Which action by the nurse results in the patient's blood pressure measurement being falsely low? Select all that apply
a. Using a blood pressure cuff that is too wide for the patient's arm
b. Not inflating the blood pressure cuff enough
c. Positioning the patient's arm above the level of the heart
d. Wrapping the cuff too loosely around the arm
e. Deflating the cuff too rapidly
ANS: A, B, E
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An older patient is being abused by family members in the home and asks about adult protective services. What should the nurse explain about these services?
1. They are an organization that prosecutes those persons who abuse the elderly. 2. They provide services to protect older people who may be abused or neglected. 3. They provide a way to permanently keep the older patient separated from the abuser. 4. They place older patients who cannot adequately care for themselves in nursing homes.
Excessive anxiety in labor heightens the woman's sensitivity to pain by increasing
a. Muscle tension b. Blood flow to the uterus c. The pain threshold d. Rest time between contractions
A client returns to the unit following transurethral resection of the prostate due to prostate cancer. The client states that he wants the three-way Foley catheter to be removed because it is causing him to have bladder spasms
Which of the following is the best response by the nurse? 1. "Spasms are painful but expected because of the wide diameter of the catheter and the retention balloon in the bladder.". 2. "This must be a complication, because the Foley catheter is supposed to evacuate clots that cause spasms.". 3. "The spasm is an unexpected finding because the procedure does not invade the urethra.". 4. "Foley catheters in general have a tendency to cause bladder spasms because of the silicone used in the catheter.".
Aneurysms are classified according to their
A) size. B) shape. C) pulsation activity. D) location.