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Lamont the procedure, but she also wants to explain some important concepts. What should she include? Select the 4 correct answers, (Case Study #1)

A.

Choose a cuff that is the right size.

B.

Support the extremity.

C.

Have the patient cross their legs while taking blood pressure.

D.

Ensure proper cuff application.

E.

Ensure that the patient is sitting or lying.

Answer and Explanation

Correct Answer : A,B,D,E

A. Choose a cuff that is the right size. Using the correct cuff size is essential for accurate blood pressure readings. A cuff that is too small can falsely elevate readings, while a cuff that is too large can falsely lower them.
B. Support the extremity. The arm should be supported at heart level to prevent unnecessary muscle strain, which could affect blood pressure readings. An unsupported arm may lead to an artificially higher reading.
C. Have the patient cross their legs while taking blood pressure. Crossing the legs can increase blood pressure by reducing venous return and increasing vascular resistance, leading to inaccurate measurements. The patient should keep their feet flat on the floor.
D. Ensure proper cuff application. The cuff should be placed snugly around the upper arm with the artery marker positioned correctly over the brachial artery. Improper placement can lead to inaccurate readings.
E. Ensure that the patient is sitting or lying. Blood pressure should be measured while the patient is in a stable position—either sitting with feet flat on the floor or lying down. Standing may result in postural changes that can alter blood pressure readings.


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Related Questions

Correct Answer is ["2"]

Explanation

Calculation:

Formula:

Tabletsperdose = Dose ordered/ Dose available

Given:

  • Ordered dose = 100 mg
  • Available dose = 50 mg per tablet

Tablets per dose = 100mg/ (50mg/tablet)

= 2 tablets

Thus, the nurse will administer 2 tablets per dose.

Correct Answer is ["10"]

Explanation

Calculation:

Volume to administer = Dose ordered/ Dose available

Given:

  • Ordered dose = 10 mg
  • Available concentration = 10 mg/10 mL

Volume =10mg/(10mg/10mL)

= 10mL

Thus, the nurse will administer 10 mL per dose.

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