While assessing the blood pressure of a school-age child, the nurse notes the following: Systolic sound is heard at 98, but the sound continues until it reaches 0. There is a distinct sound softening at 48. How should the nurse record this finding?
1. 98/48
2. 98/48/0
3. 98/0
4. 48/0
2
Explanation:
1. This is not the correct documentation. Korotkoff sounds were heard down to 0 mmHg.
2. This documentation correctly records the nurse's findings.
3. This is not the correct documentation, as it does not include the qualitative change at 48.
4. This reading eliminates the systolic sound.
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