Author Question: Which blood pressure reading has a pulse pressure within normal limits? Select all that apply. a. ... (Read 122 times)

sam.t96 · **on:** Jul 23, 2018

Which blood pressure reading has a pulse pressure within normal limits? Select all that apply.

a. 104/50 mm Hg
b. 120/62 mm Hg
c. 120/80 mm Hg
d. 130/86 mm Hg

Question 2

The nurse caring for a postsurgical patient obtains an oral temperature reading of 103F. She contacts the surgeon, obtains an order, and administers acetaminophen 650 mg orally.

Which clinical information should the nurse document? Select all that apply.
a. Oral temperature reading of 102F
b. The call to the surgeon to obtain the order
c. Administering acetaminophen 650 mg orally
d. All of the above

lorealeza77 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

C, D
The pulse pressure is the systolic blood pressure (BP) minus the diastolic BP. The pulse pressure is usually approximately one-third of the systolic pressure. (120 80 = 40; 40 = 1/3 of 120) (130 86 = 44; 1/3 of 130 = 43.C.

Answer to Question 2

D
Documentation of patient information is one of the most important responsibilities of the registered nurse. If vital signs are abnormal, the nurse must document these findings in the nursing progress notes along with any associated symptoms. Nurses are additionally required to take appropriate actions based on their assessment findings. Therefore, the nurse must document the interventions as well. In this item, all findings and actions must be documented.