The nurse is measuring the blood pressure of a 12-year-old boy ...

[TFauchery]

The nurse is measuring the blood pressure of a 12-year-old boy with an oscillometric device. The boy's reading is greater than the 90th percentile for gender and height. What is the appropriate nursing action?
 
  A) Repeat the reading with the oscillometric device.
  B) Repeat the blood pressure reading using auscultation.
  C) Measure the blood pressure in all four extremities.
  D) Measure the blood pressure with a Doppler.

Question 2

The nurse is preparing a teaching plan for a 6-year-old boy with diabetes mellitus and his family. What is the priority teaching goal initially?
 
  A) To develop management and decision-making skills
  B) To educate the parents about diabetes mellitus type 1
  C) To develop a nutritionally sound 30-day meal plan
  D) To teach the boy how to give his own insulin

[durant1234]

Answer to Question 1

B
Response:
The nurse should repeat the reading using auscultation. The nurse should not use the Doppler ultrasound method in this circumstance. The nurse would measure the blood pressure in all four extremities in a child presenting with cardiac complaints.

Answer to Question 2

A
Response:
Developing basic management and decision-making skills related to the diabetes is the initial goal of the teaching plan for this child and family. The nurse would have provided a basic description of the disorder after it was diagnosed. Development of a detailed monthly meal plan would come later, perhaps after consulting with a nutritionist. It is too soon to expect the boy to give his own insulin.