The nurse at a health fair has taken a client’s blood pressure twice, 10
minutes apart, in the same arm while the client is seated. The nurse
records the two blood pressures of 172\/104 mm Hg and 164\/98 mm Hg.
What is the appropriate nursing action in response to these readings?
A. Refer the client to a nutritionist after providing health teaching about
a low-sodium diet.
B. Place the client in a recumbent position and call the paramedics for
transport to the hospital.
C. Talk with the client to assess whether there is stress in the client’s life
and refer to a counseling service.
D. Take the client’s blood pressure in the other arm and then schedule a
healthcare practitioner’s appointment for as soon as possible. –
ANSWER- D. Take the client’s blood pressure in the other arm and then
schedule a healthcare practitioner’s appointment for as soon as possible.
Which presentation of an infectious disease is acquired through an
indirect transmission?
A. Syphilis contracted from a sexual partner.
B. Measles resulting from a daycare center outbreak.
C. Malaria following exposure in a mosquito-infested area.
D. Nosocomial influenza spreading rapidly in a long-term center. –
ANSWER- C. Malaria following exposure in a mosquito-infested area.
The nurse is teaching a community group about risks of cardiovascular
disease. Several clients ask the nurse to determine their risk. Which
client should the nurse identify as having the greatest risk for
cardiovascular disease?
A. A male with a serum cholesterol level of 199 mg\/dl.
B. A female with a serum cholesterol level of 201 mg\/dl.
C. A male with a low-density lipoprotein (LDL) level of 200 mg\/dl.
D. A female with a low-density-lipoprotein (LDL) level of 160 mg\/dl. –
ANSWER- C. A male with a low-density lipoprotein (LDL) level of 200
mg\/dl.
A nurse working in a community health setting is performing primary
health screenings. Which individual is at highest risk for contracting an
HIV infection?
A. A 17-year-old who is sexually active with numerous partners.
B. A 45-year-old lesbian who has been sexually active with two partners
in the past year.
C. A 30-year-old cocaine user who inhales the drug and works in a
topless bar.
D. A 34-year-old male homosexual who is in a monogamous
relationship. – ANSWER- A. A 17-year-old who is sexually active with
numerous partners.
A male client is brought to the emergency department as the result of a
motorcycle accident. He was not wearing a helmet at the time of the
accident, and states that he has no intention of ever wearing one. Within
the framework of the Transtheoretical Model (TTM), which response
should the nurse provide?
A. Wearing a helmet or not is certainly an individual decision.
B. You should seriously consider wearing a helmet.
C. Riding a motorcycle with a helmet increases your safety.
D. I really think you don’t have the facts about helmet use. – ANSWER\u0002A. Wearing a helmet or not is certainly an individual decision.
A senior high school student, whose immunization status is current, asks
the school nurse which immunizations will be included in the precollege
physical. Which vaccine should the nurse tell the student to expect to
receive?
A. Hepatitis C (HepC)
B. Influenza type B (HIB)
C. Measles, mumps, rubella (MMR)<\/p>\n\n\n\n
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