Author Question: A patient is obese. The nursing assistant takes the patient's blood pressure with a standard-size ... (Read 61 times)

a0266361136 · **on:** Jul 22, 2018

A patient is obese. The nursing assistant takes the patient's blood pressure with a standard-size cuff. The nurse educates the assistant by stating that the use of this cuff will affect the reading with values that are:

A. accurate.
B. indistinct.
C. falsely low.
D. falsely high.

Question 2

After witnessing a patient fall, a nurse fills out an occurrence report. Which of the following is the best way for the nurse to document this occurrence?

A. Patient found lying on right side on floor. No noted injuries, patient stated, I slipped on a wet spot on the floor. I don't think I am injured.'
B. Patient slipped on a wet spot on the floor. No noted injuries, physician notified.
C. Patient in too much of a hurry and was walking too fast and fell. Was not injured. Patient instructed to slow down and not be in such a hurry. Health care provider notified.
D. Patient fell while going outside to smoke. Patient denied any injuries. Health care provider notified. Patient counseled.

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

Answer to Question 1

D
An accurate blood pressure (BP) reading will be attained when the BP cuff is 40 of the circumference of the midpoint of the limb. A falsely low BP occurs when the cuff is too wide for the limb.

Answer to Question 2

A
Objectively record the details of the event and any statements the patient makes. An example is as follows: Patient found lying on floor on right side. Abrasion on right forehead. Patient stated, I fell and hit my head.' At the time of the event, always contact the health care provider to examine the patient.