Prior to assessing a client's blood pressure, the nurse reviews factors that could affect the reading. Which factors could impact blood pressure?
1. Stress.
2. Race.
3. Obesity.
4. Medications.
5. Employment.
Correct Answer: 1,2,3,4
Rationale 1: Stimulation of the sympathetic nervous system increases cardiac output and vasoconstriction of the arterioles, increasing the blood pressure reading.
Rationale 2: African-Americans over 35 years of age tend to have higher blood pressures than do European Americans of the same age.
Rationale 3: Both childhood and adult obesity predispose to hypertension.
Rationale 4: Many medications, including caffeine, can increase or decrease the blood pressure.
Rationale 5: Employment is not a factor that affects blood pressure.
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A client who takes metoprolol, furosemide, and terazosin is experiencing a new onset of leg cramps. Which reason should the nurse suspect as causing this client to have this symptom?
a. Hypokalemia b. Iron deficiency c. Folate deficiency d. Vitamin D deficiency
A client is receiving intravenous morphine every hour for severe pain. The nurse assesses the client and notes a blood pressure of mm Hg, pulse rate of 90 beats/min, and respirations of 6 breaths/min
Which action by the nurse takes priority? The nurse should a. administer the next dose of morphine when it is due. b. notify the physician about the patient's hypotension. c. prepare to administer naloxone (Narcan). d. return in 1 hour so the client can get some uninterrupted sleep.
Which information should the nurse include in the teaching plan for the parents of a child who is diagnosed with autism spectrum disorder (ASD) as methods to increase the child's socialization?
1. Create a reward system when the child interacts with a person. 2. Punish the child when the child's social behaviors are inappropriate. 3. Use dolls to demonstrate appropriate social interactions to the child. 4. Enroll the child in a day care facility to encourage interaction with other children.