Regarding the blood pressure in children, the diastolic pressure is assessed by the auscultation of a:

murmur or swishing sound that increases with depression of the cuff.

clear tapping that gradually grows louder

louder knocking sound that occurs with each heartbeat.

sudden change or muffling of the sound.

Answer and Explanation

The Correct Answer is D

A.   A murmur or swishing sound does not correspond to the diastolic pressure; it is more indicative of turbulent blood flow.
B.   Clear tapping sounds are heard at systolic pressure but do not indicate diastolic pressure.
C.   Knocking sounds are associated with systolic pressure, not diastolic.
D.   The muffling sound heard after the first Korotkoff sounds indicates the diastolic pressure in children and some adults, which is the correct method for assessing the diastolic reading.

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Correct Answer is A

Explanation

A. Gathering information from a family member can help obtain a more accurate history, especially when the patient has difficulty recalling specific details due to age-related memory changes.
B. Omitting the interview would lead to incomplete information and potentially delay appropriate care.
C. Repeating the questions may be helpful but may not always yield reliable data if the patient struggles to remember key details.
D. While forgetfulness can be normal with aging, healthcare providers need to ensure accurate information is collected to provide optimal care.

A. inspection of the extremities. B. auscultation of the lungs. C. percussion of the flank areas of the back. D. auscultation of bowel sounds.

Correct Answer is C

Explanation

A. While extremity inspection is important, it is not as directly related to assessing back pain as evaluating the back itself.

B. Auscultating the lungs is essential in respiratory assessments but is not the priority when examining a patient with back pain.
C. Percussion of the flank areas is a key part of the physical examination for back pain, particularly if there are concerns of kidney involvement or other internal issues causing discomfort.
D. Bowel sounds are not directly related to back pain unless gastrointestinal issues are suspected.

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Regarding the blood pressure in children, the diastolic pressure is assessed by the auscultation of a:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During a health interview, an older adult patient has difficulty remembering information about the health history. In order to get the information more reliably, the nurse should:

Correct Answer is A

Explanation

A very pertinent part of the physical examination on a patient with back pain is

Correct Answer is C

Explanation

Older adult patients with hypertension may have an auscultatory gap in their Korotkoff sounds. It is important when taking their blood pressure measurement to:

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