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 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)

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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. Retie the restraint straps with a slipknot. B. Check that three fingers will fit beneath the restraints. C. Retie the restraint straps to the side rails. D. Remove the padding under the wrist restraints.

Correct Answer is A

Explanation

The correct answer is choice a. Retie the restraint straps with a slipknot.

Choice A rationale:

The restraint straps should be tied with a slipknot to ensure that they can be quickly released in case of an emergency. A double knot, as currently used, may delay the removal of the restraints when quick release is necessary.

Choice B rationale:

It is important to check that there is enough space for two fingers to fit beneath the restraints, not three. This ensures that the restraints are secure but not too tight, which could impede circulation.

Choice C rationale:

Restraint straps should not be tied to the side rails because if the side rails are lowered, the restraints could become too tight and cause injury. Instead, they should be secured to a part of the bed frame that moves with the patient.

Choice D rationale:

The padding under the wrist restraints should not be removed as it provides a cushion between the restraints and the patient’s skin, which helps prevent injury and ensures the patient’s comfort.

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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 delegates the application of wrist restraints for a client who is confused to an assistive personnel (AP) The AP padded the wrist restraints and secured the straps to the bed frame with a double knot. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

Which directional term means more toward the head or above another structure?

Proper hand-washing technique requires that a nurse wash for a minimum of what length of time?

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

Which medical terminology word part provides the general meaning of the word?

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

A charge nurse is reinforcing teaching for a newly licensed nurse about how to apply wrist restraints for a client.Which of the following actions should the charge nurse identify as an indication that the nurse understands the instructions?

A nurse observes assistive personnel (AP) entering the room of a client who is under contact precautions without wearing personal protective equipment (PPE) Which of the following actions should the nurse take?

Macroglossia means: