When auscultating the patient's blood pressure (BP), what should the nurse do to avoid the auscultatory gap

1) Take a palpable BP.
2) Inflate the cuff to 30 mm Hg greater than the point where the palpable pulse is obliterated.
3) Inflate the cuff to the point where the palpable pulse is obliterated.
4) Always inflate the cuff above 200 mm Hg pressure.


ANS: 2

Nursing

You might also like to view...

Maria is a sedentary, 68-year-old woman who is overweight. She complains that her hands and feet are always cold and she tires quickly when cleaning the house

At her most recent visit to her doctor, her blood pressure was 184/98 mm Hg. She has edema around her ankles and legs, and her physician is concerned about an echocardiogram that indicates Maria has an enlarged heart Identify two reasons why Maria will have tissue ischemia. How might this lead to hypoxia? What are the two early and reversible changes that occur to tissue cells when they are hypoxic? What specific type of cellular adaptation has taken place in Maria's enlarged heart? What made you come to this conclusion?

Nursing

During a CPR, class a student in the class asks what the difference is between cardioversion and defibrillation. What would be the nurse's best response?

A) "Cardioversion is done on a beating heart, defibrillation is not." B) "The difference is the timing of the delivery of the electric current." C) "Defibrillation is synchronized with the electrical activity of the heart, cardioversion is not." D) "Cardioversion is always attempted before defibrillation because it is not as dangerous."

Nursing

A female patient who begins taking spironolactone [Aldactone] as an adjunct to furosemide [Lasix] complains that her voice is deepening. What will the nurse do?

a. Contact the provider to obtain an order for a complete blood count (CBC) and liver function tests. b. Explain that this drug binds with receptors for steroid hormones, causing this effect. c. Report this side effect to the provider and request another medication for this pa-tient. d. Teach the patient to report any associated cough, which may indicate a more severe side effect.

Nursing

What do families desire from hospice care?

1. Continuity of care. 2. Comfort for the dying family member. 3. Autonomy for family members. 4. Case management.

Nursing