The nurse documents vital signs on a newly admitted patient as: "blood pressure is 170/90 mm Hg, the pulse is 80 beats/min, and the respirations are 16 breaths/min." The nurse would record the pulse pressure as:
54 mm Hg
80 mm Hg.
64 mm Hg.
14 mm Hg.
The Correct Answer is B
Pulse pressure is calculated as the difference between systolic and diastolic blood pressure. 170 - 90 = 80 mm Hg, so the pulse pressure would be 80mmHg.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
A. Palpation may alter bowel sounds, making auscultation after palpation less accurate.
B. Auscultation should be performed before percussion or palpation to prevent interference with the sounds.
C. Checking for kidney tenderness is important but does not affect the timing of auscultating bowel sounds.
D. Inspection should be done before auscultation to assess for any obvious abnormalities before listening for bowel sounds.
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