The nurse measures a patient's blood pressure as 144/88 mmHg. ...

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The nurse measures a patient's blood pressure as 144/88 mmHg. What intervention would be most appropriate for this patient?
 
  1. Provide stress-reduction techniques.
  2. Inform the physician so antihypertensive medication can be prescribed.
  3. Offer the patient a glass of water.
  4. Remeasure the blood pressure in a few minutes.

Question 2

The nurse is completing an assessment of a patient with hypertrophic cardiomyopathy. What interventions should the nurse identify to help this patient with feelings of fatigue?
 
  Select all that apply.
 
  1. organizing care to allow for rest periods
  2. restricting fluids and measuring abdominal girth
  3. reviewing dietary restrictions for sodium intake
  4. assisting with activities of daily living as needed
  5. consulting with physical therapy for an activity plan

[durant1234]

Answer to Question 1

Correct Answer: 4
There is no evidence that this patient has had previously high blood pressure readings. The nurse should remeasure the blood pressure in a few minutes in the event the reading was because of physical activity or anxiety. Hypertension is defined as systolic blood pressure of 140 mmHg or higher, or diastolic pressure of 90 mmHg or higher, based on the average of three or more readings taken on separate occasions. The patient may not feel stressed or need anti-hypertensive medication. Offering a glass of water would have no effect on the blood pressure.

Answer to Question 2

Correct Answer: 1, 4, 5
The nursing care of a patient with hypertrophic cardiomyopathy is similar to that of a patient with heart failure. To improve activity intolerance, the nurse should organize care to allow for rest periods, assist with activities of daily living as needed, and consult with physical therapy for an activity plan. Restricting fluids, measuring abdominal girth, and reviewing dietary restrictions would be appropriate to help manage fluid balance.