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.

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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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.

A. auscultate lung and abdominal sounds. B. check for verbal and motor response. C. monitor daily weight. D. monitor intake and output.

Correct Answer is B

Explanation

A. While auscultating lung and abdominal sounds is important, it is not as urgent as checking neurological function in a head trauma patient.
B. Assessing verbal and motor responses is critical to evaluate the level of consciousness and neurological function in a patient with head trauma.
C. Monitoring daily weight is not an immediate concern for a patient with possible head trauma.
D. Monitoring intake and output is important but not the priority compared to assessing the neurological status in head trauma patients.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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