While assessing the blood pressure of an eight-year-old child, the nurse notes the following: Systolic sound is heard at 98, but the sound continues until it reaches 0. There is a distinct sound softening at 48
How should the nurse record this finding? 1. 98/48
2. 98/48/0
3. 98/0
4. 48/0
2
Rationale 1: This is not the correct documentation. Korotkoff sounds were heard down to 0 mmHg.
Rationale 2: This documentation correctly records the nurse's findings.
Rationale 3: This is not the correct documentation as it does not include the qualitative change at 48.
Rationale 4: This reading eliminates the systolic sound.
Global Rationale:
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