A medical assistant obtains an elevated blood pressure reading from a visibly upset patient. Which of the following actions should the assistant take?
Perform orthostatic blood pressure.
Recheck the blood pressure after a few minutes.
Measure blood pressure at the wrist.
Use the palpatory method for blood pressure.
The Correct Answer is B
A. Perform orthostatic blood pressure. Orthostatic blood pressure measurements are used to assess changes in blood pressure when a patient moves from lying down to standing, not in response to emotional upset.
B. Recheck the blood pressure after a few minutes. This is the correct action, as the initial elevated reading could be due to the patient's emotional state. Waiting a few minutes and rechecking can provide a more accurate reading.
C. Measure blood pressure at the wrist. Wrist blood pressure readings are less accurate than those taken at the upper arm and are not recommended in this scenario.
D. Use the palpatory method for blood pressure. The palpatory method is used when auscultation is difficult, but it does not address the issue of an elevated reading due to emotional upset.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Temperature: Temperature is a vital sign, not an anthropometric measurement.
B. Pulse: Pulse is a vital sign, not an anthropometric measurement.
C. Blood pressure: Blood pressure is a vital sign, not an anthropometric measurement.
D. Weight: Anthropometric measurements include weight, height, and other body measurements used to assess physical development and health.
Correct Answer is B
Explanation
A. Prone: The prone position (lying face down) is not suitable for patients with labored breathing as it can restrict breathing further.
B. Fowler's: The Fowler's position (sitting upright or semi-upright) helps to ease breathing and is often used for patients experiencing shortness of breath or respiratory distress.
C. Supine: The supine position (lying flat on the back) may exacerbate breathing difficulties by increasing pressure on the chest.
D. Lithotomy: The lithotomy position (lying on the back with legs raised and spread) is used for specific procedures and is not appropriate for managing labored breathing.
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