A 32-year-old patient with diabetes reports sudden onset of headaches, blurred vision, and dyspnea. The patient's blood pressure is normally 120/80 mm Hg, but today is 200/130 mm Hg. What condition does the nurse suspect?
a. Sustained hypertension
b. Malignant hypertension
c. Primary hypertension
d. Secondary hypertension
Answer: b. Malignant hypertension
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Vaginal examination reveals the presenting part is the infant's head, which is well flexed on the chest. What is this presentation?
a. Vertex b. Military c. Brow d. Face
The patient's temperature has reached 103.4° F. The nurse prepares to draw a blood culture before giving the patient an antipyretic medication. What is the best reason to draw a blood culture before giving an antipyretic medication?
a. The causative organism is most prevalent during a spike in temperature. b. Elevated temperatures slow metabolic rate and improve blood oxygenation. c. Increased blood flow leads to moist mucous membranes making blood draws easier. d. Venous distention is greater because of fluid retention secondary to hyperthermia.
The nurse discussing substance abuse relapse prevention with a client will be most effective if he or
she instills the idea that relapse is best viewed as a. an opportunity to define the client change effort. b. a failure of the treatment program. c. a learning experience. d. a personal failure.
Select the most serious problem encountered when institutional licensure is used
a. The standards are too difficult for most nurses to meet. b. It makes moving from one institution to another more difficult. c. Many qualified individuals are excluded from the profession. d. There are no external controls to determine a minimum level of ability.