The nurse is caring for a client who had bilateral mastectomies. ...

[jenna1]

The nurse is caring for a client who had bilateral mastectomies. Where would the nurse measure the client's blood pressure to obtain the most accurate reading?
 
  1. Either upper arm using the brachial artery
  2. Either forearm using the radial artery
  3. In the lower leg using the posterior tibial artery
  4. In the thigh using the popliteal artery

Question 2

The nurse is assisting the health care provider with the insertion of a chest tube. Which personal protective equipment would the nurse don?
 
  1. Sterile gloves, gown, and mask
  2. Clean gloves, gown, and mask with eye shield or goggles
  3. Sterile gloves, gown, and mask with eye shields or goggles
  4. Clean gloves, gown, and mask

[amandalm]

Answer to Question 1

Correct Answer: 4

The thigh would be best. Although the lower leg could be used, it is not as accurate as the thigh. The client with bilateral mastectomies should not have blood pressure measured in the arms due to the reduced lymphatic flow as the result of removal of the axillary lymph nodes.

Answer to Question 2

Correct Answer: 2

Because of the risk of spray from the inserted chest tube, the nurse should wear gloves, mask with eye shield or mask and goggles, and a gown. There is no need for the nurse to wear sterile gloves during the procedure.