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 B
Explanation
A. A blood pressure of 124/84 mm Hg is slightly elevated and falls into the "elevated blood pressure" category.
B. Elevated blood pressure (120-129 systolic and less than 80 diastolic) is considered a risk factor for developing hypertension.
C. Hypertension stage 1 begins at 130/80 mm Hg, not at 124/84 mm Hg.
D. Hypertension stage 2 requires a reading of 140/90 mm Hg or higher.
Correct Answer is C
Explanation
A. Wrapping the cuff snugly around the arm is important for an accurate reading. The cuff should be snug but not tight to avoid false readings.
B. Positioning the cuff bladder over the brachial artery ensures the correct placement for accurate measurement.
C. Placing the arm above the level of the heart can lead to a falsely low blood pressure reading. The arm should be at heart level for an accurate measurement.
D. Ensuring the gauge starts at zero is critical for accurate measurement and avoids errors in reading.
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