a 21-year-old primigravid client at 40 weeks' gestation is admitted to the hospital in active labor. the client's cervix is 8 cm and completely effaced at 0 station. during the transition phase of labor, which is a priority nursing problem?
During the transition phase of labor, Pain is a priority nursing problem.
What is Labor?
Your body will deliver the placenta in stage three of labour after preparing for the birth of your child in stage one (stage three). Cervix will dilate and efface as a result of your body's continuous contractions during labour.
The rush of hormones the foetus releases is the primary cause of labour. The mother's uterine muscles shift in response to this hormonal surge, allowing her cervix (at the lower end of her uterus) to open.
The cervix dilates between 6 and 10 centimetres (cm) during active labour. Contractions will get stronger, more frequent, and closer together. You can get nausea and cramping in your legs.
Therefore, During the transition phase of labor, Pain is a priority nursing problem.
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a client with migraine headaches and a history of angina asks the nurse why the health care provider does not prescribe one of the newer medications for migraine, such as sumatriptan. the nurse responds that:
Sumatriptan is not advised for use in patients who have angina, the nurse replies. Due to this, the medical professional chooses not to recommend one of the newer migraine treatments like sumatriptan.
What is Migraine?
A migraine typically causes a moderate to severe headache that is experienced as throbbing pain on one side of the brain. In addition, a lot of people have symptoms including nausea and increased sensitivity to light and sound.
Because of this, the medical professional decides against recommending sumatriptan, one of the more recent migraine medications.
Therefore, Patients with angina are advised against using sumatriptan.
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Which of the following is NOT one of the forms possible for an alternative hypothesis?
Ha: population parameter = hypothesized value is not one of the forms possible for an alternative hypothesis.
The alternative hypothesis, abbreviated H1 or Ha, is a statistical claim that a population parameter's estimated value and its theorized value differ significantly. A choice is either right or wrong when the null hypothesis is tested. Simply put, the alternative hypothesis is the null hypothesis. Your alternate, for instance, might be "I'm going to win $1,000 or more," if your null was "I'm going to win up to $1,000." In essence, you're determining whether the alternate hypothesis produces enough change to allow you to reject the null hypothesis.
Hence, population parameter = hypothesized value is not alternative hypothesis.
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a nurse in the free clinic is assessing a patient diagnosed with conjunctivitis who has presented for a follow-up examination. what finding would lead the nurse to conclude that the treatment for conjunctivitis was effective?
Perauricular adenopathy is decreased lead the nurse to conclude that the treatment for conjunctivitis was effective.
What is conjunctivitis?An inflammation or infection of the clear membrane (conjunctiva), which borders your eyelid and covers the white portion of your eyeball, causes pink eye (conjunctivitis). The conjunctiva's tiny blood vessels become more apparent when they are irritated. Your eyes' whites seem reddish or pink because of this.
A bacterial or viral infection, an allergic reaction, or, in infants, an incompletely opened tear duct are the most frequent causes of pink eye.
Pink eye might be a pain, but it rarely impairs your eyesight. Pink eye irritation can be reduced with the use of treatments. Early detection and treatment of pink eye can assist in containing its spread because it can be contagious.
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last year the nurse implemented a tertiary prevention program for osteoporosis in an adult long-term care facility. what annual statistic indicates that the program was effective?
Decreased incidence of hip fractures annual statistic indicates that the program was effective.
The upper part of the femur breaks in a hip fracture (thighbone). The majority of hip fractures in older patients are caused by osteoporosis, which has weakened their bones. Younger patients frequently sustain hip fractures as a result of high-energy accidents like ladder falls or car accidents.
Hip fractures can cause excruciating discomfort. Therefore, quick surgical intervention is advised. Bed sores, blood clots, and pneumonia can all be avoided by treating the fracture and getting the patient out of bed as soon as feasible. Prolonged bed rest can also cause confusion in very elderly individuals, which makes recovery and rehabilitation much more challenging.
