A patient's weekly blood pressure readings for 2 months have ranged between 124/84 mm Hg and 136/88 mm Hg, with an average reading of 126/86 mm Hg. The nurse knows that this blood pressure falls within which blood pressure category?
a. Normal blood pressure
b. Prehypertension
c. Stage 1 hypertension
d. Stage 2 hypertension
ANS: B
According to the Seventh Report of the Joint National Committee (JNC 7) guidelines, prehypertension blood pressure readings are systolic readings of 120 to 139 mm Hg or diastolic readings of 50 to 89 mm Hg.
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A client angrily tells the nurse that he cannot understand why he has liver cancer when he started out with bladder cancer
The nurse would recognize that the client misunderstands how a malig-nant tumor metastasizes when he states that cancer can spread by a. attaching to white blood cells. b. direct extension into the lymphatic system. c. invasion into the blood vessels. d. new growths into internal body cavities.
On her second prenatal visit, a woman states that she feels like she needs to urinate "all the time, even during the night." She says she has reduced her fluid intake to control this problem. The nurse should tell her to:
a. "Drink more fluids during the day and less in the evening." b. "Bring in a urine specimen because you probably have an infection." c. "Decrease your fluid intake until you no longer have to urinate so often." d. "Try to resist the urge to urinate as long as possible to increase your bladder capacity."
A client tells the nurse that bathing is done at the sink in the bathroom at home because it is difficult to physically lift the legs to get into the shower. The nurse identifies which factor as influencing this client's hygienic practice?
1. Religion 2. Personal preference 3. Culture 4. Health and energy
The M'Naghten test requires that if a defendant either does not know the significance of his or her actions or does not know that it was wrong, he or she:
a. must be hospitalized b. can still be tried in criminal court c. must be appointed a guardian d. cannot be held legally accountable