Author Question: A nurse is examining and documenting the physical condition of a client who is undergoing a ... (Read 61 times)

rayancarla1 · **on:** Jul 22, 2018

A nurse is examining and documenting the physical condition of a client who is undergoing a prescribed stress electrocardiogram test at a health care facility.

Which of the following observations should the nurse prioritize in an effort to ensure the test is performed safely? A) Client's breathing pattern
B) Client's endurance level
C) Client's running speed
D) Client's muscle reflexes

Question 2

A young-adult client visits the medical unit with his father for his scheduled checkup. The client's father has been recently diagnosed with hypertension.

The nurse suggests that the client gets his blood pressure regularly checked to avoid possible problems. What level of prevention is the nurse following in this case? A) Primary level
B) Secondary level
C) General guidance level
D) Tertiary level

lin77x · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
Feedback:
During a stress electrocardiogram test, the nurse or the examiner notes the client's breathing pattern, heart rate and rhythm, blood pressure, and symptoms such as dizziness and chest pain. The client's endurance level, running speed, and muscle reflexes are part of the maximal activity performed by the client during the test but these variables do not directly indicate difficulty with completing the test or the presence of unintended health consequences.

Answer to Question 2

B
Feedback:
The nurse is following secondary prevention, which includes screening for risk factors and providing a means for early diagnosis of disease. An example is regularly measuring the blood pressure of a client with a family history of hypertension. Primary prevention involves eliminating the potential for illness before it occurs. Tertiary prevention minimizes the consequences of a disorder through aggressive rehabilitation or appropriate management of the disease. Note that there is no general guidance level of prevention.