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 C

Explanation

A. While literacy is an important consideration, the focus should be on understanding the patient's cultural background to ensure appropriate care and address any specific needs related to their ethnicity and traditions.
B. A financial history may be relevant but does not directly relate to the patient's immediate care needs regarding abdominal pain.
C. Cultural assessment is essential to understand the patient's values, beliefs, and preferences in healthcare, particularly in a diverse population, to ensure culturally competent care.
D. Psychological history could be useful in some cases, but it is secondary to cultural considerations in a patient with abdominal pain.

A. date of previous diagnostic tests B. where the patient is living C. treatment for previous illnesses D. any allergies to medications

Correct Answer is D

Explanation

A. The date of previous diagnostic tests may be important, but it is secondary to immediate safety concerns like allergies.
B. Information about the patient's living situation can be useful for discharge planning but is not the most urgent piece of information.
C. Previous treatment for illnesses is important but does not supersede immediate health threats like allergies.
D. Knowing any allergies to medications is critical to avoid potentially harmful reactions. This is a priority when beginning care, as it informs medication administration and treatment options.

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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 C

Explanation

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Correct Answer is D

Explanation

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