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 A
Explanation
A. Lordosis, or an exaggerated inward curve of the lumbar spine, is commonly seen in conditions such as obesity, pregnancy, or spinal abnormalities.
B. Osteoporosis typically leads to a more generalized loss of bone density, not a specific curvature.
C. Kyphosis involves an exaggerated outward curve of the upper back, not the lumbar spine.
D. Scoliosis is characterized by a lateral curvature of the spine, not an exaggerated lumbar curve.
Correct Answer is D
Explanation
A. Temperature monitoring is important but not a top priority when a patient is receiving opiates unless there is suspicion of infection.
B. Pulse monitoring is also important but does not immediately indicate issues with opiate use.
C. Blood pressure is influenced by opiate use, but the primary concern is respiratory function due to the risk of respiratory depression.
D. Respirations should be closely monitored because opiates can significantly depress the respiratory system, leading to hypoventilation or respiratory arrest, which is the most critical risk.
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