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1. A nurse is caring for an older adult client with
hypertension. Which nursing intervention is the highest
priority for this client?
a. Assessing vital signs every hour
b. Administering anti-hypertensive medications as
scheduled
c. Educating the client on lifestyle modifications to
reduce hypertension
d. Encouraging the client to participate in aerobic
exercise regularly
Answer: b. Administering anti-hypertensive
medications as scheduled
Rationale: Hypertension is a chronic condition that
requires medication management. Administering antihypertensive medications as scheduled is the highest
priority to help control blood pressure levels and reduce
the risk of complications.
2. An adult client is diagnosed with heart failure.
Which nursing assessment finding is most concerning?
a. Mild dyspnea on exertion
b. Decreased urine output
c. Slight weight gain
d. Mild peripheral edema
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