Author Question: The nurse appropriately instructs trained ancillary personnel to use an electronic blood pressure ... (Read 43 times)

humphriesbr@me.com · **on:** Jul 23, 2018

The nurse appropriately instructs trained ancillary personnel to use an electronic blood pressure cuff to take the blood pressure of which of the following clients?

1. A 25-year-old who was admitted for alcohol detoxification
2. A 69-year-old diagnosed with Parkinson's disease 5 years ago
3. A 57-year-old placed on antihypertensive medication therapy 2 months ago
4. An 80-year-old client whose systolic BP is routinely assessed in the high 80s

Question 2

The nurse enters the room to measure the client's pulse rate. The nurse recognizes that the client's rate may be increased as a result of:

1. A febrile condition
2. Administration of digoxin
3. The client's athletic conditioning
4. Unrelieved severe postoperative pain

Expo · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 1
Blood pressure less than 90 mm Hg systolic, irregular heart rate, peripheral vascular obstruction (e.g., clots, narrowed vessels), shivering, seizures, excessive tremors, and inability to cooperate are reasons to avoid using an electronic BP monitor. The answer reflects the client whose BP is most stable and best assessable via electronic BP monitor.

Answer to Question 2

ANS: 1
Fever and heat may increase a client's pulse rate. Digoxin is a negative chronotropic drug; it will decrease the client's pulse rate. A conditioned athlete who participates in long-term exercise will have a lower heart rate at rest. Unrelieved severe pain increases parasympathetic stimulation; de-creasing the heart rate.