What type of blood pressure measurement error is most likely to occur if the nurse does not check for the presence of an auscultatory gap?

a. Diastolic blood pressure may not be heard.
b. Diastolic blood pressure may be falsely low.
c. Systolic blood pressure may be falsely low.
d. Systolic blood pressure may be falsely high.


ANS: C
If an auscultatory gap is undetected, then a falsely low systolic or falsely high diastolic reading may result, which is common in patients with hypertension.

Nursing

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