Which of the following actions should a medical assistant take to determine the diastolic reading when taking an adult patient's blood pressure?
Deflate the cuff slowly until the last sound is heard.
Listen for the first sound through the stethoscope.
Document the reading when the gauge needle jumps.
Inflate the cuff to at least 180 mm Hg, deflate the cuff slowly, and listen for the first sound.
The Correct Answer is A
A. Deflate the cuff slowly until the last sound is heard. The diastolic reading is determined when the last sound (Korotkoff sound) is heard as the cuff is deflated.
B. Listen for the first sound through the stethoscope: The first sound corresponds to the systolic reading, not the diastolic.
C. Document the reading when the gauge needle jumps: The gauge needle jump is not a reliable indicator of blood pressure readings.
D. Inflate the cuff to at least 180 mm Hg, deflate the cuff slowly, and listen for the first sound: Inflating to 180 mm Hg is unnecessary and might cause discomfort; also, the first sound is the systolic reading, not the diastolic
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Correct answer: A
A. Ensure the otoscope is in the room. Ensuring that the otoscope and other necessary equipment are in the room is an important step in preparing the room for a physical examination.
B. Replace the half-full sharps containers. Sharps containers should be replaced when they are three-quarters full, not necessarily when they are half-full. This action, while important, is not specific to preparing for a general physical examination.
C. Obtain preauthorization from insurance. Preauthorization is an administrative task that is not directly related to preparing an examination room.
D. Sterilize counter surfaces in the room. Cleaning and disinfecting counter surfaces is important for infection control but typically would have been done after the last patient. This action is less directly related to preparing for a general physical exam compared to ensuring the necessary equipment is present.
Correct Answer is C
Explanation
A. The name of the person accompanying the patient: While this may be useful for certain procedures, it is not generally essential for scheduling an outpatient procedure.
B. The patient's dietary preferences: Dietary preferences are usually relevant for specific procedures that require dietary modifications but are not generally necessary for the scheduling process.
C. The patient's demographic information: Demographic information such as the patient's name, date of birth, and contact details are necessary for scheduling and for identifying and contacting the patient.
D. A copy of the patient's advance directives: Advance directives are important for treatment decisions but are not required for scheduling outpatient procedures.
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