An adult client has a blood pressure of 136/88 mm Hg. The nurse realizes this reading indicates:
a. a normal blood pressure reading.
b. prehypertension.
c. stage 1 hypertension.
d. stage 2 hypertension.
ANS: B
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A newly hired graduate nurse is asking the preceptor why the facility uses a standardized template for change-of-shift reports. The preceptor explains that this template is used to
a. decrease communication failures at a risky time. b. decrease reports containing frivolous information. c. ensure all nurses get the same patient information. d. make it easier for nurses to remember what to say.
Seven of 100 research subjects voluntarily withdrew from a study. Which action by the author of the study is most appropriate?
1. The loss of any research subjects should be included in the study's abstract. 2. The discussion of the population studied should include any subjects who did not complete the study as planned. 3. If the loss of participants is less than 10%, disclosure is not needed. 4. If the loss of participants does not impact the integrity of the study, it is not necessary to report it.
The nurse is reviewing a client's medical records and notes various information. The nurse understands that which of the following is an example of objective data?
1. "I hurt my head." 2. "I am 6 years old and I'm here because I fell." 3. "Six-year-old Hispanic female sitting on examination table holding a towel to her forehead." 4. "Client states that she fell at the playground."
The pediatric nurse assessing a patient for breath sounds documents a loud, high-pitched sound heard only over the trachea. The nurse is aware that this sound is called:
A) a vesicular breath sound. B) a bronchial breath sound. C) an adventitious breath sound. D) a bronchovesicular breath sound.