Author Question: The nurse notes a difference in systolic blood pressure readings between the client's arms. How will ... (Read 43 times)

lilldybug07 · **on:** Jul 23, 2018

The nurse notes a difference in systolic blood pressure readings between the client's arms. How will the nurse approach subsequent readings based upon this difference in blood pressures?

A) The nurse will use the arm with the highest reading.
B) The nurse will use the arm with the lowest reading.
C) The nurse will average the two blood pressures and document this average.
D) The nurse will obtain a blood pressure on the client's leg.

Question 2

Upon auscultation of a client's heart rate, the nurse notes the rate to have an irregular pattern of 72 beats/minute. The nurse notifies the physician because the client is exhibiting signs of which of the following?

A) A dysrhythmia
B) Tachycardia
C) Bradycardia
D) Hypertension

atrochim · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: A
An initial nursing assessment should include blood pressure assessments on both arms. It is normal to have a 5- to 10-mm Hg difference in the systolic reading between arms. Use the arm with the higher reading for subsequent pressures.

Answer to Question 2

Ans: A
An irregular pattern of heartbeats is called a dysrhythmia. Tachycardia is an increased heart rate of 100 to 180 beats/minute. Bradycardia is a pulse rate below 60 beats/minute. The normal pulse rate ranges from 60 to 100 beats per minute. Hypertension is a blood pressure that is above normal for a sustained period.