Author Question: The client draws back when the nurse reaches over the side rails to take his blood pressure. What ... (Read 59 times)

Kikoku · **on:** Jul 22, 2018

The client draws back when the nurse reaches over the side rails to take his blood pressure. What should the nurse do first to promote effective communication?

a. Tell the client that the blood pressure can be taken at a later time.
b. Rotate the nurses who are assigned to take the client's blood pressure.
c. Continue to perform the procedure quickly and quietly.
d. Apologize for startling the client and explain the need for contact.

Question 2

During voluntary movement, impulses descend from the motor strip to the spinal cord. Impulses stimulate muscles by way of

a. Ligaments.
b. Tendons.
c. Neurotransmitters.
d. Cartilage.

okolip · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D
Nurses often have to enter a client's personal space to provide care. The nurse should convey confidence, gentleness, and respect for privacy. Apologizing for startling the client and explain-ing the need for contact demonstrates respect and provides information so the client may under-stand the need for personal contact.
Telling the client that the blood pressure can be taken at a later time does not promote effective communication.
Rotating the nurses who are assigned to take the client's blood pressure impedes the nurse's abil-ity to form a therapeutic, helping relationship.
Continuing to perform the procedure quickly and quietly may send a negative nonverbal message to the client. It also does not promote effective communication.

Answer to Question 2

C
Through a complex process, neurotransmitters, or chemicals such as acetylcholine transfer electrical impulses from the nerve across the neuromuscular junction to the muscle. The neurotransmitter reaches a muscle and stimulates it. Ligaments are white, shiny, flexible bands of fibrous tissue that bind joints together and connect bones and cartilages. Tendons connect muscle to bone. Cartilage is nonvascular, supporting connective tissue located chiefly in the joints and in the thorax, trachea, larynx, nose, and ear.