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 A
Explanation
A. Label the tube after collection, including the date and time of collection: Labels should be applied to the tube immediately after the sample is collected to ensure accuracy and prevent mix-ups. Including the date and time helps with tracking and documentation.
B. Label the tube after collection, including the provider's name: While it is important to include identifying information, the primary focus should be on the date and time of collection to ensure the sample's accuracy.
C. Label the tube prior to collection, including the date and time of collection: Labels should be applied after the collection to avoid potential errors and ensure the correct sample is labeled.
D. Label the tube prior to collection, including the provider's name: Labeling prior to collection may lead to mistakes if the wrong sample is placed in the labeled tube. The correct practice is to label after collection.
Correct Answer is B
Explanation
A. Pull product identification slips from a box or package. Pulling product slips is not a standard method for inventory management.
B. Use a two-bin system, one as a backup bin and one bin for ordering. The two-bin system helps manage inventory by using one bin for current use and a backup bin that triggers reordering when needed.
C. Ask staff members to identify products that need to be ordered and add them to the list. Relying on staff members can be less systematic than maintaining a structured inventory process.
D. Hand count items to identify what needs to be ordered. Hand counting can be inefficient and prone to errors. A systematic approach, like the two-bin system, is more effective.
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