A patient who does not consume alcohol or nicotine products reports a strong family history of hypertension and cardiovascular disease
The patient has a blood pressure of 126/82 and a normal weight and body mass index for height and age. The nurse will expect to teach this patient about:
a. ACE inhibitors and calcium channel blocker medications.
b. the DASH diet, sodium restriction, and exercise.
c. increased calcium and potassium supplements.
d. thiazide diuretics and lifestyle changes.
ANS: B
This patient has prehypertension without other risk factors. Lifestyle changes are indicated at this point. If blood pressure rises to hypertension levels, other measures, including drug therapy, will be initiated. Calcium and potassium supplements are not indicated.
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Which definitions appropriately identify the four examination techniques used by nurses during the assessment process?
1. Palpation is visualizing, inspection is feeling or touching, percussion is hearing, and auscultation is tapping and listening. 2. Palpation is touching, inspection is feeling, percussion is tapping and listening, and auscultation is listening. 3. Palpation is touching, inspection is looking, percussion is tapping, and auscultation is listening. 4. Palpation is tapping and listening, inspection is listening, percussion is touching, and auscultation is smelling.
A nurse in a psychiatric care unit finds that a client with psychosis has become violent and has struck another patient in the unit. What action should the nurse take in this case?
A) Do not restrain the client, as it is equivalent to false imprisonment. B) Restrain the client, as he is harmful to the other patients. C) Do not restrain the client, as it is equivalent to battery. D) Inform the physician and complete a comprehensive assessment.
Which of the following sources would be most useful for a researcher conducting a literature review?
a. Article from a non-refereed professional journal b. Expert opinion article written by a noted theorist c. Discussion of the latest research findings in a lay journal d. Research reports found in a refereed professional journal
During palpation of a client's testes, the nurse notes a small, hard lump on the anterior aspect of one testis. The nurse's most appropriate action would be to
a. do nothing, since this is a normal finding. b. palpate the groin for an associated hernia. c. perform transillumination of the scrotum. d. recommend the client take antibiotics.