The nurse applies a blood pressure cuff around a client's left thigh. To measure the client's blood pressure, where should the diaphragm of the stethoscope be placed? (Mark the location on one of the images.)
The Correct Answer is "{\"xRanges\":[24.75253686935637,42.04549690532573],\"yRanges\":[62.826215561361366,80.16865945855535]}"
To measure blood pressure from the left thigh, the diaphragm of the stethoscope should be placed over the popliteal artery, which is located behind the knee. This placement allows you to auscultate the Korotkoff sounds accurately when measuring thigh blood pressure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1.3"]
Explanation
- Convert the infant's weight from pounds (lb) to kilograms (kg).
Given weight = 22 lb
Conversion factor = 1 kg = 2.2 lb
Weight (kg) = (Weight in lb / 2.2 lb/kg)
= (22 / 2.2)
= 10 kg.
- Calculate the total daily dose in milligrams (mg/day).
Prescribed dose = 20 mg/kg/day
Total Daily Dose (mg/day) = Weight (kg) x Dose (mg/kg/day)
= 10 kg x 20 mg/kg/day = 200 mg/day.
- Calculate the single dose in milligrams (mg/dose).
Frequency = every 8 hours (3 doses per day)
Single Dose (mg/dose) = (Total Daily Dose / Number of doses per day)
= (200 mg / 3)
= 66.67 mg.
- Calculate the volume in milliliters (mL) to administer per dose.
Available concentration = 250 mg per 5 mL
Volume (mL/dose) = (Single Dose (mg) / Available concentration (mg)) x Available volume (mL)
= (66.67 mg / 250 mg) x 5 mL
= 1.333... mL.
- Round the answer to the nearest tenth.
= 1.3 mL.
Correct Answer is A
Explanation
A. Provide a bedside commode for toileting: Minimizing physical exertion helps reduce cardiac workload in a client with heart failure. Providing a bedside commode decreases the need for frequent trips to the bathroom, conserving energy and reducing strain on the heart.
B. Assist with ambulation in the hallway: While ambulation promotes circulation and prevents complications of immobility, it increases oxygen demand and cardiac workload, which may not be safe for a client with acute heart failure.
C. Teach to sleep in a side-lying position: Side-lying may improve comfort but does not significantly impact cardiac workload or oxygen consumption compared with upright or semi-Fowler positions that promote easier breathing.
D. Encourage active range of motion exercises: Active exercises increase metabolic demand and cardiac workload. Although beneficial long-term, they should be limited during acute illness to prevent overexertion and exacerbation of heart failure.
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