The nurse is running a blood pressure screening clinic at the community health center. Which action should the nurse implement to obtain an accurate measurement of a patient's blood pres-sure on an upper extremity?
a. Use a cuff with a cuff width that is 40% wider than the circumference of the arm.
b. Limit the cuff deflation rate to 10 mm Hg per second or heartbeat.
c. Record the second Korotkoff sound as the systolic pressure.
d. Apply the diaphragm of the stethoscope lightly over the brachial artery.
A
For accurate results, a properly sized blood pressure cuff is at least 40% wider than the circum-ference of the patient's arm on which the blood pressure is measured. Deflating the cuff at 10 mm Hg is excessively fast. The systolic blood pressure is the first Korotkoff sound. The diaph-ragm is placed firmly over the brachial artery to prevent environmental sound from interfering with blood pressure auscultation.
You might also like to view...
A primigravida is Rh negative and her husband is Rh positive. She is concerned about the health of the fetus. The nurse explains that there is little danger to the fetus if it is Rh positive; however, the mother would become sensitized during delivery. If
a. Rh-negative blood cells b. Rh-positive blood cells c. Rh-negative antibodies d. Rh-positive antibodies
When explaining to a class of nursing students the effects of dysregulation of the RANKL/RANK/OPG pathway, the instructor emphasizes that this plays a prominent role in the pathogenesis of: Select all that apply
A) osteomalacia. B) neoplasia of the bone. C) osteoporosis. D) genu varum. E) bone necrosis.
The nurse is reviewing a theory for the conceptual framework. A conceptual framework is a:
a. statement that proposes a relationship between concepts. b. structure that links global concepts together and represents the unified whole of a larger reality. c. set of concepts and propositions that provide an orderly way to view phenomena. d. set of complex mental formulations of one's perceptions of the world.
A visitor asks you what is wrong with Mrs. DeRouge after she sees her leaving the physical therapy gym at your rehabilitation facility. What should you say?
A. "Ask the physical therapist if you can see her chart." B. "You will have to talk to the doctor to get that information." C. "I don't know what is wrong with her, but she sure looks bad, doesn't she?" D. "I can't discuss confidential information about any resident."