Which example indicates confirmed hypertension?
a. patient whose blood pressure is 150/96 after 20 minutes of aerobic exercise
b. patient whose blood pressure is 162/104 before dental surgery
c. patient whose blood pressure is 165/98 and 146/92 taken at the beginning and end of a routine physical assessment
d. patient whose blood pressure is 152/96 and 154/98 taken on two consecutive visits with his family physician after an initial screening
D
Hypertension, or high blood pressure, is usually confirmed when an adult patient has blood pressure readings remaining consistently above 120 mm Hg systolic and 80 mm Hg diastolic, on two consecutive visits after an initial screening.
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When caring for a client with a dissociative disorder, what is the best nursing intervention to aid in preventing the client's regression further into the dissociative state?
A) Avoid flooding the client with details of past traumatic events. B) Use stimuli that stimulate pleasant memories and pleasurable feelings for the client. C) Model positive and desired behaviors. D) Develop a contract between the client and the staff for dealing with self-destructive behaviors.
Teaching a client who will soon begin radiation therapy for treatment of breast cancer, the nurse would tell the client that she should expect
a. a low-residue diet to decrease diarrhea. b. dry, itchy skin changes to develop. c. pain in the long bones, especially the legs. d. permanent pigment changes to the breast.
The nurse evaluates the surgical incision before removing the patient's staples. What assessment finding would suggest staple removal is contraindicated for now?
a. The area could have an increased risk of visible scarring. b. There is a small open area along the inci-sion. c. The site is without drainage or erythema. d. The patient is quite anxious about the staple removal.
A patient tells the nurse, "My husband is abusive most often when he drinks too much. His family was like that when he was growing up. He always apologizes and regrets hurting me." What risk factor was most predictive for the husband to become abusive?
a. History of family violence b. Loss of employment c. Abuse of alcohol d. Poverty