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the nurse is caring for a patient with dementia in the long-term care facility when the patient has a change in cognitive function. what should the nurse suspect this patient may be experiencing?
The nurse suspect this patient may be experiencing is a UTI.
What is dementia ?
Dementia is a syndrome in which cognitive ability declines beyond what may be anticipated from the common effects of biological aging. Although it primarily affects older people, Alzheimer's disease is not a normal aspect of ageing.
What is cognitive function?
Cognitive function is a general term used to describe mental processes including information processing, knowledge acquisition, and reasoning. Perception, memory, learning, attention, decision-making, and language abilities are covered as domains of cognitive function.
Therefore, the nurse suspect this patient may be experiencing is a UTI.
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a client is taking cimetidine to treat a hiatal hernia. the nurse should evaluate the client to determine that the drug has been effective in preventing which health problem?
The nurse should evaluate the client to determine that the drug has been effective in preventing esophagitis.
When the upper part of your stomach bulges through your diaphragm into your chest cavity, you have a hiatal hernia. When the upper part of your stomach bulges through the large muscle that separates your abdomen and chest, you have a hiatal hernia (diaphragm).
Obesity and advanced age are the most common risk factors. Major trauma, scoliosis, and certain types of surgery are also risk factors. There are two types of hernias: sliding hernias, in which the stomach body moves upward, and paraesophageal hernias, in which an abdominal organ moves alongside the esophagus. Endoscopy or medical imaging may be used to confirm the diagnosis. Endoscopy is usually only required when there are serious symptoms, the symptoms are resistant to treatment, or the patient is over the age of 50.
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an 18-year-old client is seen in the emergency department following a fall from a horse. after vigorously cleaning a large, dirty laceration on the leg, a nurse dresses the wound. the client has received the full tetanus-toxoid immunization regimen at 11 years old. how should the nurse proceed with this client's care?
plan on administering a dose of the tetanus vaccine.
What is the purpose of tetanus vaccine?
Tetanus vaccinations shield against harmful infections. Tetanus, popularly known as "lockjaw," is a dangerous condition brought on by the Clostridium tetani bacteria. When you receive the proper dose of tetanus vaccination, your body produces antibodies, which are unique proteins that support the immune system's ability to combat the bacterial toxin.
Hence, the answer is, to plan on administering a dose of the tetanus vaccine.
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prescription weight-loss drugs are usually limited to people with a bmi equal to or greater than what level?
a nurse is providing care to a client with cancer. the client tells that nurse that the care provider is not giving enough information about the client's condition. which behavior by the nurse demonstrates advocacy?
Answer:
The nurse should demonstrate advocacy by advocating for the client's right to receive adequate information on their condition. The nurse can do this by talking to the care provider and expressing the client's concerns, or by helping the client to access resources or other sources of information.
a client's cast is removed. the client is worried because the skin appears mottled and is covered with a yellowish crust. what advice should the nurse give the client to address the skin problem?
Apply lotions and take warm baths or soaks is the advice should the nurse give the client to address the skin problem.
What is skin ?
Skin is the layer of often soft, flexible exterior tissue covering the body of a vertebrate animal.
What is skin problems ?
Skin disorders, which also include skin cancer, are any conditions that irritate, congest, or harm your skin. A skin disease or condition could run in your family. Rashes, dry skin, and itching are symptoms of numerous skin conditions. Frequently, you may control these symptoms with medicine, good skin care, and lifestyle modifications.
Therefore, Apply lotions and take warm baths or soaks is the advice should the nurse give the client to address the skin problem.
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a nurse is reviewing the medical record of a pregnant client. the physical exam reveals that the placenta is implanted near the internal os but does not reach it. the nurse interprets this as which condition?
The low-lying placenta is the condition mentioned here.
What is low-lying placenta?
Pregnancy complications like placenta praevia can occur. It is also referred to as a "low-lying placenta." It is unusual. When the placenta (afterbirth) totally or partially blocks off your cervix, it is said to have placenta praevia (the neck of your womb).
