RETAKE
,ATI RN LEADERSHIP RETAKE
, two weeks later to evaluate his blood pressure
(BP). His BP is 158/106 and he admits that he has
not been taking the prescribed medication
because the drugs make him “feel bad”. In
explaining the need for hypertension control, the
nurse should stress that an elevated BP places the
client at risk for which pathophysiological
condition?
a- Blindness secondary to cataracts
b- Acute kidney injury due to glomerular damage
c- Stroke secondary to hemorrhage
d- Heart block due to myocardial damage
Rationale: Stroke related to cerebral hemorrhage is
major risk for uncontrolled hypertension.
3. The nurse observes an unlicensed assistive
personnel (UAP) positioning a newly admitted
client who has a seizure disorder. The client is
supine and the UAP is placing soft pillows along
, the side rails. What action should the nurse
implement?
a- Ensure that the UAP has placed the pillows
effectively to protect the client.
b- Instruct the UAP to obtain soft blankets to secure
to the side rails instead of pillows.