When taking the blood pressure on an adult, the best indication of diastolic pressure is
a. when two distinctive tapping sounds are heard
b. when there is a swishing sound
c. when the sounds become muffled
d. when the sound disappears
D
Clear soft tapping indicates the systolic sound or the first phase of the blood pressure. The second phase is the swishing sound. The muffled sound is the fourth phase and in children or physically active adults, is considered the diastolic reading. The best indication of diastolic pressure, however, is when the sound disappears as in phase five of the blood pressure reading.
You might also like to view...
Which of the following information should a nurse include when explaining causes of anorexia nervosa to a client? (Select all that apply.)
1. There is a possible correlation between abnormal secretion of growth hormone and anorexia nervosa. 2. There is a possible correlation between antidiuretic hormone levels and anorexia nervosa. 3. There is a possible correlation between low levels of gonadotropin and anorexia nervosa. 4. There is a possible correlation between increased levels of prolactin and anorexia nervosa. 5. There is a possible correlation between altered levels of oxytocin and anorexia nervosa.
A nurse is assessing a client diagnosed with schizophrenia spectrum disorder
The nurse asks the client, "Do you receive special messages from certain sources, such as the television or radio?" The nurse is assessing which potential symptom of this disorder? 1. Thought insertion 2. Paranoid delusions 3. Magical thinking 4. Delusions of reference
While assessing the external genitalia of a female client, the nurse notes small, red vesicles that are formed together to create an itchy ulcer. The nurse identifies this finding as being:
a. chancre. b. condyloma acuminatum. c. condyloma lata. d. herpes simplex.
You have a job interview scheduled. Which shows that you are dependable?
a. Being clean b. Dressing professionally c. Giving the receptionist your name d. Being on time