The nurse is preparing to assess a client's blood pressure. Which ...

[kshipps]

The nurse is preparing to assess a client's blood pressure. Which artery will the nurse use for this assessment?
 
  1. Brachial
  2. Femoral
  3. Radial
  4. Ulnar

Question 2

A client is being treated for congestive heart failure. Which physical finding would lead the RN to believe the client's condition has not improved?
 
  1. Temperature of 98.6F (37C)
  2. Moderate amount of clear thin mucus
  3. Pulse oximetry reading of 96
  4. Wheezing of breath sounds in all lobes

[aburgess]

Answer to Question 1

Correct Answer: 1
Rationale 1: The brachial is the most common artery used to assess a blood pressure reading because it is the most accessible.
Rationale 2: The femoral is not as accessible as the brachial.
Rationale 3: The radial could be used but it is not as accurate as the brachial artery.
Rationale 4: The ulnar could be used but it is not as accurate as the brachial artery.

Answer to Question 2

Correct Answer: 4
Rationale 1: A temperature reading of 98.6F is a normal finding and not an indication of heart failure.
Rationale 2: A moderate amount of clear mucus is a normal finding and not an indication of heart failure.
Rationale 3: A pulse oximetry reading of 96 is a normal finding and not an indication of heart failure.
Rationale 4: Wheezing heard when assessing breath sounds is indicative of abnormal breath sounds, which are characteristic of congestive heart failure.