The correct answer is D: Yearly weight gain of about 5.5 pounds per year School agechildren gain about 5.5 pounds each year and increase about 2 inches in height.6. At a community health fair the blood pressure of a 62 year-old client is 160/96. The clientstates “My blood pressure is usually much lower.” The nurse should tell the client to
A) go get a blood pressure check within the next 48 to 72 hours
B) check blood pressure again in 2 monthsC) see the health care provider immediatelyD) visit the health care provider within 1 week for a BP checkThe correct answer is A: go get a blood pressure check within the next 48 to 72 hours Theblood pressure reading is moderately high with the need to have it rechecked in a few days.The client states it is ‘usually much lower.’ Thus a concern exists for complications such asstroke. However immediate check by the provider of care is not warranted. Waiting 2months or a week for follow-up is too long.7. The hospital has sounded the call for a disaster drill on the evening shift. Which of theseclients would the nurse put first on the list to be discharged in order to make a roomavailable for a new admission?
A) A middle aged client with a history of being ventilator dependent for over 7years and admitted with bacterial pneumonia five days ago
B) A young adult with diabetes mellitus Type 2 for over 10 years and admitted withantibiotic induced diarrhea 24 hours agoC) An elderly client with a history of hypertension, hypercholesterolemia and lupus, and wasadmitted with Stevens-Johnson syndrome that morningD) An adolescent with a positive HIV test and admitted for acute cellulitus of the lower leg48 hours agoThe correct answer is A: A middle aged client with a history of being ventilator dependentfor over 7 years and admitted with bacterial pneumonia five days ago The best candidate fordischarge is one who has had a chronic condition and is most familiar with their care. Thisclient in option A is most likely stable and could continue medication therapy at home.8. A client has been newly diagnosed with hypothyroidism and will take levothyroxine(Synthroid) 50 mcg/day by mouth. As part of the teaching plan, the nurse emphasizes thatthis medication:
A) Should be taken in the morning
B) May decrease the client's energy levelC) Must be stored in a dark containerD) Will decrease the client's heart rateThe correct answer is A: Should be taken in the morning Thyroid supplement should betaken in the morning to minimize the side effects of insomnia9. A 3 year-old child comes to the pediatric clinic after the sudden onset of findings thatinclude irritability, thick muffled voice, croaking on inspiration, hot to touch, sit leaningforward, tongue protruding, drooling and suprasternal retractions. What should the nurse dofirst?A) Prepare the child for x-ray of upper airwaysB) Examine the child's throatC) Collect a sputum specimen
D) Notify the healthcare provider of the child's status