img-download-app
img-download-app

A nurse is assessing a patient's vital signs. Which of the following about upper extremity blood pressure measurement is correct?

Explanation

•This will place the bladder directly over the brachial artery to ensure proper compression and blood pressure measurement.

•Placing the cuff too close to the antecubital space will result in a false reading.

•The length of the uninflated bladder should cover about 75% of the limb circumference.

Visit our website for other NCLEX topics now!
Related questions
The nurse is assessing her patient for pain. The nurse recognizes the pain as chronic because of the presence of:
The nurse is preparing to administer 500 ml of 5% dextrose in normal saline over 1 hour. The I.V. tubing has a drip rate of 15 gtt/ml. What is the drip rate?
The nurse is preparing to administer a subcutaneous heparin injection. At what angle should the nurse insert the needle?
A blind patient is scheduled for a prostatectomy and an informed consent is needed. The nurse should do which of the following when obtaining an informed consent from a patient who is legally blind?
A patient with a potassium level of 2.9 mEq/L is prescribed potassium chloride, 40 mEq I.V. The patient only has a peripheral I.V. The nurse should administer this medication:
Which of the following practices is necessary to maintain sterility during a surgical procedure?
When administering a subcutaneous injection of heparin, the nurse should use a:
Four patients all require the attention of the nurse. Who should the nurse see first?
The nurse fills out an incident report after a patient received the wrong blood transfusion. What should the nurse do next?
The nurse is preparing to administer potassium chloride, 20 mEq in 100 ml solution over 2 hours. The I.V. tubing has a drip rate of 15 gtt/ml. What is the drip rate?
The physician orders guaifenesin, 3 teaspoons P.O. as needed. What is the conversion of 1 teaspoon to the metric system?
A nurse smells a potent odor coming from the patient's bathroom shortly after the patient's orthopedic surgery. The nurse suspects the patient is smoking marijuana. What should the nurse do first?
A nurse is preparing to administer total parenteral nutrition (TPN) to a toddler. However, the patient does not have a central access, which requires the nurse to administer the TPN via peripheral I.V. What is the maximum safe glucose concentration that can be administered through a peripheral I.V.?
A nurse is preparing to administer I.V. fluids that raise serum osmolarity and pull fluid into the intravascular space. Which fluid should the nurse administer?
A nursing student is preparing to administer an IM injection to an infant. The nurse preceptor instructs the student to use which injection site?
While obtaining a patient's blood pressure, the nurse takes which of the following steps to ensure accuracy?
After a fire has erupted in a patient's room, the nurse rescues the patients in the immediate area. What should the nurse do next?
Which of the following is the best example of a patient-centered goal?
To help a mother anticipate the safety needs of her nine-year-old son who is learning to ride a bicycle, the nurse should teach that:
A nurse is caring for a 7-year-old with appendicitis and multiple bruises. The nurse suspects the child is being abused. What should the nurse do?
After administering morphine sulfate 3 hours ago, the patient complains of rapid onset pain rated at 8 out of 10. The nurse would consider this to be:
A postoperative patient is in the post-anesthesia care unit (PACU) after undergoing an appendectomy. The nurse assessed the patient's vital signs with a temperature of 94.5 degress Fahrenheit. What should the nurse do next?
A patient has been admitted with a radial fracture. Which of the following patient statements legally requires further investigation by the nurse?
Which of the following is appropriate nursing documentation?
A 7-year-old Chinese child presents to the emergency room with her parents. The child is febrile and hypotensive. The nurse observes red, welt-like lesions covering the child's back. What is the most likely cause of these lesions?
A physician orders morphine, 1 mL I.V., every 4 hours. Which of the following is true regarding this medication order?
While working on a pediatric-oncology unit, a nurse notices the nursing assistant is slurring her words and smells of alcohol. After confronting the nursing assistant, she promises to never do it again and asks the nurse to keep it a secret. What should the nurse do next?
A patient is receiving intravenous vancomycin. The physician wants to know the medication's effectiveness, so a trough drug level is ordered. The nurse should obtain the patient's blood sample:
A tracheostomy was inserted into a patient with COPD to relieve airway obstruction. The nurse knows that the patient is at risk for ineffective airway clearance if:
Who is responsible for obtaining informed consent from a patient?
Which of the following is a requirement of the Omnibus Reconciliation Act of 1986?
When documenting in the patient's chart, the nurse should:
While caring for a stable infant, the physician writes an order to start an I.V. infusion at 400 ml/hr. The nurse should question this order because infants are at risk for:
The nurse is preparing to administer vancomycin 500 mg I.V., over 60 minutes. The solution is 250 ml and the I.V. tubing has a drip factor of 15 gtt/ml. What is the drip rate?
A patient is admitted to the hospital with an INR of 3.9, history of GI bleeding, and osteomyelitis. The patient is complaining of bone pain so the nurse prepares to administer morphine. Which route should be avoided?
Before administering I.V. medication into an unused I.V. catheter, the nurse should flush the I.V. line with:
An elderly woman is admitted to the hospital after several adverse reactions to her medications. This patient may benefit from:
A nursing student is preparing an I.V. injection from an ampule. The nurse preceptor reminds her to use a(n):
When preparing an I.V. medication from an ampule, the nurse should remember to: