Author Question: A patient is seen in the clinic for complaints of fainting episodes that started last week. How ... (Read 109 times)

magmichele12 · **on:** Jun 25, 2018

A patient is seen in the clinic for complaints of fainting episodes that started last week. How should the nurse proceed with the examination?

a. Blood pressure readings are taken in both the arms and the thighs.
b. The patient is assisted to a lying position, and his blood pressure is taken.
c. His blood pressure is recorded in the lying, sitting, and standing positions.
d. His blood pressure is recorded in the lying and sitting positions; these numbers are then averaged to obtain a mean blood pressure.

Question 2

When auscultating the blood pressure of a 25-year-old patient, the nurse notices the phase I Korotkoff sounds begin at 200 mm Hg. At 100 mm Hg, the Korotkoff sounds muffle. At 92 mm Hg, the Korotkoff sounds disappear.

How should the nurse record this patient's blood pressure?
a.
200/92
b.
200/100
c.
100/200/92
d.
200/100/92

leahm14 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
If the person is known to have hypertension, is taking antihypertensive medications, or reports a history of fainting or syncope, then the blood pressure reading should be taken in three positions: lying, sitting, and standing.

Answer to Question 2

ANS: A
In adults, the last audible sound best indicates the diastolic pressure. When a variance is greater than 10 to 12 mm Hg between phases IV and V, both phases should be recorded along with the systolic reading (e.g., 142/98/80).