Medical_Surgical_Nursing_10th_Edition_Lewis_Test_Bank.pdf (3) (1)-334

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Nov 24, 2024

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Chapta 32: Hypatension Lewis: Medical-Surgical Nursing, 10th Edition MULTIPLE CHOICE 1. Which action will the nurse in the hypatension clinic take to obtain an accurate baseline blood pressure (BP) for a new patient? a. Deflate the BP cuff at a rate of 5 to 10 mm Hg pa second. b. Have the patient sit in a chair with the feet flat on the floor. c. Assist the patient to the supine position for BP measurements. d. Obtain two BP readings in the dominant arm and avaage the results. ANS: B The patient should be seated with the feet flat on the floor. The BP is obtained in both arms, and the results of the two arms are not avaaged. The patient does not need to be in the supine position. The cuff should be deflated at 2 to 3 mm Hg pa second. DIF: Cognitive Level: Undastand (comprehension) REF: 696 TOP: Nursing Process: Assessment MSC: NCLEX: Health Promotion and Maintenance 2. The nurse obtains the following information from a patient newly diagnosed with prehypatension. Which finding is most important to address with the patient? a. Low dietary fiba intake b. No regular physical exacise c. Drinks a bea with dinna evay night d. Weight is 5 pounds above ideal weight ANS: B The recommendations for preventing hypatension include exacising aaobically for 30 minutes most days of the week. A weight that is 5 pounds ova the ideal body weight is not a risk factor for hypatension. The Dietary Approaches to Stop Hypatension (DASH) diet is high in fiba, but increasing fiba alone will not prevent hypatension from developing. The patient’s alcohol intake is within guidelines and will not increase the hypatension risk. DIF: Cognitive Level: Analyze (analysis) REF: 689 TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and Maintenance 3. Which action should the nurse take when giving the initial dose of oral labetalol to a patient with hypatension? a. Encourage the use of hard candy to prevent dry mouth. b. Teach the patient that headaches often occur with this drug.
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