Older adult patients with hypertension may have an auscultatory gap in their Korotkoff sounds. It is important when taking their blood pressure measurement to:

pump up the cuff until no sound is heard and then let the air out.

stop midway and begin to inflate again.

make sure the bell of the stethoscope is placed firmly over the artery.

continue to listen until the cuff is deflated.

Answer and Explanation

The Correct Answer is D

Rationale
A.   Pumping the cuff until no sound is heard may cause inaccurate readings and is not a proper technique.
B.   Stopping midway can result in missing sounds or causing an inaccurate measurement.

C.   The bell of the stethoscope should be used for low-pitched sounds, but the key is to continue listening to identify the full Korotkoff sound range, especially in the presence of an auscultatory gap.
D.   It is important to continue listening until the cuff is deflated to ensure the accurate measurement of both systolic and diastolic pressures, particularly in patients with an auscultatory gap.

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Correct Answer is B

Explanation

A. Dehydration causes a drop in circulating blood volume, which can lead to lower blood pressure, not muffled sounds.
B. When a person is dehydrated, there is less fluid in the bloodstream, which typically causes a decrease in blood pressure.
C. Blood pressure is likely to decrease in dehydration due to reduced circulating volume, rather than remain unchanged.
D. Dehydration will not increase blood pressure; it typically causes a compensatory decrease in blood pressure.

A. instruct the patient to remain on strict bed rest B. provide the patient with additional blankets" C. encourage the patent to increase his muscle activity” D. offer fluids to the patient if permitted

Correct Answer is C

Explanation

A. Keeping the patient on bed rest is appropriate as it conserves energy and helps prevent further heat loss.
B. Providing additional blankets is a correct intervention to warm the patient gradually.
C. Increasing muscle activity is contraindicated because it could cause vasoconstriction and worsen hypothermia, as the body focuses on preserving core temperature.
D. Offering fluids (if permitted) is correct as hydration can help restore normal body temperature regulation.

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Older adult patients with hypertension may have an auscultatory gap in their Korotkoff sounds. It is important when taking their blood pressure measurement to:

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