Which would cause an erroneously low blood pressure during a general assessment for an adult client?
A. Bladder to cuff ratio too wide
B. Arm unsupported
C. Cuff wrapped too loosely
D. Arm below heart level
Answer: A
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An older adult's diagnosis of sleep apnea is supported by nursing assessment and history data that include: (Select all that apply.)
a. followed a vegetarian diet for last 28 years. b. male gender. c. a smoking history of 1 pack a day for 45 years. d. 30 pounds over ideal weight. e. history of Crohn's disease.
For 2 weeks a patient has taken lithium (Lithane) and risperidone (Risperdal) daily for mani
a. The patient now reports diarrhea, vomiting, and blurred vision. The nurse observes a coarse hand tremor. Select the nurse's priority action. a. Administer a PRN dose of benztropine (Cogentin) to relieve extrapyramidal symptoms (EPSEs). b. Hold the next dose of risperidone to prevent further drug–drug interaction. c. Reassure the patient that these side effects will decrease with time. d. Notify the prescribing physician immediately.
When caring for a client with a spouse and two adolescent children, the nurse knows that the family unit must first:
1. Be viewed as a client 2. Change traditional roles 3. Provide support for the ailing mother 4. Seek help to fulfill day-to-day needs
A patient had a thyroidectomy and now reports tingling around the mouth and has a positive Chvostek sign. What laboratory finding would be most helpful to the healthcare professional?
a. TSH and T4 b. Serum sodium c. Serum calcium d. Urine osmolality