Author Question: A client's blood pressure has been measured at 130/86 mmHg on two separate occasions. The nurse ... (Read 116 times)

darbym82 · **on:** Jun 25, 2018

A client's blood pressure has been measured at 130/86 mmHg on two separate occasions. The nurse realizes this client's blood pressure reading would be categorized as being:

1. normal.
2. prehypertension.
3. stage 1 hypertension.
4. stage 2 hypertension.

Question 2

During the assessment of a client's thoracic region, the nurse determines that the client has a chest abnormality. Which of the following are common chest abnormalities? (Select all that apply.)

1. Barrel chest
2. Jugular vein distention
3. Pectus excavatum
4. Retracting rib cage
5. Pectus carinatum
6. Displaced trachea

ASDFGJLO · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

2
Prehypertension is a new designation used to identify individuals at high risk for the development of hypertension. Systolic blood pressure of 120 to 139 and diastolic blood pressure of 80 to 90 are values for prehypertension. A normal blood pressure is less than or equal to 120 mmHg systolic and less than or equal to 80 mmHg diastolic. Stage 1 hypertension is a systolic blood pressure between 140 to 159 and a diastolic pressure between 90 to 99. Stage 2 hypertension is a systolic reading greater than or equal to 160 and a diastolic pressure of greater than or equal to 100 mmHg.

Answer to Question 2

1, 3, 5
Three common physical abnormalities of the chest are barrel chest; pectus excavatum, or funnel chest; and pectus carinatum, or pigeon chest. Jugular vein distention would be noted on the neck and not the chest. Retracting rib cage would occur with rib fractures and is considered a flail chest. Displaced trachea would be a medical emergency since this indicates a hemo- or pneumothorax.