured at 130/86 mmHg on two separate occasions. The nurse realizes this client's blood pressure reading would be categorized as being:
1. normal.
2. prehypertension.
3. stage 1 hypertension.
4. stage 2 hypertension.
2
Prehypertension is a new designation used to identify individuals at high risk for the development of hypertension. Systolic blood pressure of 120 to 139 and diastolic blood pressure of 80 to 90 are values for prehypertension. A normal blood pressure is less than or equal to 120 mmHg systolic and less than or equal to 80 mmHg diastolic. Stage 1 hypertension is a systolic blood pressure between 140 to 159 and a diastolic pressure between 90 to 99. Stage 2 hypertension is a systolic reading greater than or equal to 160 and a diastolic pressure of greater than or equal to 100 mmHg.
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A. "Do you think your wife could benefit from some counseling?" B. "Recent research has shown that this is a common behavior." C. "This is a totally normal response and will be over soon." D. "You can always go out fishing or bowling when it is too much."
The perinatal nurse is explaining to a nursing student that which of the following are problems more frequently associated with twin gestation births? (Select all that apply.)
A. Adherent placentas and bleeding B. Intrauterine growth restriction C. Long-term fetal disabilities D. Abnormal fetal presentations E. Requirement for cesarean delivery
The nurse is preparing to document care provided to a client who received rescue breathing while being transported to radiology. Which items will the nurse include in the documentation for this client?
Select all that apply. 1. Date and time of event 2. Factors that precipitated the event 3. Length of time with no breathing 4. Response to rescue breathing 5. Tasks assigned to the unlicensed assistive personnel
Which measure should the nurse include in the care plan to loosen thick secretions in the patient with respiratory failure?
A) Incentive spirometry B) Supplemental oxygen via face mask C) Chest percussion and vibration D) Pursed lip breathing