When obtaining a patient's blood pressure using an automatic ...

[ssal]

When obtaining a patient's blood pressure using an automatic monitoring device, the nurse notices that the reading is not consistent with previous readings for that patient. What is the priority action by the nurse?
 
  a. Replace the device with a different device and recheck the blood pressure.
  b. Take a manual blood pressure measurement in the other arm.
  c. Increase the IV drip rate.
  d. Decrease the IV drip rate.

Question 2

__________ has been said to lead to bloated budgets and fails to scrutinize costs in depth.
 
  a. Balanced scorecard
  b. Incremental budgeting
  c. Zero-based budgeting
  d. Timeline budgeting

[lorealeza]

Answer to Question 1

B

Feedback
A A second device may also be accurate, and for expediency, a manual blood pressure measurement should be made.
B When a blood pressure reading is inconsistent with the patient's previous read-ings, a manual blood pressure reading should be obtained, because the device may be defective.
C Inappropriate until the blood pressure is verified manually.
D Inappropriate until the blood pressure is verified manually.

Answer to Question 2

b

a. Incorrect: Balanced scorecard is not a form of budgeting, but refers to collecting and reporting on data from several perspectives.
b. Correct: In incremental budgeting, most of the change in an operating budget from one year to the next is based on how much the budget should increase based on the assumption that the only change required is a cost-of-living increase. There are concerns that this type of budgeting leads to bloated budgets, because the focus of discussions is about relatively minor adjustments and there may be a failure to scrutinize costs in depth.
c. Incorrect: Zero-based budgeting is a methodology that requires beginning from zero for each cost and building the budget from the ground up.
d. Incorrect: Timeline budgeting is not an approach used by health care organizations.