Author Question: The nurse is conducting a home care visit of an 82-year-old patient. The client's vital signs ... (Read 122 times)

mrsjacobs44 · **on:** Jul 11, 2018

The nurse is conducting a home care visit of an 82-year-old patient. The client's vital signs include a blood pressure of 150/100 mm Hg.

In reviewing the medication administration, the client reports that she takes the blood pressure medicine only when she feels tense and feels that the blood pressure is elevated. The nurse would instruct the patient to
A) continue to administer the blood pressure medication as needed.
B) contact the physician for an increase in blood pressure medication.
C) have the client take the blood pressure medication twice the prescribed dosage for 1 day then resume the daily schedule.
D) instruct the client to take the blood pressure medication as prescribed regardless of feeling tense.

Question 2

What steps will the nurse follow when administering a two-step purified protein derivative (PPD) tuberculin skin test to an older patient? Standard Text: Select all that apply.

1. Repeat the PPD test in 1 to 2 weeks.
2. Measure the area of injection in 48 hours.
3. Measure the area of injection in 72 hours.
4. Administer 5 units of the BCG vaccination serum.
5. Administer an injection of 0.1 mL of 5 TU intradermally.

Zebsrer · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

D

Answer to Question 2

1,3,5
Rationale: When administering the two-step PPD tuberculin skin test to an older patient the nurse should administer an injection of 0.1 mL of 5 TU intradermally, measure the area of injection in 72 hours, and repeat the test in 1 to 2 weeks.