The nurse is contributing to the plan of care for a 76-year-old patient who is hypertensive. When following physician orders to treat elevated blood pressure, which of these guidelines should be used?
a. Reduce blood pressure quickly.
b. Reduce blood pressure slowly.
c. Increase heart rate rapidly.
d. Increase heart rate slowly.
ANS: B
Older adults may be more sensitive to medications, so monitor them carefully for adverse effects. Reduce blood pressure slowly to prevent complications such as stroke.
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A semiconscious woman is brought to the emergency department after she was found on the floor in her kitchen. Her face, nail beds, lips, and oral mucosa are a bright cherry-red color. The nurse suspects that this coloring is due to:
a. Polycythemia. b. Carbon monoxide poisoning. c. Carotenemia. d. Uremia.
Assessment findings vary based upon the type of chemical agent exposure during a terrorist attack or war. The chemical sulfur mustard is an example of which of the following types of chemical warfare agents?
A) Nerve agents B) Blood agents C) Pulmonary agents D) Vesicants
The nurse is preparing to assess a client's abdomen. The correct order for assessment of the abdomen is:
a. auscultation, inspection, palpation, percussion. b. auscultation, palpation, percussion, inspection. c. inspection, auscultation, palpation, percussion. d. inspection, auscultation, percussion, palpation.
The client is on strict bedrest following hip surgery. Which of the following nursing interventions would support vascular health?
A) Place pillows under the unaffected knee for support. B) Keep the client in a prone position for at least 20 minutes twice a day. C) Have the client alternately flex and extend the feet several times a day. D) Position the bed to flex the knees at least 20 degrees.