Author Question: The nurse is discussing the proper technique for obtaining an accurate blood pressure reading with ... (Read 26 times)

jhjkgdfhk · **on:** Jul 23, 2018

The nurse is discussing the proper technique for obtaining an accurate blood pressure reading with assistive nursing personnel.

Which of the following statements reflect techniques that will minimize the risk of a false high systolic reading? (Select all that apply.)
1. Slowly deflate the pressure from the cuff.
2. Wrap the cuff snuggly around the client's arm.
3. Always support the client's arm at the level of the heart.
4. Be sure that the cuff is wide enough for the client's arm.
5. Allow the arm to rest before repeating the blood pressure.
6. Make sure your stethoscope is fitted in your ears appropriately.

Question 2

The nurse is discussing risk factors for hypertension with family members attending a self-help group meeting for clients in cardiac rehabilitation.

Which of the following statements made by the nurse are relevant to this discussion on preven-tion of this disorder? (Select all that apply.)
1. Low fat foods are your blood pressure's best friend.
2. Have your triglyceride's checked on a regular basis.
3. Ideal weight is ideal for keeping blood pressure under control.
4. Nicotine is a no-no when attempting to control blood pressure.
5. If they are prescribed, take your blood pressure medicine as suggested.
6. Keep alcohol consumption down and your blood pressure will be down.

stillxalice · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 2, 3, 4, 5
Using a bladder or cuff that is too narrow or too short, wrapping the cuff too loosely or uneven-ly, resting the arm below heart level, and repeating assessments too quickly all contribute to a falsely high systolic reading. The rapid deflation of the cuff and an ill-fitted stethoscope will likely result in a falsely low systolic reading.

Answer to Question 2

ANS: 1, 2, 3, 4, 6
Persons with a family history of hypertension are at significant risk. Obesity, cigarette smoking, heavy alcohol consumption, high blood cholesterol and triglyceride levels, and continued expo-sure to stress are risk factors linked to hypertension. Medication compliance, while important, is related to the management of hypertension, not prevention.