A nurse is caring for four clients. Which one should the nurse ...

[Mimi]

A nurse is caring for four clients. Which one should the nurse see first?
 
  a. Client who needs a beta blocker, and has a blood pressure of 92/58 mm Hg
  b. Client who had a first dose of captopril (Capoten) and needs to use the bathroom
  c. Hypertensive client with a blood pressure of 188/92 mm Hg
  d. Client who needs pain medication prior to a dressing change of a surgical wound

Question 2

A nurse is teaching a larger female client about alcohol intake and how it affects hypertension. The client asks if drinking two beers a night is an acceptable intake. What answer by the nurse is best?
 
  a. No, women should only have one beer a day as a general rule.
  b. No, you should not drink any alcohol with hypertension.
  c. Yes, since you are larger, you can have more alcohol.
  d. Yes, two beers per day is an acceptable amount of alcohol.

[aprice35067]

Answer to Question 1

ANS: B
Angiotensin-converting enzyme inhibitors such as captopril can cause hypotension, especially after the first dose. The nurse should see this client first to prevent falling if the client decides to get up without assistance. The two blood pressure readings are abnormal but not critical. The nurse should check on the client with higher blood pressure next to assess for problems related to the reading. The nurse can administer the beta blocker as standards state to hold it if the systolic blood pressure is below 90 mm Hg. The client who needs pain medication prior to the dressing change is not a priority over client safety and assisting the other client to the bathroom.

Answer to Question 2

ANS: A
Alcohol intake should be limited to two drinks a day for men and one drink a day for women. A drink is classified as one beer, 1.5 ounces of hard liquor, or 5 ounces of wine. Limited alcohol intake is acceptable with hypertension. The woman's size does not matter.

[Mimi]

Excellent

[tkempin]

TYSM