Unusual positions of the infant, such as breech (buttocks first) or transverse, are risk factors for placenta previa (lying horizontally across the womb) Past uterus-related operations: Cesarean section, uterine fibroids removal surgery, and dilation and curettage (D&C)
Hence, the given analysis can be intervened as a low-lying placenta.
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removal of this organ may be the last resort treatment for a patient whose platelet count is less than 30 x 10 9 / l as a result of chronic idiopathic thrombocytopenic purpura (itp) ?
Removal of Spleen can be the final resort treatment for a patient whose platelet be counted is much less than 30 x 10 nine / l due to chronic idiopathic thrombocytopenic purpura (itp) .
A remedy or medical remedy is the tried remediation of a fitness hassle, typically following a medical analysis. often, every remedy has signs and contraindications. there are many one-of-a-kind sorts of remedy. Now a days no longer all therapies are powerful. a few of the treatment plans can produce unwanted destructive consequences.
5 tiers of treatment encompass :
1) Precontemplation stage, folks that are within the first stage of dependancy recovery are not but equipped for any addiction treatment utility.
2) Contemplation stage, the following segment is characterised by way of manner of contemplative readiness.
three) schooling stage.
four) motion degree.
5) upkeep level.
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a group of at-risk teenagers have successfully completed an outdoor training program in which they had to collaborate and conquer a number of challenges. the nurse should identify what likely outcome of this program?
A group of at-risk teenagers have successfully completed an outdoor training program in which they had to collaborate and conquer a number of challenges therefore the nurse should identify enhanced resilience for the participants as the likely outcome of this program.
Who is a Nurse?This is referred to as a healthcare professionals who specializes in taking care of the sick and ensuring that adequate recovery is achieved so as to prevent various forms of complications.
Resilience on the other hand is the process and outcome of successfully adapting to difficult or challenging life experiences such as intense training programs.
This therefore means that anyone who goes through such outdoor training program will most likely have his/her resilience being enhanced and improved.
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What organization famously advocated for an abused child in 1874?
The organization that famously advocated for an abused child in 1874 is known as the New York Society for the Prevention of Cruelty to Children.
Who founded the organization?Mary Ellen's case led Bergh, Gerry and the philanthropist John D. Wright are believed to have found the New York Society for the Prevention of Cruelty to Children in December 1874. The organization was believed to be the first child protective agency in the world.
Although Child abuse was recognized as a growing social concern in the 1960s but the New York Society for the Prevention of Cruelty to Children has been in existence since 1874 to protect this abuse among children.
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vaccine manufacturers add alum, which is a common name for a variety of aluminum salts, to some vaccines. alum enhances the ability of the vaccine to activate an adaptive immune response. alum in such a vaccine acts as
Alum in vaccine acts as an adjuvant that why vaccine manufacturers add aluminum to vaccines. Alum enhances the ability of the vaccine to activate an adaptive immune response.
Some vaccines contain an adjuvant, which helps recipients of the vaccine develop a stronger immune response. Adjuvants, in other words, make vaccines more effective.
At either the cellular or humoral level, adjuvants can amplify, stimulate, potentiate, enhance, activate, or modulate the immune response. The best-known examples are Freund's adjuvant, Bacillus Calmette-Guérin (BCG), and Corynebacterium parvum, all of which contain bacterial antigen.
Hence, alum is efficient adjuvant used in vaccines.
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discuss what symptoms are associated with hypersensitivity and anaphylaxis. and how the nurse differentiates these from other conditions or issues. what steps should be taken if the nurse suspects anaphylaxis?
Symptoms associated with hypersensitivity and anaphylaxis are skin reactions, itching, low blood pressure (hypotension), constriction of the airways and a swollen tongue or throat.
A nurse differentiates these from other conditions or issues by assessing for symptoms of shock and two or more other symptoms of possible anaphylaxis.
What is anaphylaxis?
