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. Perform a sterile hand scrub: While sterile technique is important in many procedures, a sterile hand scrub is not specifically necessary for suture removal.
B. Lift the knot toward the wound: Lifting the knot towards the wound helps to ease the removal of the suture by reducing tension on the skin, making the procedure easier and less painful.
C. Begin cutting the sutures in the middle of the wound: Sutures should be cut close to the skin, not in the middle, to ensure proper removal and avoid causing unnecessary trauma to the wound.
D. Clean the wound with a disinfectant: Cleaning the wound with a disinfectant is not necessary before suture removal and might irritate the wound. Instead, the area should be cleaned after suture removal if needed.
Correct Answer is C
Explanation
A. The name of the person accompanying the patient: While this may be useful for certain procedures, it is not generally essential for scheduling an outpatient procedure.
B. The patient's dietary preferences: Dietary preferences are usually relevant for specific procedures that require dietary modifications but are not generally necessary for the scheduling process.
C. The patient's demographic information: Demographic information such as the patient's name, date of birth, and contact details are necessary for scheduling and for identifying and contacting the patient.
D. A copy of the patient's advance directives: Advance directives are important for treatment decisions but are not required for scheduling outpatient procedures.
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