The nurse uses the two-step palpatory blood pressure measurement to ensure accurate results. The steps are as follows: Place the steps in the appropriate order Standard Text: Click and drag the options below to move them up or down
1. The blood pressure cuff is inflated until the brachial or radial pulse is occluded
2. The nurse notes the reading, deflates the cuff
3. The nurse waits 30-60 seconds
4. Cuff is inflated 20-30 mmHg higher than number noted
1,2,3,4
Rationale: The blood pressure cuff is inflated while palpating the radial or brachial pulse, until the artery is occluded and the pulse cannot be palpated
You might also like to view...
In 2003, which of the following regions of the United States had the highest nursing position vacancy rates?
a. Northern and Eastern b. Northern and Western c. Southern and Eastern d. Southern and Western
When comparing the Older American's Resources and Services (OARS) with the Katz Index of ADLs, what is true?
a. The Katz Index and the OARS both measure only ADL performance b. The OARS is a comprehensive assessment tool that measures ability in five areas; the Katz Index measures only ADL perfor-mance c. The OARS is used only for older adults in the long-term care setting; the Katz Index is used in all settings d. The OARS is not valid for use in older adults who are cognitively impaired, whereas the Katz Index is
A woman is married to an intravenous drug user. She had a negative HIV screening test just after missing her first menstrual period. Which of the following would indicate that the client needs to be retested for HIV?
1. A hemoglobin of 11 g/dL and a rapid weight gain 2. Elevated blood pressure and ankle edema 3. Shortness of breath and frequent urination 4. Unusual fatigue and recurring candida vaginitis
A mother asks the nurse when a soft spot on the baby's head will close. The best response by the nurse is which of the following responses?
a. "It will close in about a year." b. "There are two soft spots called the anterior and posterior fontanels, which will close by the time the baby is about a year old." c. "It will close in 6 months." d. "The soft spot you are talking about will close by 12 to 18 months of age. Another soft spot will close by 2 months."