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. Begin audiometer testing on the highest frequency and lower gradually: Audiometer testing should begin at lower frequencies and gradually increase to ensure a thorough evaluation of hearing.
B. Begin audiometer testing using both ears: Audiometer testing is usually done one ear at a time to accurately assess hearing in each ear.
C. Use the Ishihara test to measure the patient's field of vision: The Ishihara test is used for color vision testing, not for measuring the field of vision.
D. Document any squinting during the Snellen test: Squinting during the Snellen test can indicate vision problems and should be documented as it may affect the accuracy of the vision assessment.
Correct Answer is B
Explanation
A. Sweating: Sweating is a normal physiological response to exercise and is not an indication to terminate the test.
B. Bradycardia: Bradycardia (abnormally slow heart rate) during an exercise stress test can indicate a serious problem and may require premature termination of the test.
C. Palpitations: Palpitations can occur during exercise, but they are not necessarily a reason to terminate the test unless accompanied by other symptoms or abnormalities.
D. Thirst: Thirst is not a contraindication for continuing an exercise stress test.
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