The nurse identifies factors that can cause errors in blood pressure measurement that yield higher results, such as:(Select all that apply) Standard Text: Select all that apply
1. Use of an electronic blood pressure device
2. Use of an aneroid sphygmomanometer
3. Use of a Doppler ultrasound stethoscope
4. A blood pressure cuff that is too small for the diameter of the client's arm
5. A blood pressure cuff that is too long
1,4
Rationale: Research indicates that automated electronic devices produce higher values than manual readings
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The nurse in an outpatient clinic obtains a blood pressure of 190/88 mm Hg on a patient diagnosed with high blood pressure. The patient tells the nurse, "My blood pressure medicine is really expensive
Do you think I really need it?" The nurse assumes the patient is not taking the medication based on the blood pressure result and the patient's statement and chooses noncompliance as a diagnostic label. The action by the nurse is an example of: a. clustering unrelated data in the diagnostic statement. b. selecting erroneous data for use in the diagnostic statement. c. using medical diagnoses in the diagnostic statement. d. identifying multiple problems within one diagnostic statement.
Harm to another's health or welfare through a failure to provide for basic needs or by placing the person's health or welfare at unreasonable risk is called
1. abuse. 2. neglect. 3. violence. 4. exploitation.
A patient treats chronic kidney failure with peritoneal dialysis. The patient notes the fluid draining out of the abdomen is cloudy and foul smelling. What action by the nurse is best?
a. Assess the patient for other signs of infec-tion. b. Document the findings in the patient's chart. c. Call the rapid response team immediately. d. Request a prescription for an antibiotic.
A client at 34 weeks' gestation complains of dizziness and light-headedness when lying down. The nurse understands that this is most likely due to what physiologic process?
A) Decreased blood sugar B) Altered cardiac output C) Vasodilation D) Uterine pressure on the vena cava