Author Question: A nurse measures the blood pressure of a 10-year-old child. Which of the following should the nurse ... (Read 75 times)

mspears3

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A nurse measures the blood pressure of a 10-year-old child. Which of the following should the nurse keep in mind when recording the blood pressure of this child?
 
  A) The cuff should cover approximately two-thirds of the upper arm.
  B) The bladder of the cuff should overlap when encircling the arm.
  C) The thigh pressure is approximately 10 mm Hg lower than arm pressure.
  D) The cuff should cover approximately half the width of the upper arm.

Question 2

After applying an antiembolism stocking to a client, the nurse observes paleness and
  cyanotic appearance of the client's toes. What could have been the reason for the change
  in color?
 
  A) Excess movement of the legs by the client
  B) Restriction of circulation to the extremities
  C) Elevation of the legs for a long duration
  D) Removal of the bandage by the client



sailorcrescent

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Answer to Question 1

A
Feedback:
The nurse should check that the cuff covers approximately two-thirds of the upper arm and not just half the width of the upper arm. The nurse should ensure that the bladder of the cuff is long enough to encircle the arm without overlapping. Thigh pressure is approximately 20 mm Hg higher than arm pressure, not approximately 10 mm Hg lower, in children older than 1 year.

Answer to Question 2

B



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