Author Question: Blood pressure measurement is performed on the lower extremities when the client has: A. An IV in ... (Read 63 times)

lracut11 · **on:** Jul 24, 2018

Blood pressure measurement is performed on the lower extremities when the client has:

A. An IV in the right arm
B. A left arteriovenous shunt
C. A right mastectomy
D. Bilateral upper extremity casts

Question 2

An appropriate procedure for the nurse to implement for the application of an absorption or alginate dressing is to:

A. Never cut the dressing to fit the wound
B. Irrigate the wound gently to remove residual gel
C. Fill the wound cavity entirely with the dressing material
D. Dispose of old dressings in the waste container in the client's room

xoxo123 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

D
D. The lower extremities may be used when the brachial arteries are inaccessible.
A. The BP could be taken in the left arm.
B. The right arm could be used.
C. The left arm could be used.

Answer to Question 2

B
B. Cleanse area gently with moist 4 4 sterile gauze pads, swabbing exudate away from wound, or spray with wound cleanser. Cleansing effectively removes any residual dressing gel without injuring newly formed delicate granulation tissue formed in the healing wound bed.
A. With some brands, dressings can be trimmed to fit wound size, whereas other brands of dressings cannot be cut.
C. Fill wound cavity, but fill one-half to two-thirds full to allow for expansion with absorption
D. Dispose of soiled dressings in waterproof bag. Remove disposable gloves by pulling them inside out, and dispose of them in waterproof bag. Avoid having client see old dressing because the sight of wound drainage may be upsetting to the client.