Author Question: A client's blood pressure readings have shown great variation since admission. Which of these ... (Read 53 times)

D2AR0N · **on:** Jul 22, 2018

A client's blood pressure readings have shown great variation since admission. Which of these actions should the nurse take next?

a. Assume the findings reflect the client's medical condition.
b. Determine whether the blood pressure cuff being used is the correct size for this client.
c. Report findings to the health care provider.
d. Review the medications ordered and the administration schedule to determine any effect on blood pressure.

Question 2

Which of these factors related to a client's orientation to time may have the greatest immediate effect on the client's health status?

a. Scheduled appointments may be missed.
b. Medications may not be administered as scheduled.
c. Preventive health care may be neglected.
d. Exercise programs may not be followed.

Anonymous · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
A falsely elevated reading results if the bladder of the cuff is too narrow, and a falsely low reading results if the cuff is too wide. The cuff bladder should encircle 80 of the arm to obtain an accurate blood pressure. Obtaining two measurements ensures accuracy.

Answer to Question 2

B
European Americans are generally future oriented and are cognizant of the time at which certain things begin or end, while Asian Americans are oriented to the past, and Native Americans and African Americans are oriented to the present. These cultural differences in time orientation can affect such aspects as taking medications on a prescribed schedule or keeping follow-up appointments with health care providers.