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1. Which blood pressure (BP) find- D. 136/82 mm Hg
ing by the nurse indicates that no
changes in therapy are
needed for a patient with stage 1
hypertension who has a history of
diabetes mellitus?
A. 102/60 mm Hg
B. 128/76 mm Hg
C. 139/90 mm Hg
D. 136/82 mm Hg
2. A 56-year-old patient who has no D. diagnosis of a possible cause, treatment, and ongo-
previous history of hypertension ing monitoring will be needed
or other health problems sudden-
ly develops a blood pressure (BP)
of 198/110 mm Hg. After recon-
firming the BP, it is appropriate for
the nurse to tell the patient that
A. a BP recheck should be sched-
uled in a few weeks.
B. dietary sodium and fat content
should be decreased.
C. there is an immediate danger of
a stroke and hospitalization will be
required.
D. diagnosis of a possible cause,
treatment, and ongoing monitor-
ing will be needed.
3.
, Care of the Adult Exam #1
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Which action should the nurse C. Ask the patient to request assistance when getting out
take when administering the ini- of bed
tial dose of oral labetalol (Normo-
dyne) to a patient with hyperten-
sion?
A. Encourage the use of hard can-
dy to prevent dry mouth.
B. Instruct the patient to ask for
help if heart palpitations occur.
C. Ask the patient to request assis-
tance when getting out of bed.
D. Teach the patient that
headaches may occur with this
medication.
4. A 73-year-old patient with chron- D. keep the patient in bed in the supine position
ic atrial fibrillation develops sud-
den severe pain, pulselessness,
pallor, and coolness in the right
leg. The nurse should notify the
health care provider and immedi-
ately
A. apply a compression stocking to
the leg.
B. elevate the leg above the level
of the heart.
C. assist the patient in gently exer-
cising the leg.
D. keep the patient in bed in the
supine position.
, Care of the Adult Exam #1
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5. A patient at the clinic says, "I have D. assess for the presence of the dorsalis pedis and
always taken a walk after dinner, posterior tibial pulses.
but lately my leg cramps and hurts
after just a few minutes of start-
ing. The pain goes away after I
stop walking, though." The nurse
should
A. check for the presence of tortu-
ous veins bilaterally on the legs.
B. ask about any skin color
changes that occur in response to
cold.
C. assess for unilateral swelling,
redness, and tenderness of either
leg.
D. assess for the presence of the
dorsalis pedis and posterior tibial
pulses.
6. When you FEEL a vibration when Thrill
assessing a pulse
7. When developing a teaching plan D. elevation of the patient's low-density lipoprotein (LDL)
for a 61-year-old man with the fol- level.
lowing risk factors for coronary
artery disease (CAD), the nurse
should focus on the
A. family history of coronary artery
disease.
B. increased risk associated with
the patient's gender.