The additional step in the two-step method of blood pressure ...

[Mr3Hunna]

The additional step in the two-step method of blood pressure measurement is the:
 
  A. Second auscultation
  B. Use of an arm and a leg
  C. Palpation of the blood pressure first
  D. Determination of two diastolic readings

Question 2

In a long-term care facility, how often should the nurse reassess a patient for risk of a pressure ulcer?
 
  a. Every 1 to 2 days
  b. Every time the nurse sees the patient
  c. Weekly for the first few weeks of stay
  d. Monthly for the first 4 months of stay

[T4T]

Answer to Question 1

C
A, B, C, D. Relocate brachial pulse. Palpate artery distal to the cuff with fingertips of nondominant hand while inflating cuff. Note point at which pulse disappears, and continue to inflate cuff to a pressure 30 mm Hg above that point. Note the pressure reading. Slowly deflate cuff, and note point when pulse reappears. Deflate cuff fully, and wait 30 seconds.

Answer to Question 2

C
In a long-term care facility, the patient is assessed every week for 4 weeks and then quarterly, or whenever the patient's condition changes. An assessment schedule of every 1 to 2 days would be more appropriate for acute care than in the long-term care setting. The patient is not reassessed for risk in the long-term setting every time the nurse sees the patient. The new patient in long-term care is reassessed weekly rather than monthly after he is admitted.

[Mr3Hunna]

Excellent

[Liddy]

TYSM