Practice Quiz

NCLEX-PN

Category - Reduction of Risk

Start a Study Session Sign up for Question of the Day
The nurse is assigned to monitor the blood pressure of a client admitted due to pheochromocytoma. The nurse understands that accurate blood pressure measurements are essential to prevent complications. Which of the following actions of the nurse ensures that the blood pressure measurements are accurately obtained?
  1. Obtains blood pressure measurements on an extremity at the heart level
  2. Places bottom edge of the cuff about 2 inches above the crease of the client’s elbow
  3. Wraps the cuff unevenly around the upper arm
  4. Makes enough room to slip two finger tips under the cuff
Explanation
Answer: A - The best action of the nurse is to obtain blood pressure measurements on an extremity that is positioned at the level of the heart. Placing the cuff 1 inch above the crease of the elbow, wrapping the cuff smoothly and evenly around the upper arm, and making enough room to slip one fingertip under the cuff ensure accurate blood pressure measurements.
Was this helpful? Upvote!
Login to contribute your own answer or details
Start a Study Session Sign up for Question of the Day

Top questions

Related questions

Most popular on PracticeQuiz