The nurse is searching through several blood pressure cuffs to find a cuff that is the appropriate size for her small patient. The nurse selects a cuff that covers ______ _______ of the patient's upper arm
ANS:
two thirds
No matter the age of the patient, for the blood pressure cuff to provide an accurate reading it should cover two thirds of the upper arm. A smaller cuff will give an inaccurately high reading and a larger cuff will give an inaccurately low reading.
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During a clinic visit, a patient complains of having frequent muscle cramps in her legs. The nurse's assessment reveals that the patient has been taking over-the-counter laxatives for the past 7 years
The nurse informed the patient that prolonged use of laxatives A) may cause nutrient deficiencies. B) may counter the therapeutic effect of other drugs. C) causes acidic urine and urinary tract infections. D) inhibits biotransformation of drugs.
A nurse admits a patient to her unit with a presumptive diagnosis of pneumonia. When a sputum specimen is obtained, the nurse notes that the sputum is greenish and copious
The nurse notifies the patient's physician because these symptoms are indicative of what? A) Lung cancer B) Lung tumors C) Infection D) Pulmonary edema
The nurse prepares to remove the client's sutures and staples. Which should the nurse implement before removal?
1. Assess the type of suture material used. 2. Snip off both ends of the suture material. 3. Cleanse crusting with hydrogen peroxide. 4. Plan staple removal for postoperative day 5.
A pt asks the nurse how insulin injection site rotation should be accomplished. What is the nurse's best response?
a. "rotation within one site is preferred to avoid changes in insulin absorption" b. "change rotation sites after a week or two to avoid lipohypertrophy" c. "rotation from site to site each day is best for the best insulin absorption" d. "always rotate insulin injection sites within 4-5 inches from the umbilicus"