A client has been diagnosed with hypertension but does not take the antihypertensive medications because of a lack of symptoms. What response by the nurse is best?

Correct Answer: B

Rationale: Step-by-step rationale: 1. Choice B is correct because it educates the client that hypertension often presents without symptoms. 2. Lack of symptoms does not mean the condition is not serious. 3. This response promotes understanding and adherence to medication. 4. Choices A, C, and D are incorrect as they do not address the main issue of hypertension being asymptomatic.

Correct Answer: A

Rationale: The correct answer is A: African American churches. This target audience is appropriate because African Americans have a higher prevalence of hypertension compared to other ethnic groups. By providing education and screening at African American churches, the nurse can reach a population that is at higher risk for hypertension. Churches are also community hubs where individuals gather regularly, making it an effective platform for health promotion. Choice B: Asian American groceries is incorrect as it does not specifically target a population with a high prevalence of hypertension. Choice C: High school sports camps may not be an ideal target audience for hypertension education as the focus is typically on physical fitness rather than chronic disease management. Choice D: Women's health clinics may not reach the priority population of African Americans who have a higher prevalence of hypertension.

Correct Answer: C

Rationale: The correct question to ask first is C: "Do you experience shortness of breath with basic activities?" This is because shortness of breath is a common and concerning symptom in COPD patients that can greatly impact their quality of life and indicate disease progression. By addressing this symptom first, the nurse can assess the severity of the client's condition and determine the immediate need for intervention or treatment. Asking about support system (A) is important but not as urgent as addressing the primary symptom. Inquiring about the client's understanding of the disease (B) and medications (D) is also important but should come after addressing the immediate symptom of shortness of breath.

Correct Answer: B

Rationale: Step 1: The nurse must acknowledge the client's concern about the cost of the inhaler. Step 2: Suggesting community services shows empathy and addresses the financial aspect. Step 3: Encouraging daily use aligns with the standard treatment guidelines. Step 4: By addressing both cost and importance of daily use, the nurse promotes adherence and support. Summary of other choices: A: Incorrect. This option doesn't address the client's financial concerns. C: Incorrect. Focusing on fears of breathlessness doesn't directly address the client's cost concern. D: Incorrect. While discussing daily use is important, not directly addressing the cost concern may lead to non-adherence.

Correct Answer: B

Rationale: The correct answer is B: Ensure informed consent is on the chart. This is the priority because obtaining informed consent is essential to ensure the client understands the procedure, risks, benefits, and alternatives. It protects the client's autonomy and ensures legal and ethical standards are met. Administering anxiolytic medication may help with anxiety but does not address the crucial issue of consent. Reinforcing teaching and starting antibiotics are important but secondary to obtaining informed consent.