The nurse is caring for a client newly diagnosed with hypertension beginning therapy with antihypertensives. Which of the following would be the nursing priority regarding measurement of vital signs?
1. Vital signs every 4 hours
2. Blood pressure immediately prior to the medication and 1 hour after
3. Vital signs every 12 hours and blood pressure every 6 hours
4. Blood pressure 2 hours after the administration of the medication
2
Rationale: The nurse should take the client's blood pressure immediately prior to giving the medication and 1 hour after administration to monitor effectiveness of the therapy. It is not necessary to take the full set of vital signs unless the physician has ordered it or it is time for the vital signs according to policy.
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What information does the nurse teach a women's group about osteoporosis?
a. "For 5 years after menopause you lose 2% of bone mass yearly." b. "Men actually have higher rates of the disease but are underdiagnosed." c. "There is no way to prevent or slow osteoporosis after menopause." d. "Women and men have an equal chance of getting osteoporosis."
Alternative products and practices are options to regular health care.
Answer the following statement true (T) or false (F)
In making emergency equipment available at the bedside of a client who has undergone subtotal thyroidectomy, the nurse would include
a. a defibrillator. b. a tracheostomy set. c. an electrocardiogram (ECG) monitor. d. an intra-aortic balloon pump.
Which stem question best indicates that an "Analysis" category question is being asked?
a. Which action should the nurse perform first? b. You know your teaching concerning co-lostomy care was successful if the client makes which statement? c. Identify the data that are most important to obtain for a client with cardiac disease. d. Which nursing diagnosis has the highest priority?