In which phase would the nurse observe blowing and whooshing sounds during blood pressure?

Chapter 30 Fundamentals:

Level 1

1. The nurse is teaching about hypertension management to a patient who is taking

antihypertensive drugs. Which statement made by the patient indicates a need for further

clarification?

"Losing weight can reduce my need for blood pressure medication."

"Keeping my blood pressure under control reduces my risk for a heart attack."

"When my blood pressure becomes normal, I no longer need to take medication."

"When I get out of bed in the morning, I should first sit for a few moments and then

stand."

Compliance with antihypertensive therapy is difficult for two reasons. First, patients often have no

distressing symptoms associated with hypertension and might not believe they have a problem.

Second, many patients believe that once blood pressure is brought back into the normal range,

they are cured and no longer need to take medication. Losing weight reduces the need for blood

pressure medications by promoting easy blood flow through the circulatory system. Hypertension

increases the risk of having a heart attack. Keeping the blood pressure under control also

decreases the risk of heart attack. The patient may feel dizzy when getting up suddenly from a

sitting or lying down position due to hypotension. Therefore, the patient should sit for a few

moments first and then stand. (Page 504-505)

2. You observe a nursing student taking a blood pressure (BP) reading on a patient. The patient’s

BP range over the past 24 hours was 132/64 to 126/72 mm Hg. The student used a BP cuff that was

too narrow for the patient. Which BP reading made by the student is most likely caused by the

incorrect choice of BP cuff?

96/40 mm Hg

110/66 mm Hg

130/70 mm Hg

156/82 mm Hg

When you use a blood pressure cuff that is too narrow or short, your patient will most likely have a

BP reading that is higher than it really is: You will get a false-high reading. If the bladder or cuff

were too wide, the reading would be a false-low reading. (Page 506,507)

3. Which pulse assessment site is also used when performing Allen’s test?

Ulnar site

Apical site

Brachial site

Femoral site

How would the nurse determine the ventilatory rhythm in a patient?

Which activity would be a component of the evaluation phase of the nursing process?

What changes in vital signs occur in the elderly quizlet?

Which site would the nurse assess to determine the status of circulation to the hand?