The nurse measures a patient's blood pressure as 144/88 mmHg. What intervention would be most appropriate for this patient?
A. Remeasure the blood pressure in a few minutes.
B. Inform the physician so antihypertensive medication can be prescribed.
C. Offer the patient a glass of water.
D. Provide stress-reduction techniques.
Answer: A
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While performing an endocrine assessment on a client suspected of having Cushing disease, the nurse asks if the client has experienced recent weight changes. Which portions of the endocrine systems is the nurse assessing?
Select all that apply. A) Gonads B) Pituitary gland C) Thyroid gland D) Adrenal gland E) Parathyroid gland
The following catheterization procedures are used to treat clients with urinary retention. Which of the following procedures carries the greatest risk?
A) Suprapubic cystostomy tube B) Permanent drainage with a urethral catheter C) Clean intermittent catheterization D) Credé voiding procedure
The medical record of your patient lists a grade III systolic murmur. This indicates the patient has a heart murmur that is:
A. Soft and after S2 B. Loud and crescendo in quality C. Moderately loud and after S1 D. Loud and after S2
Which of the following circumstances indicates that a 5-year-old about to enter grade school should be screened for current illness before receiving her immunizations?
A. she will cry and hurt too much B. her father is chronically ill at home C. she has another year before she needs them D. her mother passed immunity to her at birth