A patient is obese. The nursing assistant takes the patient's blood pressure with a standard-size cuff. The nurse educates the assistant by stating that the use of this cuff will affect the reading with values that are:
A. accurate.
B. indistinct.
C. falsely low.
D. falsely high.
D
An accurate blood pressure (BP) reading will be attained when the BP cuff is 40% of the circumference of the midpoint of the limb. A falsely low BP occurs when the cuff is too wide for the limb.
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A client who had a severe traumatic brain injury is being discharged home, where the spouse will be a full-time caregiver. What statement by the spouse would lead the nurse to provide further education on home care?
a. "I know I can take care of all these needs by myself." b. "I need to seek counseling because I am very angry." c. "Hopefully things will improve gradually over time." d. "With respite care and support, I think I can do this."
A nurse is providing care for a 75-year-old man, whom she has noted has not voided urine since the beginning of the shift. The man states that this has happened to him before and that while he presently has the urge to void, he is unable to do so
An ultrasound bladder scan indicates that there is 780 cc of urine in the man's bladder. What is the most likely cause of the man's urinary retention? A) Fecal impaction B) Prostatic hypertrophy C) Neurogenic reflex D) Muscle weakness
During the evaluation and review of departmental practices, the nurse manager uses PERT because it is a:
a. tool used for timing of decisions. c. decision tree. b. type of conditioner. d. type of PDA.
How many leads does the Holter monitor contain??
A) 6 B) 12 C) 3 D) 5