If a sufficiently large cuff is unavailable to fit an obese arm, which technique may be used to assess blood pressure?
a. Wrap a standard cuff around the deltoid area and place the stethoscope over the radial artery.
b. Wrap a standard cuff around the forearm and place the stethoscope over the radial artery.
c. Wrap a standard cuff around the thigh and place the stethoscope on the dorsalis pedis.
d. Wrap a pediatric cuff around the ankle and place the stethoscope on the popliteal artery.
B
A technique to use when assessing the blood pressure of an obese person and you only have a standard adult cuff is to wrap the cuff around the smaller forearm, and place the stethoscope over the radial artery. This substitution should comply with the cuff standard of one third to one half of the circumference of the limb. The cuff should be wrapped around the forearm, not the deltoid or thigh areas. A pediatric cuff will not fit the ankle.
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