The nurse is preparing to assess the blood pressure of a ...

[Tirant22]

The nurse is preparing to assess the blood pressure of a 3-year-old. How should the nurse proceed?
 
  a. Use the diaphragm portion of the stethoscope to detect Korotkoff sounds.
  b. Obtain the reading before the child has a chance to settle down.
  c. Choose the cuff that says Child instead of Infant.
  d. Explain the procedure to the child.

Question 2

The nurse is caring for a patient who is being discharged from the hospital after being treated for hypertension. The patient is instructed to take blood pressure 3 times a day and to keep a record of the readings.
 
  The nurse recommends that the patient purchase a portable electronic blood pressure device. Which other information will the nurse share with the patient?
  a. You can apply the cuff in any manner.
  b. You will need to recalibrate the machine.
  c. You can move your arm during the reading.
  d. You will need to use a stethoscope properly.

[Toya9913]

Answer to Question 1

ANS: D
The child's cooperation is increased when you or the parent have prepared the child for the unusual sensation of the BP cuff. Most children understand the analogy of a tight hug on your arm. Different arm sizes require careful and appropriate cuff size selection. Do not choose a cuff based on the name of the cuff. An Infant cuff is too small for some infants. Readings are difficult to obtain in restless or anxious infants and children. Allow at least 15 minutes for children to recover from recent activities and become less apprehensive. Korotkoff sounds are difficult to hear in children because of low frequency and amplitude. A pediatric stethoscope bell is often helpful.

Answer to Question 2

ANS: B
Electronic devices are easier to manipulate but require frequent recalibrationmore than once a year. Because of their sensitivity, improper cuff placement or movement of the arm causes electronic devices to give incorrect readings. The portable home devices include the aneroid sphygmomanometer and electronic digital readout devices that do not require the use of a stethoscope. The cuff will need to be applied correctly, and the patient's arm needs to be still during the reading.