A nurse is watching as an unlicensed assistive personnel (UAP) measure the blood pressure (BP) of a hypertensive client. Which actions on the part of the UAP would interfere with accurate measurement and prompt the nurse to intervene?
A. Measuring the BP after the client has sat quietly for 5 minutes
B. Having the client sit with the arm bared and supported at heart level
C. Used a cuff with a rubber bladder that encircles at least 60% of the limb
D. Measuring the BP after the client reports that he just drank a cup of coffee
E. Allowing the client to talk as the blood pressure is being measured
Ans:
C. Used a cuff with a rubber bladder that encircles at least 60% of the limb
D. Measuring the BP after the client reports that he just drank a cup of coffee
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