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 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.
Correct Answer is D
Explanation
A. Dyspnea refers to difficulty breathing or shortness of breath, which is not a normal breathing pattern.
B. Bradypnea is an abnormally slow rate of breathing, which is not normal unless it is related to certain medical conditions or medications.
C. Tachypnea refers to rapid breathing, which is often seen with fever, anxiety, or respiratory distress.
D. Eupnea refers to normal, unlabored breathing, which is the expected, healthy pattern of respiration in a resting state.
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