A nurse is caring for a client in a clinic.

For each body system below, click to specify the adverse effect that the nurse should include in the teaching. Choose the most likely response for the dropdown(s) in the table below by choosing from the lists of options.

Body System	Common Adverse Effects
Head, eyes, ears, nose, and throat (HEENT)	_____
Cardiovascular	_____
Genitourinary	_____
Gastrointestinal	_____

A. "The client might act seductively.": Acting in a seductive or sexually provocative manner is more characteristic of histrionic personality disorder. While borderline personality disorder (BPD) may involve intense interpersonal relationships, seductive behavior is not a defining feature.

B. "The client exhibits impulsive behavior.": Impulsivity is a hallmark characteristic of BPD and may manifest as self-harm, substance use, reckless spending, or risky sexual behavior. These behaviors often occur in response to emotional dysregulation and can complicate treatment and relationships.

C. "The client is overly concerned about minor details.": Preoccupation with minor details is more typical of obsessive-compulsive personality disorder (OCPD). BPD is instead marked by instability in mood, identity, and relationships rather than rigid attention to details.

D. "The client is exceptionally clingy to others.": Excessive clinginess is characteristic of dependent personality disorder, which involves a pervasive need to be taken care of. BPD involves intense but unstable relationships rather than consistent dependency.

A. Apply the largest cuff available: Using an inappropriately large cuff can lead to inaccurate blood pressure readings, often underestimating the true values. The cuff size should be proportional to the client’s arm circumference, not simply the largest available.

B. Use the palpatory method to determine blood pressure: When Korotkoff sounds are difficult to auscultate, the nurse can use the palpatory method to estimate systolic pressure. This involves palpating the radial or brachial pulse while inflating the cuff and noting when the pulse disappears and reappears, providing a reliable alternative for measuring blood pressure.

C. Place the arm above the level of the client's heart: Positioning the arm above heart level can artificially lower the measured blood pressure due to hydrostatic effects. Proper technique requires the arm to be at heart level for accurate assessment.

D. Deflate the cuff quickly: Rapid deflation can cause missed Korotkoff sounds and inaccurate readings. The cuff should be deflated slowly, at a rate of 2–3 mm Hg per second, to ensure correct auscultation of both systolic and diastolic pressures.