Which of these steps in taking a blood pressure is/are correct? Select all that apply

a. Use a bladder that encircles 40% of the arm.
b. Wrap the cuff snugly around the client's arm.
c. Ask the client to hold the arm at heart level.
d. Have the client sit with feet flat on the floor.


B, D
The cuff should be wrapped snugly around the client's arm. Crossed legs or dangling legs can increase blood pressure, so feet should be flat on the floor. The bladder should encircle 80% of the arm. Holding the arm out can cause an erroneously higher blood pressure measurement; the arm should be supported.

Nursing

You might also like to view...

Which of the following terms refers to the ethical questions that arise out of nursing practice?

1) Nursing ethics 2) Bioethics 3) Ethical dilemma 4) Moral distress

Nursing

Meats, whole grains, egg yolks, legumes, prunes, raisins, and apricots are high in which of these minerals?

a. calcium c. iron b. iodine d. potassium

Nursing

Which signs and symptoms would lead the nurse to suspect hypoglycemia in the newborn?

a. Hypertonia and bradypnea b. Apnea and fever c. High-pitched cry and apnea d. Muscle spasms and hunger

Nursing

The school nurse notifies you that there have been six confirmed cases of pertussis in the sixth-grade classes. In addition to responding to the cluster of cases you would

A) close the school. B) research the vaccine compliance in the school. C) send notes home to the parents regarding a pertussis epidemic. D) consult with the infection control physician at that local hospital.

Nursing