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. Elevating the head of the bed (usually 30–45 degrees) helps prevent aspiration, which is a key risk factor for ventilator-associated pneumonia.
B. Increasing sedative use can depress cough and respiratory effort, increasing VAP risk.
C. Minimizing oral care increases bacterial colonization and risk of infection.
D. Lowering the head of the bed increases the risk of aspiration and VAP.
Correct Answer is D
Explanation
A. Pulse oximetry indicates oxygenation but does not confirm tube placement.
B. Blood gas analysis provides information about ventilation and oxygenation but does not confirm tube position.
C. Auscultation with a stethoscope helps assess placement but is not definitive.
D. Chest X-ray is the gold standard for final confirmation of endotracheal tube placement, ensuring the tube tip is correctly positioned above the carina.
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