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.
You might also like to view...
Mrs. H and Mrs. J are the same age. While in the doctor's waiting room, they discuss their ailments and their beliefs about aging. Mrs. H argues that Mrs. J must be older because she has more ailments
The nurse settles the argument by stating a cornerstone of all biological theories of aging. Which of the following statements did the nurse most likely make? A) Aging is a predictable cellular process. B) Cells undergo a finite number of divisions. C) No two individuals age identically. D) Body systems decline at the same rate.
Examiner experience should result in:
a. the ability to analyze data with more con-fidence. b. reliance on intuition. c. an ability to order more laboratory tests. d. the need to spend more time with patients.
The certified nurse midwife is discussing the birth plan with a client. Which of the following data would most likely be documented in the plan? Select all answers that apply
A) The woman's choice of a partner for support during labor B) The woman's living will or advance directives C) The type of pain relief measures desired D) The parents' choice of birth announcements E) The outcome of labor and delivery F) The woman's feelings about fetal monitoring
Which of the following conditions is Tolterodine (Detrol) the drug of choice?
A. pyelonephritis B. edema C. overactive bladder D. urinary tract infection