Which action by the nurse is appropriate when selecting a cuff to accurately assess blood pressure (BP) on a child?
1. Select based on the label—infant, child, adult.
2. Select based on a bladder that covers two thirds of the upper arm and wraps around at least 80% of the arm circumference.
3. Select based on availability.
4. Select based on a bladder that covers one fourth of the arm circumference and 50% of the upper arm.
2
Explanation:
1. While the label may provide guidance for selecting a BP cuff, this action is not appropriate.
2. This is an accurate measurement to determine cuff size.
3. BP readings will be inaccurately high or low based on whether the cuff is too large or too small.
4. This is incorrect and will result in a cuff that is too small.
You might also like to view...
Obsessive-compulsive disorder (OCD) is a disorder that remains under investigation as to its actual neurophysiology. What tricyclic antidepressant is now approved by the Food and Drug Administration to treat OCD?
A) Clomipramine B) Imipramine C) Nortriptyline D) Amitriptyline
The nurse is assessing the heart rate of a healthy school-age child. The nurse expects that the child's heart rate will be in which of the following ranges?
A) 80 to 150 bpm B) 70 to 120 bpm C) 65 to 110 bpm D) 60 to 100 bpm
A medical patient has rung her call bell complaining of a severe headache, and the nurse has conducted a rapid assessment of the patient. The assessment reveals tachycardia and a blood pressure (BP) reading of 198/144
The nurse would recognize the need to treat this patient for: A) Primary hypertension B) Hypertensive emergency C) Hypertensive urgency D) Secondary hypertension
The LPN is assigning clients on a rehabilitation unit. Which of the following nursing actions should the LPN complete prior to assigning any delegated task?
A) Complete nursing report B) Review physician notes C) Assess the clients D) Obtain feedback from the CNA