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.
The Correct Answer is C
Choice A rationale:
This option is incorrect. Tachypnea refers to abnormally fast breathing, typically defined as a respiratory rate higher than 20 breaths per minute in adults. It is the opposite of the condition described in the question, where the respiratory rate has fallen below 10 respirations per minute.
Choice B rationale:
This option is incorrect. Apnea refers to the absence of breathing, often resulting from a temporary cessation of airflow to the lungs. It is characterized by the complete absence of respiratory movements and sounds, which is different from the situation described in the question where the client is breathing at a very slow rate.
Choice C rationale:
Bradypnea, or abnormally slow breathing, is the correct answer in this case. It is defined as a respiratory rate lower than the normal range, which is typically between 12 to 20 breaths per minute in adults. Bradypnea can be caused by various factors, including drug overdose, neurological disorders, or metabolic imbalances. In this scenario, the client's slow respiratory rate (below 10 respirations per minute) indicates bradypnea.
Choice D rationale:
This option is incorrect. Eupnea refers to normal breathing, where the rate and depth of respirations are within the normal range. It does not describe the condition of the sedated client in the question, who is experiencing abnormally slow breathing (bradypnea)
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Confine the fire by closing doors and windows. While confining the fire is important, the nurse's first priority should be ensuring the safety of the client. Closing doors and windows may help prevent the fire from spreading, but it does not address the immediate danger to the client.
Choice B rationale:
Activate the fire alarm system. Activating the fire alarm is a crucial step to alert other staff members, patients, and visitors about the fire. However, it is not the first action the nurse should take. Ensuring the safety of the client should be the top priority.
Choice C rationale:
Extinguish the fire if possible. Attempting to extinguish the fire can be dangerous for the nurse and may waste precious time. The nurse's safety and the client's safety should be the primary concern. Trying to put out the fire before ensuring the client's safety is not the best course of action.
Choice D rationale:
Rescue the client from immediate danger. This is the correct answer because the nurse's first priority in a fire emergency is to ensure the safety of the client. Rescuing the client from immediate danger should be done before any other actions are taken. The nurse should assess the situation, help the client to safety, and then notify others about the fire and activate the alarm system.
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
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