What is a potential complication of frequent non-invasive blood pressure cycling using a cuff in patients with vulnerable skin?
Reduced risk of infection
Improved blood circulation
Decreased blood pressure
Skin breakdown
The Correct Answer is D
A. Frequent cuff inflation does not reduce infection risk.
B. Repeated cuff inflation does not improve circulation; it may actually impair it locally.
C. Cuff cycling itself does not cause decreased systemic blood pressure.
D. Frequent non-invasive blood pressure measurements with a cuff can cause skin breakdown, bruising, or irritation, especially in patients with fragile or vulnerable skin
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The Rule of Nines is the most commonly used and appropriate method to quickly estimate the TBSA burned in adult patients. It divides the body into sections, each representing approximately 9% (or a multiple thereof) of the total body surface area.
B. BMI is used to assess body fat and weight status, not burn area.
C. The patient’s palm size is roughly 1% of TBSA and is more commonly used for estimating small, scattered burns, not for calculating large surface areas.
D. There is no such tool as the "Parkland Burn Chart"; the Parkland Formula is used for fluid resuscitation after TBSA is estimated.
Correct Answer is A
Explanation
A. The Allen test assesses collateral circulation to the hand by evaluating blood flow through the ulnar artery before cannulating the radial artery for an arterial line, ensuring adequate circulation.
B. Blood pressure assessment is important but does not specifically evaluate collateral circulation at the insertion site.
C. Monitoring heart rate and rhythm is vital for overall cardiovascular status but unrelated to local circulation for arterial line placement.
D. Oxygen saturation reflects respiratory function, not the adequacy of circulation at the insertion site.
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