ANSWERS 100% SOLVED!
In seeing a client with hypertension, which of the following indicates the urgent need for
treatment? - ANSWERSAn older adult with a blood pressure of 178/94 experiencing
chest pain
Which of the following actions will the nurse plan when treating a client with acute
hypertension? Select all that apply. - ANSWERS*Administer prescribed anti-
hypertensive medication
*Offer some anxiety reducing coping mechanisms
*Decrease environmental stimuli
After the nurse acts to treat acute hypertension, which of the following outcomes should
the nurse use to determine the need for additional action? - ANSWERSA low blood
pressure
Review the picture below and identify any cues that may concern you about the
accuracy of the blood pressure this unlicensed assistive person (UAP) is collecting: -
ANSWERS*B: The bulb is upside down and the UAP is not able to open the pressure
valve.
*C: The UAP needs a stethoscope in this setting and could not collect a diastolic
pressure.
*D: Blood pressure cuff is too small for the client, it should be 2/3 of the upper arm
length.
*F: Sleeve should be rolled up so the most accurate blood pressure can be taken.
1. Chronic Hypertension
2. Acute Hypertension - ANSWERS1. Family History
Retinopathy
Taking Medication
2. Chest Pain
Traumatic Event
Noisy Environment
a. Level of Action
b. Level of Risk
c. Level of Priority - ANSWERSa1. Immediate
a2. Routine
a3. Immediate
b1. High risk