Author Question: The nurse is assessing a client's blood pressure. What should the nurse hear during phase 2 of ... (Read 63 times)

abc · **on:** Jul 23, 2018

The nurse is assessing a client's blood pressure. What should the nurse hear during phase 2 of Korotkoff's sounds?

1. A muffled, whooshing, or swishing sound
2. Disappearance of sound
3. Faint, clear tapping sound
4. Increased intensity of sound

Question 2

A client is unconscious and in respiratory distress after being in a motor vehicle crash. Which should the nurse realize as being a factor that caused a change in this client's respiratory rate?

1. Exercise
2. Increased intracranial pressure
3. Increased environmental temperature
4. Stress

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

Answer to Question 1

Correct Answer: 1
Rationale 1: Phase 2 produces a muffled, whooshing, or swishing sound.
Rationale 2: Phase 5, the final phase, is where the sound disappears.
Rationale 3: Phase 1 of Korotkoff's sounds starts with a faint, clear tapping sound.
Rationale 4: Phase 3 is marked by an increased intensity of sound.

Answer to Question 2

Correct Answer: 2
Rationale 1: Exercise increases respiration rates.
Rationale 2: Factors that decrease respirations include increased intracranial pressure.
Rationale 3: Increased environmental temperatures increase respiration rates.
Rationale 4: Stress increases respiration rates.