Hesi - Medical Surgical Nursing Test Study Guide Rated A+

The nurse is a assessing a client with hypertension. Which client outcome is indicative of effective hypertension management? A) No complaints of sexual dysfunction occur. B) Pedal edema is not present in the lower legs. C) No indication of renal impairment is present. D) The blood pressure reading is 148/94 mm Hg. {Ans: C One expected outcome for a client with hypertension is for the client to have no evidence of target organ damage, such as renal or heart disease, that can occur with poorly managed hypertension. Development of pedal edema is not directly related to the management of hypertension. Side effects of some hypertensive agents may interfere with sexual function, but this does not relate to the effectiveness of treatment for hypertension. The blood pressure reading is too high to demonstrate effective management.}The nurse is caring for a client who is disoriented as the result of a stroke. Which action does the nurse implement to help orient this client? A) Turn on the television to a 24-hour news station. B) Provide auditory and visual stimulation simultaneously. C) Ask the family to bring in pictures familiar to the client. D) Maintain a calm and quite environment by minimizing visitors.