The nurse taking a blood pressure should:

place the arm so that the brachial artery is at waist level.

chat with the patient to reduce any anxiety in the patient.

request that the patient put feet flat on the floor.

position the patient so that the arm is level with the shoulder.

Answer and Explanation

The Correct Answer is C

A.   The brachial artery should be at heart level, not waist level, to ensure accurate blood pressure readings.
B.   While chatting with the patient may help reduce anxiety, it is not directly related to positioning for accurate blood pressure measurement.
C.   Having the patient place their feet flat on the floor ensures proper positioning and helps prevent any interference with blood pressure readings.
D.   The arm should be at heart level, not at the shoulder, for accurate readings.

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Correct Answer is D

Explanation

A. Rinsing the thermometer with water is not necessary to ensure an accurate reading. The thermometer should be cleaned after use but rinsing with water does not directly ensure accuracy.
B. Using a dry cotton ball to dry the thermometer is unnecessary and could leave fibers on the device that may interfere with reading accuracy.
C. Wiping the thermometer with alcohol helps sanitize it but does not directly influence the accuracy of the reading.
D. Shaking down the galinstan alloy to below normal is necessary to reset the thermometer before use, ensuring that the mercury level is accurate when taking a new temperature.

A. increase in temperature. B. decrease in pulse. C. decrease in blood pressure. D. decrease in respirations.

Correct Answer is C

Explanation

A. Temperature often decreases in cases of severe blood loss due to shock and hypothermia.
B. A decrease in pulse is unlikely in severe blood loss. The body compensates with an increased heart rate.
C. A decrease in blood pressure is expected in cases of significant blood loss, as the body struggles to maintain adequate circulation.
D. Respirations may increase in response to blood loss, not decrease, as the body attempts to increase oxygen intake.

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