Page 318 - Saunders Comprehensive Review For NCLEX-RN

neutropenia places the client at risk for infection.

Box 10-1

Body Temperature Conversion
To convert Fahrenheit to Celsius: Degrees Fahrenheit – 32 × 5/9 = Degrees Celsius
Example: 98.2° F – 32 × 5/9 = 36.7° C
To convert Celsius to Fahrenheit: Degrees Celsius × 9/5 + 32 = Degrees Fahrenheit
Example: 38.6° C × 9/5 + 32 = 101.5° F

Box 10-2

Grading Scale for Pulses

4 + = Strong and bounding
3 + = Full pulse, increased
2 + = Normal, easily palpable
1 + = Weak, barely palpable
0 = Absent, not palpable

Box 10-3

Hypertension Categories and Guidelines

Categories

Normal: Less than 120/80 mm Hg
Elevated: Systolic between 120-129 mm Hg and diastolic less than 80 mm Hg
Stage 1: Systolic between 130-139 mm Hg or diastolic between 80-89 mm Hg
Stage 2: Systolic at least 140 mm Hg or diastolic at least 90 mm Hg
Hypertensive crisis: Systolic over 180 mm Hg and/or diastolic over 120 mm Hg,
with clients needing prompt changes in medication if there are no other
indications of problems, or immediate hospitalization if there are signs of
organ damage.

Guidelines

▪ Using proper technique to measure blood pressure.
▪ Use of home blood pressure monitoring using validated devices.
▪ Appropriate training of health care providers to reveal white-coat hypertension.
▪ Only prescribing medication for stage I hypertension if a client has already had a
cardiovascular event such as a heart attack or stroke or is at high risk for heart
attack or stroke based on age, the presence of diabetes mellitus, chronic kidney

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