A nurse is preparing to check a client's blood pressure. Which of the following actions should the nurse take?

Use a cuff with a width that is about 60% of the client's arm circumference.

Release the pressure on the client's arm 5 to 6 mm per second.

Apply the cuff above the client's antecubital fossa

Have the client sit with his arm resting above the level of his heart.

Answer and Explanation

Correct Answer : A,B

A cuff that is too narrow or too wide can result in inaccurate blood pressure readings. The cuff should be snug but not tight and cover about 80% of the arm length. The pressure should be released at a rate of 2 to 3 mm per second to avoid missing auscultatory gaps or causing discomfort to the client.

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Correct Answer is B

Explanation

The nurse should acknowledge the partner's feelings and provide emotional support without judging or imposing personal values. The nurse should not suggest changing the DNR order.

A. The client's background health history B. The number of visitors client had during shift C. The times for routine vital sign measurements D. The type of transmission-based precautions in place

Correct Answer is D

Explanation

The nurse should include in report type of transmission-based precautions in place for client who has shingles, which is contact precautions. This information is essential for preventing spread of infection to other clients and staff members. The client's background health history, number of visitors during shift, and times for routine vital sign measurements are not specific or relevant information for this client's condition and do not need to be included in report.

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A nurse is preparing to check a client's blood pressure. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

A nurse is speaking with the partner of a client who is unconscious and has a do-not resuscitate (DNR) order in place. The partner requests that CPR be performed if necessary. Which of the following responses should the nurse make?

Correct Answer is B

Explanation

A nurse at a long-term care facility is providing change-of-shift report to an oncoming nurse about a client who has shingles. Which of following information should nurse include in report?

Correct Answer is D

Explanation

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