The nurse assesses phase 1 Korotkoff's sound occurring at 136 and phase 5 Korotkoff's sound occurring at 72. How should the nurse document this client's blood pressure reading?
1. 136/72.
2. 72/136.
3. 136 - 72.
4. 72 - 136.
Correct Answer: 1
Rationale 1: The first tapping phase 1 Korotkoff's sound is the systolic blood pressure. The last sound heard during phase 5 Korotkoff's sound is the diastolic blood pressure. The nurse would document the blood pressure as being 136/72.
Rationale 2: The diastolic blood pressure is not documented before the systolic blood pressure.
Rationale 3: The systolic blood pressure and diastolic blood pressure are not separated by a minus sign.
Rationale 4: This places the diastolic reading first and uses the minus sign, which is incorrect to use.
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