A 90-year-old client's blood pressure reading is 150/88. The client reports no other symptoms or medical history of illness. The nurse would instruct the client to
A) do nothing, this is a normal variant of aging.
B) go to the emergency department for further evaluation and treatment.
C) contact the primary care provider for further evaluation and treatment.
D) have the blood pressure rechecked in a month.
C
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A patient is admitted with possible head and spinal cord injuries sustained after falling from a ladder. Which diagnostic test should the nurse expect to be prescribed that will identify the type and extent of this patient's injuries?
1. magnetic resonance imaging 2. cervical spine x-rays 3. spinal cord x-rays 4. cerebral angiogram
A 3-year-old child has been admitted to the hospital after an automobile accident. Which statement by the nurse would be most appropriate when discussing the type of behavior the parents can expect their child to display while hospitalized?
A) "Your child may not be able to accept how the injury has changed your child's appearance." B) "Your child may seem unduly anxious in the presence of strangers." C) "Your child may experience some guilt feelings associated with the accident." D) "Your child will exhibit intermittent periodic mood swings, but these should be brief."
Which of the following interventions best reflects the nurse's understanding of direct care inter-ventions regarding a cognitively impaired client's need for social interaction?
1. Arranging for the client to attend a "sing along" in the dayroom 2. Helping the client place a long distance telephone call to his daughter 3. Turning the client's television on when his or her favorite program is playing 4. Talking about the client's favorite sport's team while redressing his or her wound
Which of the following sites would be the most appropriate choice to use to measure a client's temperature who has a history of heart disease and has just eaten a bowl of vegetable soup?
1. Axilla 2. Oral 3. Popliteal 4. Rectal