In selecting a blood pressure cuff of appropriate size for a client, the nurse should remember that the bladder inside the cuff should encircle what percentage of the adult client's arm for accurate measurement?
a. 50 c. 70
b. 60 d. 80
D
The bladder inside the cuff should encircle 80% of the arm in adults and 100% of the arm in children younger than 13 years old.
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A student nurse on the pediatric floor finds a patient in pain and gives the child some toys to play with. The registered nurse asks why the student did not medicate the child
The student states that because the child was easily distracted, it did not appear that the child needed pain medication. What action by the registered nurse is most appropriate? A. Give the child some pain medication. B. Have the student reassess the child's pain. C. Instruct the student to take the child's vital signs. D. Thank the student for distracting the child.
A patient has a permanent pacemaker implanted with the identification code beginning with VVI, which indicates:
A) Ventricular paced, ventricular sensed, inhibited B) Atrial paced, ventricular sensed, inhibited C) Ventricular sensed, ventricular paced, inhibited D) Atrial sensed, atrial paced, inhibited
Metered-dose inhalers are used to deliver specific amounts of medication. The nurse instructs the patient to:
1. never shake the inhaler medication before use. 2. exhale while squeezing the canister to deliver the medication. 3. sit upright, exhale, then activate the inhaler as the next inhalation begins. 4. hold the head back while inhaling the medication.
The client is being treated with a thiazide diuretic. He tells the nurse that he is interested in using herbal preparations and frequently self-medicates with ginkgo. The nurse's most appropriate response to this information is:
a. "Ginkgo can be effectively used with a thiazide diuretic since it decreases blood pressure." b. "Ginkgo can be used with a thiazide diuretic since it prolongs medication's action." c. "Ginkgo should not be used with a thiazide diuretic since it increases blood pressure." d. "Ginkgo should not be used with a thiazide diuretic since it may cause toxicity."