An older client has been diagnosed with possible white coat hypertension. Which of the following client interventions would need to be implemented to address this issue?

Correct Answer: A

Rationale: The correct answer is A: Teach the client how to self-monitor and record BPs at home. This is the best intervention to address white coat hypertension as it allows the client to monitor their blood pressure in a relaxed environment, reducing the impact of anxiety from clinic visits. Self-monitoring can provide more accurate readings over time. Choice B focuses on stress levels, which may not directly address the issue. Choice C is unrelated to white coat hypertension. Choice D involves regular clinic visits, which may not address the underlying anxiety-related increase in blood pressure.

Correct Answer: D

Rationale: The correct answer is D because in a patient with anemia and low hemoglobin concentration, their PaO2 will be decreased due to reduced oxygen-carrying capacity of blood. This is a result of decreased oxygen saturation in the blood. A: Decreased TPR is incorrect because anemia can lead to compensatory mechanisms such as increased sympathetic tone and vasoconstriction, resulting in increased total peripheral resistance. B: Increased cardiac output is incorrect as the heart may need to work harder to maintain oxygen delivery to tissues due to decreased oxygen-carrying capacity. C: Increased 2,3 DPG in RBC is incorrect because anemia can lead to decreased 2,3 DPG levels, which shift the oxygen-hemoglobin dissociation curve to the left, impairing oxygen release to tissues.

Correct Answer: D

Rationale: The correct answer is D: body tissues. The respiratory system is responsible for breathing and exchanging gases, involving organs like the nose, trachea, and lungs. Body tissues, on the other hand, are not specific organs exclusively dedicated to respiration. They may play a role in gas exchange, but they are not organs of the respiratory system. Therefore, the correct answer is D. Choices A, B, and C are incorrect because the nose, trachea, and lungs are all integral parts of the respiratory system involved in the process of breathing and gas exchange.

Correct Answer: A

Rationale: The correct answer is A: Do nothing, because this is an expected finding. When managing a client with a chest tube for a pneumothorax, gentle bubbling in the suction control chamber indicates that the system is functioning properly. This bubbling represents the movement of air and fluid out of the pleural space. It is important not to clamp the chest tube or increase suction pressure as this can lead to complications. Checking for an air leak is unnecessary in this scenario as continuous bubbling is an expected finding. Therefore, the appropriate action is to monitor the bubbling and ensure it remains gentle, as this signifies effective drainage.

Correct Answer: B

Rationale: The correct answer is B. The Mantoux test for tuberculosis is a skin test that detects the presence of the tuberculosis bacteria in the body. It does not differentiate between active and dormant infection because it only measures the immune response to the infection. The presence of a wheal or area of redness at the injection site is a normal response to the test and does not indicate active tuberculosis. Measuring the area of redness in 3 days or requiring a second test in 3 months are not accurate statements about the Mantoux test. Therefore, the best response is B as it aligns with the purpose and limitations of the Mantoux test.