Question

1.A nurse is preparing to take the blood pressure of a client whose BMI=31. Which of the following would be the most appropriate blood pressure cuff to use in order to obtain an accurate reading? a) Standard blood pressure cuff b) Large blood pressure cuff c) Pediatric blood pressure cuff d) Automatic blood cuff 2.A nurse should check for a pulse deficit in which of the following situation? a) Irregular radial pulse b) After the client has exercised c) Apical and radial pulse= 102 bpm and regular d) Apical pulse and radial pulse= 82 bpm 3. Which action by the nurse incorrectly applies the principles of standard precautions? a) Wearing a mask to perform a throat culture on a patient with a temp of 101.6 b) Wearing a gown, gloves and mask to change an oxygen nasal cannula c) Wearing gloves to give an influenza vaccine

Answer 1

1) normal BMI is 18.5 to 24.9 and 25 to 29.9 is overweight and above 30 to 39.9 is obese .so here BMI is 31 that means patient is obese so large blood pressure cuff will be needed for accurate reading.

2) nurse should check for pulse deficit in case irregular radial pulse present. Pulse deficit is the measurement of the difference in a minute between apical pulse rate and peripheral pulse rate.

3). ( b)option is the answer According to standard precautions for changing nasal cannula like small clean procedure s a nurse does not need to wear gown ,mask,gloves .only in case of patient have drop let infection that time mask can be used