Author Question: The nurse measures the blood pressure in the leg due to the fact that the client has bilateral casts ... (Read 49 times)

mynx · **on:** Jul 23, 2018

The nurse measures the blood pressure in the leg due to the fact that the client has bilateral casts on the upper extremities. The nurse palpates the pulse before the measurement at the:

1. Popliteal fossa behind the knee
2. Inner side of the ankle below the medial malleolus
3. Top of the foot between the extension tendons of the great toe
4. Inguinal ligament midway between the symphysis pubis and the anterior superior iliac spine

Question 2

An individual contacts the emergency department of the local hospital to ask what to do for a skiing partner who appears to be suffering from hypothermia. The victim is alert and able to re-spond to questions.

The nurse instructs the individual who has called to have the victim:
1. Take sips of brandy
2. Drink a bowl of warm soup
3. Drink a cup of very hot coffee
4. Run the affected extremities under hot water

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

Answer to Question 1

ANS: 1
The popliteal artery, palpable behind the knee in the popliteal space, is the site for auscultation when taking the blood pressure in the leg. The inner side of the ankle, top of the foot, and ingui-nal ligament are not the correct sites for assessment.

Answer to Question 2

ANS: 2
A conscious client benefits from drinking hot liquids such as soup. Alcohol should be avoided.
Caffeinated fluids should be avoided. Extremities should be warmed gradually. Tissue damage could occur if placed under hot water. The entire body should be warmed, such as by putting heating pads next to the head and neck that lose heat the quickest.