An older patient has a blood pressure reading of 150/88. The patient reports no other symptoms or medical history of illness. What should the nurse instruct the patient to do?
1. Have the blood pressure rechecked in a month.
2. Do nothing since this is a normal variant of aging.
3. Go to the emergency department for further evaluation and treatment.
4. Contact the primary care provider for further evaluation and treatment.
4
Rationale: Waiting for 1 month to recheck the blood pressure is too long of a period of time for evaluation and treatment.
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A female patient calls the clinic and reports that since she has been taking dextromethorphan (Robitussin), she has been extremely drowsy and dizzy. The nurse will question the patient about which of the following?
A) The amount of tea or soft drinks she has during the day B) The amount of grapefruit or orange juice she has during the day C) The number of cups of coffee she has during the day D) The amount of water she drinks every day
A pregnant patient in labor is having contractions 2 minutes apart but rarely over 50 mmHg in strength; the resting tone is high, 20 to 25 mmHg. The patient asks what can be done to make contractions more effective
What should the nurse respond to the patient? A) Rest because contractions are hypertonic. B) Receive oxytocin to strengthen contractions. C) Hypotonic contractions of this kind will strengthen by themselves. D) Walking around will make the contractions more regular.
Which of the following is important for the nurse to know when administering carbamazepine (Tegretol)?
a. cannot safely be combined with lithium b. is contraindicated for anyone who is sensitive to tricyclic antidepressants c. has indications for acute and maintenance use that differ from those of lithium d. is not given until after a lithium trial
Signs and symptoms that may indicate abuse by a family member include
A) the patient crying. B) signs of neglect such as poor personal hygiene. C) the patient being confused. D) the patient stating that she was not abused.