An elderly client comes to the clinic after checking his blood pressure several times in the local discount store. The nurse checks the blood pressure and finds that it is 146/80. The nurse's best response to this client is:
1. "Having blood pressure a little high is normal at your age. Yours is fine."
2. "I'll recheck this in a while, but your systolic pressure is too high."
3. "We'll wait and see what the doctor says, but I doubt he will be concerned."
4. "You should be on high blood pressure medicine."
Correct Answer: 2
Rationale 1: Now, evidence indicates that a systolic pressure of greater than 140 mm Hg is as problematic in older adults as in younger ones and should be treated.
Rationale 2: Isolated systolic hypertension was considered to be "normal" in older adults and was frequently not treated. Now, evidence indicates that a systolic pressure of greater than 140 mm Hg is as problematic in older adults as in younger ones and should be treated.
Rationale 3: Now, evidence indicates that a systolic pressure of greater than 140 mm Hg is as problematic in older adults as in younger ones and should be treated.
Rationale 4: It would be up to the physician or primary care provider whether or not to treat. The nurse does not make this decision.
You might also like to view...
The nurse is caring for a client whose spouse died 3 years ago. The client states to the nurse, "I have dinner with my wife every Saturday night." The client tells the nurse that he includes a table setting for her and prepares their "usual" ste
He also lights a candle for her each week marking the time of her death. Based on this data, which nursing diagnosis is most appropriate for this client when planning care? A) Risk for Bereavement B) Ineffective Coping C) Complicated Grieving D) Death Anxiety
A veteran nurse working on the medical-surgical unit of an urban hospital is frequently consulted by other staff members on clinical issues and new procedures. What characteristics of the informal leader does this veteran nurse demonstrate? Select all that apply.
A) Seniority B) Insecurity C) Special abilities D) Age E) Supervisory position
How can the LPN/LVN charge nurse meet needs for affiliation among staff on their shift?
a. Reorient all staff to policies and shift routine. b. Encourage attendance at continuing education seminars. c. Arrange a social gathering for the staff on the shift. d. Offer training in violence prevention.
The dose-limiting side effect of doxorubicin is:
A. Cardiac toxicity B. Nephrotoxicity C. Neuropathy D. Ototoxicity