Anaphylaxis is a severe, potentially life-threatening allergic reaction. It can appear within seconds or minutes of exposure to something you're allergic to, such as peanuts or bee stings.Anaphylaxis causes the immune system to release a flood of chemicals that can cause you to go into shock – your blood pressure suddenly drops and your airways narrow, blocking your breathing.Anaphylaxis requires an epinephrine injection and a subsequent trip to the emergency room. If you do not have epinephrine, you must go to the emergency room immediately. Anaphylaxis can be fatal if not treated immediately.To know more about anaphylaxis, click the link given below:
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a client receiving chemotherapy for lung cancer reports increased fatigue. the family confirms client is sleeping most of the day and night. what priority action would the nurse take?
Answer:
If the client's fatigue is severe or does not improve with these interventions, the nurse may need to consult with the client's healthcare provider to determine if a change in chemotherapy regimen is necessary. The nurse may also need to monitor the client closely for other symptoms, such as difficulty breathing or changes in mental status, and take appropriate action as needed.
Overall, the priority action for the nurse in this situation would be to assess the client's sleep patterns and level of fatigue, and work with the client and the client's family to develop strategies for managing fatigue and other symptoms.
the nurse is working in the primary care office and is conducting an interview with the parents of a child. the parents of the child state that they would like some syrup of ipecac for use at home in case of an accidental poisoning. the nurse provides which appropriate instruction specific to the use of this medication?
In case of an unintentional poisoning, the child's parents say you would like some ipecac syrup for usage at home.
What are the three types of poisoning?Carbon dioxide. Food which has been improperly prepared or cooked, as well as food that has developed mold or been tainted with microorganisms from raw meat, can all cause food poisoning. Beer can also cause food poisoning if an enormous quantity is consumed quickly.
What qualifies as a poison?A poisons is a chemical that, under the right circumstances, can have negative consequences on a person. Medicines, vitamins, pesticides, pollution, and proteins all fall under the category of "substance," which is nearly often identical with "chemical." Even radioactive material is harmful.
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a nurse is working day shift on a surgical unit at a hospital that was recently unionized and has insufficient staffing to provide competent care to the clients. what should the nurse do? select all that apply.
The nurse must inform the union and continue her work in the most efficient way possible, as nursing's job is to care, the most serious patients must be screened and treated more quickly.
What is the role of a nurse?The nurse is mainly responsible for planning, organizing and evaluating nursing care services. He is also the one who performs the nursing consultation and prescribes the steps that must be followed by the team.
What are the benefits of being a union member?Provision of health insurance; Access to more advantageous pension schemes and financial assistance; Reaching agreement between trade unions and employers; Negotiation on the workers' side on wage matters.
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the nurse is performing an assessment on a 2-year-old with tonsillitis. which assessment component should the nurse perform so that the healthcare provider can select the appropriate medication dose for the client?
The nurse is performing an assessment on a 2-year-old with tonsillitis therefore the assessment component which the nurse should perform so that the healthcare provider can select the appropriate medication dose for the client is to examine your throat for redness, swelling or white spots on your tonsils and ears and nose should be checked for infection.
Who is a Nurse?This is referred to as a healthcare professional who specializes in the taking care of the sick and ensuring that adequate recovery is achieved in other to prevent various forms of complications.
The assessment component which the nurse should perform so that the healthcare provider can select the appropriate medication dose for the client is to examine the extent of the redness and swelling of the throat and the ears and nose should also be checked for other signs of infection.
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a laboring client, with gestational hypertension, has requested an epidural for pain management. what interventions should the nurse perform to minimize the risk of hypotension?
To minimize the risk of hypotension in a laboring client with gestational hypertension that requested an epidural, the nurse can increase the intravenous fluids.
Epidural is a numbing agent (usually a combination of analgesics and anesthetics) that's commonly used to control pain in childbirth. When being used during labor, IV fluids (intravenous fluids) must be administered first to the laboring client. That's because one common side effect of epidural is a drop in blood pressure or hypotension. It's because epidural blocks the symphatic nerves. IV fluids can reduce the chance of hypotension, ensuring that the client will be okay throughout the labor process.
