1. A nurse is caring for an older adult client with

hypertension. Which nursing intervention is the highest

priority for this client?

a. Assessing vital signs every hour

b. Administering anti-hypertensive medications as

scheduled

c. Educating the client on lifestyle modifications to

reduce hypertension

d. Encouraging the client to participate in aerobic

exercise regularly

Answer: b. Administering anti-hypertensive

medications as scheduled

Rationale: Hypertension is a chronic condition that

requires medication management. Administering antihypertensive medications as scheduled is the highest

priority to help control blood pressure levels and reduce

the risk of complications.

2. An adult client is diagnosed with heart failure.

Which nursing assessment finding is most concerning?

a. Mild dyspnea on exertion

b. Decreased urine output

c. Slight weight gain

d. Mild peripheral edema