The nursing student is taking blood pressures at a ...

[natalie2426]

The nursing student is taking blood pressures at a health-screening fair in the local mall. A 26-year-old woman who is seven months pregnant has a blood pressure reading of 146/99. Which of the following actions does the nursing student take?
 
  1. Tell the client that she has a normal blood pressure.
  2. Call 911 for an ambulance because the blood pressure is dangerously high.
  3. Advise the client to notify her physician immediately of the results.
  4. Advise the woman to go home, rest, and put her feet up.

Question 2

The nurse is assessing the pain intensity of a client who does not speak the same language fluently. The most useful tool for the nurse in this situation is:
 
  1. A 10-point pain intensity scale.
  2. The Wong/Baker Faces rating scale.
  3. Use of figure drawings.
  4. Determining the pattern of pain.

[ryhom]

Answer to Question 1

3
Rationale: The blood pressure for this client is too high, and the client is advised to contact her physician immediately. There is no evidence that the client is in any distress, so calling 911 is unnecessary. The blood pressure, however, is too high to send the client home to rest. The pregnant client might run a slightly higher pressure than normal for her age, but, this blood pressure is an indication of problems for the client and her baby.

Answer to Question 2

2
Rationale: A 10-point pain intensity scale with word modifiers will not be the most useful tool with this client.

[natalie2426]

Both answers were spot on, thank you once again

[ryhom]

Great! Please up vote