Which action should the nurse take to ensure that a client's blood pressure is accurately measured? (Select all that apply.)
1. Place the cuff bladder over the artery.
2. Measure the blood pressure on both arms.
3. Use a cuff that is 40% of the arm circumference.
4. Deflate the cuff at the rate of 2 to 3 mm Hg per second.
5. Note the diastolic reading when the first tapping sound is heard.
Answer: 1, 2, 3, 4
1. To ensure an accurate blood pressure measurement the nurse should place the cuff bladder over the artery.
2. To ensure an accurate blood pressure measurement the nurse should measure the blood pressure on both arms.
3. To ensure an accurate blood pressure measurement the nurse should use a cuff that is 40% of the arm circumference.
4. To ensure an accurate blood pressure measurement the nurse should deflate the cuff at the rate of 2 to 3 mm Hg per second.
5. To ensure an accurate blood pressure measurement the nurse should note the systolic reading when the first tapping sound is heard.
You might also like to view...
The nurse knows that when clients are unable or unwilling to perform assigned family roles, the family experiences:
1. Stress and disequilibrium. 2. Recognition and communication. 3. Personal and political advocacy. 4. Acceptance.
The nurse is caring for a patient diagnosed with severe acute respiratory syndrome (SARS). For what conditions should the nurse assess in this patient?
Select all that apply. 1. nasal flaring 2. restlessness 3. anxiety 4. decreased level of consciousness 5. sputum production
How should the nurse position the patient who has decreased cardiac output?
a. semi-Fowler's c. prone b. supine d. Sims'
Many medications that are administered in an ICU are titrated based on the effect on the patient
__________ and /or heart rhythm. Fill in the blank(s) with correct word