An African American male patient has a blood pressure of 180/104 mm Hg. When asked about the blood pressure, the patient states that he is not on any medication and is unsure if the blood pressure level is unsafe. What should the nurse do?
1. Nothing since the blood pressure may not be accurate and does not need to be addressed
2. Initiate secondary prevention to prevent the progression of illness.
3. Nothing since this is normal for someone in the hospital
4. Reassess the blood pressure with the patient in a standing position.
2
Rationale: There is no way of knowing if the patient's blood pressure is inaccurate. Even if it is not, the blood pressure should be measured again and addressed.
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The nurse explains that ___________ is a procedure in which an incompetent cervix is sutured closed to prevent its opening when the fetus presses against it
ANS:
The breastfeeding woman whose recommended prepregnant caloric intake was 2000 calories per day would need how many calories per day to meet her current needs?
a. 2300 b. 2500 c. 2750 d. 3000
Following a fall, a patient is brought to the emergency department
There was a brief loss of consciousness; the patient complains of headache, has vomited twice, has a dilated pupil on the same side as a hematoma over the temporal area, and is currently having a seizure. The nurse prepares to care for this patient based on which evaluation of this assessment? 1. This is an emergency situation likely involving an epidural hematoma and requires surgery. 2. This is a controlled situation once the seizure stops. 3. This is a serious situation in which a subdural hematoma is developing and requires surgery. 4. This is a typical situation seen with most patients who fall, and symptoms will subside with observation.
A postoperative patient is being discharged home with acetaminophen/hydrocodone (Lortab) for pain. The patient asks the nurse about using Tylenol for fever. Which statement by the nurse is correct?
a. "It is not safe to take over-the-counter drugs with prescription medications." b. "Taking the two medications together poses a risk of drug toxicity." c. "There are no known drug interactions, so this will be safe." d. "Tylenol and Lortab are different drugs, so there is no risk of overdose."