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Author Question: Which of these steps in taking a blood pressure is/are correct? Select all that apply. a. Use a ... (Read 100 times)

casperchen82

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Which of these steps in taking a blood pressure is/are correct? Select all that apply.
 
  a. Use a bladder that encircles 40 of the arm.
  b. Wrap the cuff snugly around the client's arm.
  c. Ask the client to hold the arm at heart level.
  d. Have the client sit with feet flat on the floor.

Question 2

A client is admitted to the birthing unit to rule out preterm labor. The nurse charts only abnormal findings. This type of charting is a form of:
 
  a. Narrative charting
  b. Charting by inclusion
  c. Charting by exception
  d. Source oriented charting



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pikon

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Answer to Question 1

B, D
The cuff should be wrapped snugly around the client's arm. Crossed legs or dangling legs can increase blood pressure, so feet should be flat on the floor. The bladder should encircle 80 of the arm. Holding the arm out can cause an erroneously higher blood pressure measurement; the arm should be supported.

Answer to Question 2

C
Charting by exception is a system of charting where only exceptions to the normal findings or to the unit standards are charted. These are directed by organizational, professional, and legal guidelines. Narrative charting records all findings, normal and abnormal. Charting by inclusion is not discussed in the text. Source-oriented charting refers to each healthcare practitioner's charting in a specific section of the chart. For example, nurses would document in the nurses' notes section and physicians would document in the physician section of the healthcare record.



casperchen82

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Both answers were spot on, thank you once again



pikon

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