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

A client identifier is a unique piece of information that can be used to verify the identity of a client before providing care or services. Using client identifiers helps to prevent errors and ensure patient safety. A photograph is an example of a client identifier that can be used by the nurse to confirm that they are administering the medication to the right person.

A. Use sterile gloves to provide perineal care. B. Cleanse hands with an alcohol-based hand rub before client contact C. Have the client apply a mask when children are visiting D. Place the client in a semiprivate room

Correct Answer is B

Explanation

Cleanse hands with an alcohol-based hand rub before client contact. This action reduces the risk of transmitting microorganisms to the client who has a weakened immune system.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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