To accurately take a client's blood pressure, which action by the nurse is most important?

Obtain the blood pressure first thing in the morning.

Use the appropriate size cuff for the client.

Make sure the client is relaxed and comfortable prior to obtaining the blood pressure.

Remove the clothing from arms before obtaining the blood pressure.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Obtaining the blood pressure first thing in the morning is not the most critical factor in accurately measuring blood pressure. Blood pressure can vary throughout the day due to various factors, and it is essential to use the appropriate technique and equipment at any time of the day.

Choice B rationale:

Using the appropriate size cuff for the client is crucial in obtaining an accurate blood pressure reading. If the cuff is too small, it can lead to falsely elevated blood pressure readings, while a cuff that is too large can result in falsely lowered readings. This is because cuff size affects the pressure applied to the artery during measurement.

Choice C rationale:

Ensuring that the client is relaxed and comfortable prior to obtaining the blood pressure is important but not the most critical factor. Anxiety or discomfort can temporarily elevate blood pressure, so it's essential to create a calm and comfortable environment for the client. However, using the correct cuff size is still more critical for accurate measurements.

Choice D rationale:

Removing clothing from the arms before obtaining blood pressure is not the most important action. While it is generally recommended to expose the client's arm for proper cuff placement, it is secondary to using the appropriate cuff size. The cuff should be placed directly on the skin or over a thin layer of clothing, but this step should not take precedence over cuff size selection.

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Correct Answer is D

Explanation

Choice A rationale: While ‘A’ is a vowel, it is not the most commonly used vowel when combining word parts in medical terminology.

Choice B rationale: ‘E’ is also a vowel, but it is not the most commonly used vowel when combining word parts in medical terminology.

Choice C rationale: ‘I’ is occasionally used as a combining vowel in medical terminology, but it is not the most commonly used.

Choice D rationale: ‘O’ is the most commonly used vowel when combining word parts in medical terminology. It helps with pronunciation and is placed to connect two word roots or to connect a word root and a suffix.

Choice E rationale: ‘U’ is a vowel, but it is not the most commonly used vowel when combining word parts in medical terminology

A. Maintain the patency of the client's airway. B. Identify the poison the client ingested. C. Measure the client's blood pressure. D. Position the client on her side.

Correct Answer is A

Explanation

Choice A rationale:

"I will keep my walker at the end of my bed." This statement indicates that the client understands the importance of having the walker within reach. Placing the walker at the end of the bed ensures that the client can use it immediately upon getting up, providing support and stability, thus reducing the risk of falls.

Choice B rationale:

"I will keep the fluorescent ceiling light on in my room at night." While having adequate lighting is important, using a fluorescent ceiling light throughout the night might disrupt the client's sleep. Additionally, a nightlight or a bedside lamp with a low-wattage bulb can provide sufficient illumination without disturbing sleep.

Choice C rationale:

"I will place an area rug at the entry of my bathroom." This statement indicates a lack of understanding. Area rugs can be tripping hazards, especially in areas prone to moisture like bathrooms. It is advisable to remove rugs and ensure non-slip flooring to prevent slips and falls.

Choice D rationale:

"I will place a bath seat in my shower to use when I bathe." While using a bath seat is a good safety measure, it does not address the client's risk of falling outside the shower area. Installing grab bars and non-slip mats in the bathroom, along with removing potential hazards, would be more comprehensive in ensuring the client's safety. .

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To accurately take a client's blood pressure, which action by the nurse is most important?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which vowel is most commonly used when combining word parts?

Correct Answer is D

Explanation

A nurse is caring for a client who ingested a poison and is now having seizures.Which of the following is the priority action the nurse should take?

Correct Answer is A

Explanation

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