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what are the different dimensions in which housing affects the quality of health? (you may select more than one answer.)
Air quality, home security, personal space requirements, and the presence of potential irritants are all factors that might affect the quality of housing.
define housing ?
The construction and designated use of homes or structures, either individually or collectively, for the purpose of shelter, is referred to as housing or, more broadly, living spaces. Housing, whether it be a house or another type of abode, lodging, or shelter, guarantees that people of society have a place to live. Housing authority, sometimes known as a housing ministry or a housing department, are a common feature of many governments.
Air quality, home security, personal space requirements, and the presence of potential irritants like mould, asbestos, and lead are all factors that might affect the quality of housing. Poor housing conditions have been linked by experts to a variety of detrimental health effects, such as chronic illness, accidents, and poor mental health.
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the paramedic is intubating a patient and asks you to assist by gently pressing your thumb and index finger to either side of the throat just over the patient's adam's apple. as you press, you gently direct the throat upward and to the patient's right. what is the purpose of this maneuver?
It pushes the patient's vocal cords into the paramedic's view is the purpose of this maneuver.
The larynx is home to the vocal folds, commonly referred to as the vocal cords or chords. They enable us to create sound (phonation). On either side of the laryngeal cavity, there are two folds. A vocal ligament, a vocalis muscle, and a covering mucous membrane make up each fold.We can speak, sing, and make other vocal sounds because these folds vibrate when air passes through the larynx. In a thyroplasty, the vocal cord and an implant are positioned next to each other in the larynx (voice box). The vocal chord is pushed toward the centre by this implant. By adjusting the folds' position and tension, one can change the pitch of the sound that is produced. The larynx's joints and muscles are in charge of these movements.To have a powerful voice, both vocal chords must contact in the centre. A vocal cord that is paralysed or weak can now reach the midline thanks to the implant.To know more about larynx check the below link:
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you are caring for a newborn girl who weighs 3,800 grams with an estimated gestational age of 41 weeks. during your assessment at 1 hour of age, you note that the newborn is jittery and irritable. your first nursing action is:
Assessing the blood glucose level should be your first nursing step.
What is a baby's normal blood glucose level?The unit of measurement for blood sugar is millimoles per litre (mmol/L).
Age-related changes in blood glucose levels show that newborn babies typically have lower blood sugar levels than older kids and adults.
The usual amount is just under 2 mmol/L when babies are barely 1 to 2 hours old, but it will grow to adult levels (above 3 mmol/L) in 2 to 3 days. A level exceeding 2.5 mmol/L is desirable in infants who require therapy for low blood sugar or who are at risk for low blood sugar.
How will the blood sugar of the infant be measured?You only need a few drops of blood, typically from your baby's heel, to assess your blood sugar levels.
During the first and second days of life, blood glucose levels will be measured three to five times if your baby is in one of the aforementioned at-risk groups and is healthy. Blood glucose levels will also be checked at two hours of age and again before your baby feeds.
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a nurse is working with a 46-year-old woman who is working to lose weight. based on recommendations from the usda regarding diet modification, which is not appropriate advice for this client?
Drink juice for majority of fluid intake.
What are strategies for Weight loss?Long-term weight loss requires time, effort, and dedication. While you don't want to put off losing weight indefinitely, you should make sure you're ready to make long-term changes to your eating and physical activity habits. To determine your readiness, ask yourself the following questions:
Is it possible for me to lose weight?Are other pressures causing me to become distracted?Do I use food to help me cope with stress?Is it time for me to learn or use new stress-management techniques?Do I need additional help, either from friends or professionals, to deal with stress?Am I willing to alter my eating habits?Is it possible for me to change my activity habits?Do I have the time to devote to making these modifications?Consult with yourLearn more about Weight loss: https://brainly.com/question/2142190
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the nurse is caring for a 2-year-old child with cancer. the parents have been told that the child will need an allogeneic bone marrow transplant and want to know what this means. what is the best response by the nurse?
