Chapter 29: Complementary and Integrative Health - Nurselytic

Questions 32

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Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition

Chapter 29 : Complementary and Integrative Health Questions

Question 1 of 5

The patient's blood pressure is 140/60. Which value will the nurse record for the pulse pressure?

Correct Answer: B

Rationale: Pulse pressure is systolic minus diastolic: 140 - 60 = 80 (
B). 60 (
A) is diastolic. 140 (
C) is systolic. 200 (
D) is unrelated.
Choice B is correct, reflecting arterial pressure dynamics, a key nursing calculation.

Question 2 of 5

The patient is being admitted to the emergency department with reports of shortness of breath. The patient has had chronic lung disease for many years but still smokes. What will the nurse do?

Correct Answer: B

Rationale: Chronic lung disease (e.g., COP
D) with smoking risks CO2 retention; cautious oxygen use (
B) prevents suppressing hypoxic drive while addressing shortness of breath. Paper bag (
A) is for hyperventilation. High oxygen (
C) risks respiratory depression. CO2 (
D) worsens hypoxia.
Choice B is correct, per respiratory nursing guidelines.

Question 3 of 5

The nurse is caring for a patient who has a pulse rate of 48. His blood pressure is within normal limits. Which finding will help the nurse determine the cause of the patient's low heart rate?

Correct Answer: D

Rationale: A pulse of 48 (bradycardia) with normal BP suggests a cause like medications. Calcium channel blockers or digitalis (
D) slow heart rate, a common side effect. Fever (
A) increases pulse. Hemorrhage (
B) lowers BP, not seen here. COPD (
C) doesn't typically cause bradycardia.
Choice D is correct, per pharmacology and nursing assessment principles.

Question 4 of 5

The patient is admitted with shortness of breath and chest discomfort. Which laboratory value could account for the patient's symptoms?

Correct Answer: B

Rationale: Shortness of breath and chest discomfort suggest reduced oxygen delivery. Hemoglobin of 8.0 g/dL (
B) indicates anemia (normal 12-16 g/dL), impairing oxygen transport. RBC 5.0 million/mm3 (
A) and hematocrit 45% (
C) are normal. Oximetry 95% (
D) is adequate.
Choice B is correct, linking anemia to symptoms per nursing pathophysiology.

Question 5 of 5

The nurse is providing a blood pressure clinic for the community. Which group will the nurse most likely address?

Correct Answer: C

Rationale: African Americans (
C) have higher hypertension prevalence (e.g., AHA data), making them a priority for BP clinics. Other groups (A, B,
D) have lower rates.
Choice C is correct, reflecting public health focus on at-risk populations for cardiovascular screening.

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