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If a patient's blood pressure measures 146/92 on the left arm and 138/84 on the right arm, what would you do?

A.

Wait 30 minutes and take the pressures again.

B.

Record both pressures in the medical record.

C.

Retake the pressure on both arms.

D.

Retake the pressure on the left arm.

Answer and Explanation

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.
 


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Related Questions

Correct Answer is A

Explanation

A. Pushing the soles of the feet against the nurse's hands is a standard test to assess the strength of the lower extremities. It provides a clear indication of muscular strength and motor function.
B. Wiggling toes helps assess for sensation but does not evaluate overall strength or motor function in the lower extremities.
C. Pulling both feet up to stretch the Achilles tendons is not an appropriate method for assessing lower extremity strength.
D. Standing independently does not evaluate strength comprehensively and is more related to balance and coordination.

Correct Answer is B

Explanation

A. Palpation may alter bowel sounds, making auscultation after palpation less accurate.
B. Auscultation should be performed before percussion or palpation to prevent interference with the sounds.
C. Checking for kidney tenderness is important but does not affect the timing of auscultating bowel sounds.
D. Inspection should be done before auscultation to assess for any obvious abnormalities before listening for bowel sounds.

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