Which of the following accurately reflects a recommended guideline when assessing blood pressure?
A) If this is the initial nursing assessment of a patient, take the blood pressure on both arms and use the arm with the lower reading for subsequent pressures.
B) Use electronic monitoring devices on patients with irregular heartbeats, tremors, or the inability to hold the arm still.
C) Raise the patient's arm over the head to help relieve congestion of blood in the limb and make the sounds louder and more distinct.
D) In newborns, take the blood pressure in one arm and one leg and document the difference to check for heart defects.
C
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The infection control nurse is presenting an in-service presentation on infection prevention and control. A participating nurse identifies what patient as most susceptible to acquiring an infec-tion?
a. An 81-year-old patient with a fractured hip b. A 10-month-old patient with a first-degree burned hand c. A 40-year-old patient with a recent un-complicated laparoscopic cholecystectomy d. A 16-year-old athlete with a repair of the medial collateral ligament
A client is receiving fluid resuscitation after a burn. Which finding indicates that fluid resuscita-tion is adequate for this client?
a. Hematocrit = 60% b. Heart rate = 130 beats/min c. Increased peripheral edema d. Urine output = 50 mL/hr
Which of the following statements best describes thrombopoiesis?
1. Platelet development from the hematopoietic stem cell to fully mature platelets 2. Blood cell development, beginning in the bone marrow and extending through cell maturation in the peripheral bloodstream 3. Response to extrinsic factors that initiates the clotting cascade 4. The process that mitigates blood loss due to injury to any blood vessel
The young client has been admitted into the hospital with a smooth, bright red tongue, sores on the lips and in the corners of the mouth, and pallor
Which of the following dietary deficiencies does the nurse expect to discover during the nutritional assessment? 1. Riboflavin 2. Iron 3. Vitamin D 4. Vitamin A 5. Niacin