The nurse has assessed a client's blood pressure (BP) using the ...

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The nurse has assessed a client's blood pressure (BP) using the left thigh because of bilateral up-per arm casts. The client's precasting left arm BP was 108/70 mm Hg. The nurse expects the pre-sent BP reading to be:
 
  1. 10-40 mm Hg higher systolic pressure than before the casting
  2. 5-10 mm Hg higher reading in both systolic and diastolic pressures
  3. Representative of the original baseline established before the casting
  4. A slight decrease in the diastolic pressure when compared to precasting pressure

Question 2

The nurse is assessing an elderly client's blood pressure during a routine visit. When asked, the client volunteers that when he took his pressure at home yesterday it was 126/72 mm Hg.
 
  The nurse determines that the client's pressure today is 134/70 mm Hg. The nurse recognizes that the most likely cause of the elevation is:
  1. The difference between the monitoring equipment being used
  2. The client may be experiencing mild anxiety regarding the check-up
  3. The effects of aging on the client's ability to hear the first Korotkoff sound
  4. The client is not inflating the cuff sufficiently to detect the systolic pressure

[jazzlynnnnn]

Answer to Question 1

ANS: 1
Systolic pressure in the legs is usually higher by 10 to 40 mm Hg than in the brachial artery, but the diastolic pressure is the same.

Answer to Question 2

ANS: 2
Blood pressure measurements taken at the client's place of employment or in a health care pro-vider's office are higher than those taken at the client's home. The remaining options may be a factor but they are not the most likely.

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TYSM

[miss_1456@hotmail.com]

Gracias!