A nurse is preparing to take the blood pressure of a client. The blood pressure cuff is 5 inches wide and the client's upper arm circumference is 20 inches
Remembering that the cuff should be 40% of a client's arm circumference, the nurse realizes that the blood pressure measurement for this client with this blood pressure cuff is:
a. Accurate, the actual value.
b. Higher than the actual value.
c. Lower than the actual value.
ANS: B
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Which statement made by a nurse indicates an understanding of the basic premises of psychobiology?
1. "All mental disorders can now be fully classified and cured with biological interventions." 2. "By focusing on the biologic sciences, we will diminish the art of psychiatric–mental health nursing." 3. "Because of the advances in psychobiology, the role of psychiatric–mental health nurses focuses primarily on medication monitoring." 4. "Genetics, immunology, biorhythms, brain structure, and brain biochemistry all influence mental disorders."
Immune serum globulin has been ordered for a patient with acute hepatitis A. What does the nurse emphasize when explaining the purpose of this medication to the patient?
A) The medication will eradicate the virus. B) The medication will significantly ameliorate the symptoms. C) This is the vaccine for hepatitis A. D) This medication will obviate any need for isolation.
A nurse is assessing the neck injury of a client who has been wearing a cervical collar for over 2 weeks. Which of the following could occur if the client wears the cervical collar for a prolonged period?
A) Swallowing difficulty B) Ischemic stroke C) Permanent neck stiffness D) Faster revascularization
When caring for patients on vasodilators that dilate veins, the nurse must monitor for which of the following groups of adverse side effects, which result from decreased preload, decreased cardiac output, and decreased tissue perfusion?
a. Increased chest discomfort, shortness of breath, and increased urine output b. Increased afterload, decreased blood pressure, and presence of carotid bruit c. Decreased urine output, decreased cognitive ability, and decreased peristalsis d. Increased shortness of breath, palpitations, and varicose veins