A nurse is assessing a client's blood pressure using a manual sphygmomanometer and a stethoscope. What action should the nurse take to obtain an accurate blood pressure reading?
Inflate the cuff to 20 mmHg above the estimated systolic pressure.
Deflate the cuff at a rate of 10-20 mmHg per second.
Place the bell of the stethoscope over the brachial artery.
Palpate the radial artery while auscultating for Korotkoff sounds.
The Correct Answer is C
Answer: c. Place the bell of the stethoscope over the brachial artery.
Explanation: To obtain an accurate blood pressure reading, the nurse should place the bell of the stethoscope over the brachial artery, which is located in the antecubital fossa.
a. Inflating the cuff to 20 mmHg above the estimated systolic pressure may be appropriate for initial inflation, but the cuff should be inflated further until the radial pulse disappears, and then slowly deflated to obtain accurate readings.
b. Deflating the cuff at a rate of 2-3 mmHg per second is recommended to obtain accurate blood pressure readings.
d. Palpating the radial artery while auscultating for Korotkoff sounds is not necessary for accurate blood pressure measurement and may interfere with accurate assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Answer: c. Place the bell of the stethoscope over the brachial artery.
Explanation: To obtain an accurate blood pressure reading, the nurse should place the bell of the stethoscope over the brachial artery, which is located in the antecubital fossa.
a. Inflating the cuff to 20 mmHg above the estimated systolic pressure may be appropriate for initial inflation, but the cuff should be inflated further until the radial pulse disappears, and then slowly deflated to obtain accurate readings.
b. Deflating the cuff at a rate of 2-3 mmHg per second is recommended to obtain accurate blood pressure readings.
d. Palpating the radial artery while auscultating for Korotkoff sounds is not necessary for accurate blood pressure measurement and may interfere with accurate assessment.
Correct Answer is D
Explanation
Answer: d. 86%
Explanation: An oxygen saturation level of 86% indicates severe hypoxemia and requires immediate intervention to ensure adequate oxygenation.
a. Oxygen saturation levels of 95% are within the normal range and do not require immediate intervention.
b. Oxygen saturation levels of 92% are relatively low but may not require immediate intervention depending on the client's clinical condition.
c. Oxygen saturation levels of 89% indicate significant hypoxemia and require intervention, but immediate intervention is required at a level of 86%.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.