Which nursing action should the nurse take first in order to ...

[tsand2]

Which nursing action should the nurse take first in order to assist a patient with newly diagnosed stage 1 hypertension in making needed dietary changes?
 
  a. Collect a detailed diet history.
  b. Provide a list of low-sodium foods.
  c. Help the patient make an appointment with a dietitian.
  d. Teach the patient about foods that are high in potassium.

Question 2

Which assessment finding for a patient who is receiving IV furosemide (Lasix) to treat stage 2 hypertension is most important to report to the health care provider?
 
  a. Blood glucose level of 175 mg/dL
  b. Blood potassium level of 3.0 mEq/L
  c. Most recent blood pressure (BP) reading of 168/94 mm Hg
  d. Orthostatic systolic BP decrease of 12 mm Hg

[EAN94]

Answer to Question 1

ANS: A
The initial nursing action should be assessment of the patient's baseline dietary intake through a thorough diet history. The other actions may be appropriate, but assessment of the patient's baseline should occur first.

Answer to Question 2

ANS: B
Hypokalemia is a frequent adverse effect of the loop diuretics and can cause life-threatening dysrhythmias. The health care provider should be notified of the potassium level immediately and administration of potassium supplements initiated. The elevated blood glucose and BP also indicate a need for collaborative interventions but will not require action as urgently as the hypokalemia. An orthostatic drop of 12 mm Hg is common and will require intervention only if the patient is symptomatic.

[tsand2]

Correct answers!

[EAN94]

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