If a patient's blood pressure measures 146/92 on the left arm and 138/84 on the right arm, what would you do?
Wait 30 minutes and take the pressures again.
Record both pressures in the medical record.
Retake the pressure on both arms.
Retake the pressure on the left arm.
The Correct Answer is C
A. Waiting 30 minutes is unnecessary unless there is concern about an acute change in the patient's condition.
B. While both readings can be recorded, the difference between arms should be noted, as it can indicate underlying issues such as vascular problems.
C. It is important to retake the blood pressure on both arms to verify accuracy and check for any significant discrepancy.
D. Retaking the pressure on just one arm may miss important information about the other arm's readings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Rinsing the thermometer with water is not necessary to ensure an accurate reading. The thermometer should be cleaned after use but rinsing with water does not directly ensure accuracy.
B. Using a dry cotton ball to dry the thermometer is unnecessary and could leave fibers on the device that may interfere with reading accuracy.
C. Wiping the thermometer with alcohol helps sanitize it but does not directly influence the accuracy of the reading.
D. Shaking down the galinstan alloy to below normal is necessary to reset the thermometer before use, ensuring that the mercury level is accurate when taking a new temperature.
Correct Answer is D
Explanation
A. Dyspnea refers to difficulty breathing or shortness of breath, which is not a normal breathing pattern.
B. Bradypnea is an abnormally slow rate of breathing, which is not normal unless it is related to certain medical conditions or medications.
C. Tachypnea refers to rapid breathing, which is often seen with fever, anxiety, or respiratory distress.
D. Eupnea refers to normal, unlabored breathing, which is the expected, healthy pattern of respiration in a resting state.
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