When preparing to assess a client's blood pressure, the nurse observes for indications to using the client's thigh and a standard stethoscope, such as: Standard Text: Select all that apply
1. Unilateral mastectomy.
2. Intravenous infusions in both arms.
3. Burns on the upper body, including the shoulders or hands.
4. Bilateral mastectomy.
5. Arteriovenous fistula.
2,3,4
Rationale: The client with a unilateral mastectomy should have the blood pressure measured on the unaffected arm.
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