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 B
Explanation
A. Exercising: Dysphagia is not related to exercising but to the ability to swallow.
B. Swallowing: Dysphagia refers to difficulty swallowing, so it is directly related to the swallowing process.
C. Breathing: While swallowing and breathing are related in the act of swallowing, dysphagia specifically concerns swallowing.
D. Defecating: Dysphagia is not related to defecation but to the difficulty in swallowing.
Correct Answer is D
Explanation
A. The number of no-shows on the patient's record: While the number of no-shows can be relevant for overall management, it is not the primary consideration when scheduling a specific appointment.
B. The referring provider's recommendation: Referring provider recommendations are important but typically influence the initial appointment or consultation rather than ongoing scheduling.
C. The amount of deductible the patient owes for their insurance: Insurance deductible information is important for billing but does not directly affect the scheduling of appointments.
D. The amount of time required based on the reason for visit: It is essential to consider the time needed for the appointment based on the patient's reason for the visit to ensure that the appointment is appropriately scheduled and sufficient time is allocated.
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