A patient is being treated for hypertensive emergency. When treating this patient, the nurse recognizes the initial goal is to lower the mean blood pressure (BP) by 20-25% because
the goal is to lower the BP to 120/80.
lowering the BP quickly may decrease cerebral, coronary or renal perfusion.
IV antihypertensive medications have a slow onset.
Lowering the BP slowly allows the patient to rest.
The Correct Answer is B
Rationale:
A. While lowering BP to 120/80 may be an ultimate goal, it is not the initial target in a hypertensive emergency.
B. Rapid reduction in blood pressure can cause hypoperfusion of vital organs such as the brain, heart, and kidneys, leading to ischemic injury. The aim is to reduce the BP gradually to prevent these complications.
C. IV antihypertensive medications generally have a rapid onset, not a slow one.
D. While gradual reduction is important, it is not done to allow rest but to protect organ perfusion.
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Correct Answer is C
Explanation
Rationale:
A. Deaths of patients with communicable diseases still need to be reported because tissue and organ viability must be assessed on a case-by-case basis.
B. Tissue donation is voluntary and requires consent from the patient or their legal representative.
C. Organ donation can be authorized by a client's surrogate if the client has not previously given or refused consent. This allows for the surrogate to make decisions in line with the client’s wishes or best interests.
D. While facilities may have committees involved in the process, reporting is to organ procurement organizations, not solely to a facility's committee.
Correct Answer is A
Explanation
Rationale:
A. Critical care certification validates a nurse's specialized knowledge and skills in critical care, demonstrating competence in this field to both employers and patients.
B. While certification enhances professional credibility, it does not guarantee the absence of mistakes.
C. Preparing for graduate school is not the primary purpose of certification.
D. Certification may contribute to a facility's pursuit of Magnet status, but its primary purpose is to validate nursing expertise.