Author Question: The registered nurse explains to the registered practical nurse that a false high blood pressure ... (Read 58 times)

fagboi · **on:** Jul 22, 2018

The registered nurse explains to the registered practical nurse that a false high blood pressure reading may be assessed if the registered practical nurse does which of the following?

a. Wraps the cuff too loosely around the arm
b. Deflates the cuff too quickly
c. Repeats the blood pressure assessment too soon
d. Presses the stethoscope too firmly in the antecubital fossa

Question 2

The nurse is caring for an ambulatory surgery patient. To be discharged home, what criteria must the patient meet? (Select all that apply.)

a. Able to drink fluids
b. Able to eat crackers
c. Manageable pain
d. Able to void
e. Dry and intact dressing
f. Able to dress self

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

Answer to Question 1

A
If the cuff is wrapped too loosely or unevenly around the arm, the effect on the blood pressure measurement may be a false high reading.
A false low systolic and false high diastolic blood pressure reading may occur if the cuff is de-flated too quickly.
A false high systolic reading may be obtained if the blood pressure assessment is repeated too soon.
A false low diastolic reading may be obtained if the stethoscope is applied too firmly against the antecubital fossa.

Answer to Question 2

A, C, D, E
To be discharged home, patients need to meet certain criteria. These criteria include meeting phase 1 criteria of activity, circulation, respiration, consciousness, and O2 saturation, as well as phase 2 criteria of dressing dry and intact, manageable pain, ambulation, able to drink fluids, and voiding. Eating and the ability to dress self are not included in these criteria.