review

1,3,4

A client with a recent history of head trauma is at risk for orthostatic hypotension. Which assessment finding observed by the nurse would relate to this diagnosis? 1) fainting 2) headache 3) weakness 4) lightheadedness 5) Shortness of breath

4

After consistently obtaining a blood pressure of 140/76 mm Hg for a client, which stage of hypertension will the nurse document? 1) Normal 2) Elevated 3) Stage 1 4) Stage 2

2

A client is hospitalized for treatment of severe hypertension. Shortly after admission, the client says "I don't think any of you know what you are doing. You are just guessing what I need." Which factor does the nurse know is a probable cause of this statement? 1) Denial of illness 2) Fear of the health problem 3) Response to cerebral anoxia 4) Reaction to an antihypertensive medication

2

After the nurse has completed teaching a client with hypertension about a heart-healthy diet, which meal choice by the client indicates that the teaching has been effective? 1) Bean soup with ham 2) Grilled steak and green salad 3) Chicken and cheese enchiladas 4) Fried fish and green beans

1,3,4,5

Which action would the nurse take to prevent venous thrombus formation in a postoperative client? Select all that apply. 1) encourage an increase in oral fluid intake 2) massage the client's extremities with loan 3) instruct the client to avoid crossing the legs 4) remind the client to dorsiflex the frequently 5) Help the client use prescribed pneumatic sequential stockings. 6) Plan to discharge teaching about the need to avoid taking aspirin

3

Which prescribed action would the nurse take first when a client who is admitted to the emergency department with a BP of 240/150 mm Hg reports severe headache, blurred vision, and swelling of the ankles? 1) Obtain a glucose blood sample 2) Collect urine and blood samples 3) Assess the client's pulse and respirations 4) Determine the amount of ankle edema

1, 2

Which topic will the nurse include when teaching a group of clients about risk factors for heart disease? Select all that apply 1) Obesity 2) Hypertension 3) Diabetes insipidus 4) Asian-American ancestry 5) Increased high density lipoproetein (HDL)

2,3,5

Which topic would the nurse include in teaching for a client with a new diagnosis of hypertension? Select all the apply. 1) Reason for daily low-dose aspirin use 2) Use of a home blood pressure monitor 3) Adverse effects of tobacco on blood pressure 4) Avoidance of any alcohol 5) Benefits of moderate daily exercise