The nurse notices a colleague is preparing to check the blood pressure of a patient who is obese by using a standard-sized blood pressure cuff. The nurse should expect the reading to:
a. Yield a falsely low blood pressure.
b. Yield a falsely high blood pressure.
c. Be the same, regardless of cuff size.
d. Vary as a result of the technique of the person performing the assessment.
ANS: B
Using a cuff that is too narrow yields a falsely high blood pressure because it takes extra pressure to compress the artery.
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You are the team leader in a long-term care facility. A topic for discussion at a recent staff meeting was the effect that a scheduled 1 week absence of one of the staff members will have on the staff and how that absence might be managed
One of the staff members thinks a person should be hired to cover the temporary absence. The other six staff members each want to take on an extra resident for that week. They feel that bringing in someone new would not be best for the residents. Which of the following statements might be made by a person who is considered a good follower? A) "I think the decision is wrong and I really want everyone to reconsider." B) "I don't care. I'll go along with whatever everyone else wants to do." C) "This is your decision – not mine. I will not accept being assigned an additional resident." D) "I certainly don't agree with the decision but I will do my best to carry it out."
A woman said, "I've never been retired before. I didn't plan it but it's OK. I'm still doing what I used to do otherwise; I go to church, make quilts for charity, and babysit my grandkids. Do you think I should be trying to find another job for a few year
Which of the following would be the most appropriate response by the nurse? a. "For lots of people, retirement, even if unplanned, is much like life has always been." b. "It's okay to slow down at your age; why look for problems?" c. "You really need to get out of your house more and be more active, even if you don't get paid at the position." d. "Without a job, you really don't have an identity. Have you been to the unemployment office?"
A nurse is caring for a 14-year-old with a gastrostomy tube. The girl has skin breakdown and irritation at the insertion site. Which of the following would be the most appropriate method to clean and secure the gastrostomy tube?
A) Make sure the tube cannot be moved in and out of the child's stomach. B) Use adhesive tape to tape the tube in place and prevent movement. C) Place a transparent dressing over the site whether there is drainage or not. D) If any drainage is present, use a presplit 2 × 2 and place it loosely around the site.
While making a home visit the nurse learns that a patient self-administering insulin injections is placing the used needles and syringes in the family's trash can. What action should the nurse take?
1. Instruct the patient to place the needles and syringes in a separate plastic bag. 2. Nothing, because these needles and syringes are harmless to the general population. 3. Ask the patient to save all used syringes and needles after use for the nurse to dispose of. 4. Teach the patient to place all used syringes and needles into the red biohazard sharps box.