Immune system damage can be more frequent and more severe when radiation and chemotherapy are used together.
what is chemotherapy ?
Chemotherapy is a kind of cancer treatment that involves the use of one or more anti-cancer medications (chemotherapeutic agents or alkylating agents) as part of a prescribed chemotherapy regimen. Chemotherapy is sometimes shortened as "chemo" and occasionally CTX or CTx. Chemotherapy may be administered with the intention of curing (which usually typically requires medication combinations), extending life, or reducing symptoms (palliative chemotherapy). One of the main subspecialties of the medical field known as medical oncology, which is dedicated exclusively to pharmacotherapy for cancer, is chemotherapy.
Immune system damage can be more frequent and more severe when radiation and chemotherapy are used together.
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when caring for a multiparous client who is human immunodeficiency virus (hiv) positive and asking to breastfeed her neonate as soon as possible, the nurse should include which instructions about breast milk in the teaching plan?
when caring for a multiparous client who is human immunodeficiency virus (hiv) positive and asking to breastfeed her neonate as soon as possible, the nurse should include, placing as much of the areola as possible into the baby's mouth instructions about breast milk in the teaching plan.
What is human immunodeficiency virus?
A virus known as HIV (human immunodeficiency virus) targets the immune system of the body. AIDS can develop if HIV is not treated (acquired immunodeficiency syndrome). There isn't a reliable treatment available right now.
What is multiparous ?
A female who has given birth to multiple children at once is referred to as multiparous in obstetrics. It can also be used to describe a woman who had multiple pregnancies at various dates.
Therefore, when caring for a multiparous client who is human immunodeficiency virus (hiv) positive and asking to breastfeed her neonate as soon as possible, the nurse should include, placing as much of the areola as possible into the baby's mouth instructions about breast milk in the teaching plan.
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marcella's doctor had her walk on a treadmill while she monitored her heart rate. what type of diagnostic test best describes marcella's medical test?
A stress test often consists of walking on a treadmill or pedaling a stationary bike while your heart rate, blood pressure, and respiration are being monitored.
What is diagnostic ?
The method of diagnosing an ailment, illness, or injury from its symptoms and indicators. A physical examination, medical history, and testing like blood tests, imaging studies, and biopsies may all be used to make a diagnosis.
What is medical test ?
Medical tests are used to identify, diagnose, track, or decide on a treatment plan for diseases, disease processes, susceptibilities, or other medical problems.
A stress test often consists of walking on a treadmill or pedaling a stationary bike while your heart rate, blood pressure, and respiration are being monitored. As an alternative, a drug will be administered to you that has effects similar to those of exercise.
Therefore, a stress test often consists of walking on a treadmill or pedaling a stationary bike while your heart rate, blood pressure, and respiration are being monitored.
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the nurse is measuring blood pressures as part of a community health fair. which blood pressure reading would cause the nurse to refer the patient for follow-up regarding hypertension?
144/94 blood pressure readings would cause the nurse to refer the patient for follow-up regarding hypertension.
What is hypertension?Blood pressure that is 144/94 greater than usual is high blood pressure or hypertension.
Your daily activities affect how your blood pressure varies. High blood pressure may be diagnosed if blood pressure readings are often above normal (or hypertension).
Early-morning headaches, nosebleeds, abnormal heartbeats, changes in eyesight, and ear buzzing are just a few of the symptoms that might appear.
Therefore, 144/94 blood pressure readings refer the patient for follow-up regarding hypertension.
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The given question is incomplete, so complete the question, here:
The nurse is measuring blood pressure as part of a community health fair. Which blood pressure reading would cause the nurse to refer the patient for follow-up regarding potential hypertension?
a. 118/78
b. 126/84
c. 136/90
d. 144/94