The nurse is taking the blood pressure of a very large adult. How will the blood pressure reading be affected if the nurse uses the standard cuff?
a. The blood pressure reading will be falsely low.
b. The blood pressure reading will be falsely high.
c. The systolic reading will be inaccurate, but the diastolic reading will be accurate.
d. Cuff size has little effect on blood pressure reading.
B
A falsely elevated reading will result if the bladder is too narrow and a falsely low reading will result if it is too wide.
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Sleep restriction therapy is a means to improve the quality and quantity of sleep. Which of the following statements correctly describes sleep restriction therapy?
A) The client should get up whenever he or she feels fully rested. B) Watching television in bed or reading in bed is allowed if the client will drift off to sleep during the activity. C) The nurse assists the client to establish a desired amount of nighttime sleep, a time to go to bed, and a time to rise. D) If a client is unable to sleep at the established time, she or he should remain in bed for 1 hour and then go to another room until feeling sleepy.
Items on Likert scales are declarative statements followed by a bipolar response scale
A) True B) False
A nurse is caring for an older adult following hip surgery. Which of the following serious complications would the nurse attempt to avoid by encouraging use of the incentive spirometer?
A) Hypertension B) DVT C) Pneumonia D) Asthma attack
The nurse is reviewing with the client about the number of guaiac tests that must be completed to determine a positive or negative result
Based on this information, what instruction should the nurse provide the client on the number of separate guaiac specimens that are collected before a determination of positive or negative finding is made? A) Two separate specimens on 2 consecutive days B) Two separate specimens on 2 separate days C) Three separate specimens on 3 consecutive days D) Three separate specimens on 3 separate days