The nurse will perform a palpated pressure before auscultating ...

[lindiwe]

The nurse will perform a palpated pressure before auscultating blood pressure. The reason for this is to:
 
  a. More clearly hear the Korotkoff sounds.
  b. Detect the presence of an auscultatory gap.
  c. Avoid missing a falsely elevated blood pressure.
  d. More readily identify phase IV of the Korotkoff sounds.

Question 2

A student is late for his appointment and has rushed across campus to the health clinic. The nurse should:
 
  a. Allow 5 minutes for him to relax and rest before checking his vital signs.
  b. Check the blood pressure in both arms, expecting a difference in the readings because of his recent exercise.
  c. Immediately monitor his vital signs on his arrival at the clinic and then 5 minutes later, recording any differences.
  d. Check his blood pressure in the supine position, which will provide a more accurate reading and will allow him to relax at the same time.

[Hikerman221]

Answer to Question 1

ANS: B
Inflation of the cuff 20 to 30 mm Hg beyond the point at which a palpated pulse disappears will avoid missing an auscultatory gap, which is a period when the Korotkoff sounds disappear during auscultation.

Answer to Question 2

ANS: A
A comfortable, relaxed person yields a valid blood pressure. Many people are anxious at the beginning of an examination; the nurse should allow at least a 5-minute rest period before measuring blood pressure.

[lindiwe]

YES! Correct, THANKS for helping me on my review

[debra928]

Thanks for the timely response, appreciate it