A nurse is preparing to obtain an electronic blood pressure measurement on a client. Which of the following actions should the nurse plan to take?

Select a cuﬀ that covers 50% of the client’s upper arm.

Place the blood pressure cuﬀ 5 cm (2 in) above the client’s antecubital space.

Elevate the client’s arm above the level of the heart.

Align the artery indicator on the blood pressure cuﬀ with the client’s brachial artery.

Answer and Explanation

The Correct Answer is D

When taking an electronic blood pressure measurement, it is important to properly position the cuﬀ on the client’s arm. The artery indicator on the blood pressure cuﬀ should be aligned with the client’s brachial artery1. It is also important to select a cuﬀ that fits properly and to have the client sit comfortably with their back supported and feet ﬂat on the ground2.

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Correct Answer is C

Explanation

A high white blood cell (WBC) count usually indicates an increase in the production of white blood cells to fight an infection

A. A client fell out of bed and fractured their hip. B. A client was prescribed a medication they were allergic to, but the prescription was canceled before the medication was given. C. A client had bowel surgery and died from sepsis. D. A client was almost given another client’s medication.

Correct Answer is A

Explanation

A sentinel event is an unexpected event in a healthcare setting that causes or has the potential to cause death, serious physical or psychological injury, or loss of limb or function to a patient1. A client falling out of

bed and fracturing their hip would be considered a sentinel event because it is an unexpected event that resulted in serious physical injury.

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A nurse is preparing to obtain an electronic blood pressure measurement on a client. Which of the following actions should the nurse plan to take?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is A

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