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A nurse is performing blood pressure screenings at a local health fair. While obtaining subjective assessment data from a client with hypertension, the nurse learns that the client has a family history of hypertension and she herself has high cholesterol and lipid levels. The client says she smokes one pack of cigarettes daily and drinks “about a pack of beer” every day. The nurse notes what nonmodifiable risk factor for hypertension?

An ECG has been ordered for a newly admitted client. What should the nurse do prior to electrode placement?

The nurse is caring for a client who is undergoing an exercise stress test. Prior to reaching the target heart rate, the client develops chest pain. What is the nurse’s most appropriate response?

The nurse is performing an initial assessment of a client diagnosed with heart failure. The nurse also assesses the client’s sensorium and LOC. Why is the assessment of the client’s sensorium and LOC important in clients with heart failure?

The client has a homocysteine level ordered. What aspects of this test should inform the nurse’s care? Select all that apply.

In preparation for cardiac surgery, a client was taught about measures to prevent venous thromboembolism. What statement indicates that the client clearly understood this education?

The nurse’s assessment of an older adult client reveals the following data: Lying BP 144/82 mm Hg; sitting BP 121/69 mm Hg; standing BP 98/56 mm Hg. The nurse should consequently identify what nursing diagnosis in the client’s plan of care?

A client with secondary hypertension has come into the clinic for a routine check-up. When comparing this client’s diagnosis to primary hypertension, the nurse recognizes that secondary hypertension:

The nurse has just admitted a client for cardiac surgery. The client tearfully describes feeling afraid of dying while undergoing the surgery. What is the nurse’s best response?

The nurse’s assessment of an older adult client reveals the following data: Lying BP 144/82 mm Hg; sitting BP 121/69 mm Hg; standing BP 98/56 mm Hg. The nurse should consequently identify what nursing diagnosis in the client’s plan of care?