Which of the following actions should a medical assistant take to determine the diastolic reading when taking an adult patient's blood pressure?
Deflate the cuff slowly until the last sound is heard.
Listen for the first sound through the stethoscope.
Document the reading when the gauge needle jumps.
Inflate the cuff to at least 180 mm Hg, deflate the cuff slowly, and listen for the first sound.
The Correct Answer is A
A. Deflate the cuff slowly until the last sound is heard. The diastolic reading is determined when the last sound (Korotkoff sound) is heard as the cuff is deflated.
B. Listen for the first sound through the stethoscope: The first sound corresponds to the systolic reading, not the diastolic.
C. Document the reading when the gauge needle jumps: The gauge needle jump is not a reliable indicator of blood pressure readings.
D. Inflate the cuff to at least 180 mm Hg, deflate the cuff slowly, and listen for the first sound: Inflating to 180 mm Hg is unnecessary and might cause discomfort; also, the first sound is the systolic reading, not the diastolic
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Soak the instrument in hot water: Hot water alone does not effectively sanitize instruments; proper sanitization typically requires cleaning agents and specific processes.
B. Rinse the instrument with a 10% bleach solution: While bleach is used for disinfection, it is not a step in the initial sanitization process.
C. Soak the instrument in a 70% isopropyl alcohol solution: Alcohol is used for disinfection rather than initial sanitization.
D. Rinse the instrument under running water: Rinsing the instrument under running water is a basic step in the sanitization process to remove visible debris before further cleaning and disinfection.
Correct Answer is C
Explanation
A. Reservoir: The reservoir is the place where a pathogen lives and multiplies, such as a human, animal, or environment. It is not how the pathogen enters a new host.
B. Susceptible host: The susceptible host is the individual who can potentially be infected by the pathogen. However, this term does not describe how the pathogen enters the host.
C. Portal of entry: The portal of entry is the correct term for the route by which a pathogen enters a new host, such as through the respiratory tract, gastrointestinal tract, or broken skin.
D. Mode of transmission: The mode of transmission refers to how the pathogen is spread from one host to another, such as through direct contact, airborne particles, or vectors. It does not describe how the pathogen enters the host.
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