A nurse observes a patient care technician using all these measures when taking vital signs. Which measure requires the nurse to intervene?
a. Palpates brachial artery before inflating blood pressure cuff
b. Counts respirations while palpating radial pulse
c. Inserts thermometer into sublingual pocket after patient sips water
d. Asks patient to relax arm before taking blood pressure
ANS: C
The nurse needs to intervene if observing the technician taking an oral temperature after consuming any type of beverage because of the potential for a temperature difference in the liquid that may affect the patient's measured temperature. The other options are appropriate.
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