Answer to Question 1
C, D
The pulse pressure is the systolic blood pressure (BP) minus the diastolic BP. The pulse pressure is usually approximately one-third of the systolic pressure. (120 80 = 40; 40 = 1/3 of 120) (130 86 = 44; 1/3 of 130 = 43.C.
Answer to Question 2
D
Documentation of patient information is one of the most important responsibilities of the registered nurse. If vital signs are abnormal, the nurse must document these findings in the nursing progress notes along with any associated symptoms. Nurses are additionally required to take appropriate actions based on their assessment findings. Therefore, the nurse must document the interventions as well. In this item, all findings and actions must be documented.