The nurse taking a blood pressure should:
place the arm so that the brachial artery is at waist level.
chat with the patient to reduce any anxiety in the patient.
request that the patient put feet flat on the floor.
position the patient so that the arm is level with the shoulder.
The Correct Answer is C
A. The brachial artery should be at heart level, not waist level, to ensure accurate blood pressure readings.
B. While chatting with the patient may help reduce anxiety, it is not directly related to positioning for accurate blood pressure measurement.
C. Having the patient place their feet flat on the floor ensures proper positioning and helps prevent any interference with blood pressure readings.
D. The arm should be at heart level, not at the shoulder, for accurate 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. 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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