A nurse is reviewing the documentation of a client's blood pressure by a newly licensed nurse.
The documentation states, "Blood pressure 102/58 mm Hg, client sitting up in a chair.”. Which of the following information should the nurse clarify?
Systolic blood pressure.
Position of the client.
Unit of measurement.
Location of blood pressure cuff.
The Correct Answer is D
The correct answer is choice d. Location of blood pressure cuff.
Choice A rationale: The systolic blood pressure of 102 mm Hg is within a normal range and does not require clarification.
Choice B rationale: The position of the client, “sitting up in a chair,” is clearly documented and does not need further clarification.
Choice C rationale: The unit of measurement, “mm Hg,” is the standard unit for blood pressure and is correctly documented.
Choice D rationale: The location of the blood pressure cuff is not specified in the documentation. It is important to document whether the blood pressure was taken on the left or right arm, or another location, to ensure accuracy and consistency in future measurements.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is Choice D: Palliative care can be provided while a client is receiving curative treatment.
Choice A rationale:
The goal of palliative care is not to cure an acute illness but to provide relief from symptoms and improve the quality of life for clients with serious illnesses.
Choice B rationale:
Palliative care is not restricted to clients who are terminally ill. It can be provided to anyone with a serious illness, regardless of the stage of the disease or the need for other therapies.
Choice C rationale:
Palliative care is not limited to clients in a healthcare facility. It can be provided in various settings, including at home, in outpatient clinics, and in long-term care facilities.
Choice D rationale:
Palliative care can be provided alongside curative treatments. It is designed to improve the quality of life for both the patient and the family by addressing physical, emotional, and psychosocial needs.
Correct Answer is C
Explanation
Choice A rationale:
The National Student Nurses Association is primarily focused on students and recent graduates. While it can be an excellent organization for student nurses, it may not provide opportunities for a nurse looking to become involved in nursing on a national level beyond their student years.
Choice B rationale:
The National Academy of Medicine is an organization that focuses on health policy and research. While it is a prestigious organization, it is not specifically a nursing organization, and its focus may not align with the goals of a nurse seeking to become more involved in nursing on a national level.
Choice C rationale:
The American Nurses Association (ANA) is a national organization specifically dedicated to advancing the nursing profession. It offers various opportunities for nurses to get involved in national-level nursing advocacy, policy development, and professional growth. Joining the ANA is a suitable choice for a nurse looking to make a national impact in the field of nursing.
Choice D rationale:
The National League for Nursing (NLN) is an organization that primarily focuses on nursing education. While it plays a crucial role in the field of nursing, its focus is more on education and may not align with a nurse's goal to become involved in nursing on a national level from a broader perspective.
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