1 d
A nurse is performing blood pressure screenings for one client the nurse last palpates?
Follow
11
A nurse is performing blood pressure screenings for one client the nurse last palpates?
What action should the nurse take first? A. the next step for the nurse to take is to continue to apply deep palpation inferiorly to assess accurate measurement to palpate lightly to just under the diploid process. 2. The client has given birth three times; once at 35 weeks (twins), once at 38 weeks (singleton) and once at 41 weeks (singleton). What action does the nurse perform?, A client with a new diagnosis of glaucoma (increased pressure within the eye) has been prescribed a medication that is to be administered by an. During a physical assessment of the abdomen, the nurse palpates a small mass above a patient's symphysis pubis. How many mm Hg should the nurse inflate the cuff in order to auscultate the client's blood pressure? (You will find "Hot Spots" to select in the artwork below. The nurse documents the finding and describes the. Which response should the nurse make to help reduce the maternal fears that the newborn will be born with an infection?, The nurse is. Decreased intracranial pressure, A nurse is caring. A. Which of the following concepts is the nurse demonstrating? a. The nurse in a community health clinic performs a comprehensive assessment on a new client. A nurse palpates a client's hands and fingers. Which instructions should the nurse provide to the client before performing the test? A nurse is explaining how to measure blood pressure in a client who has lymphedema in both arms and requires blood pressure measurement using a thigh cuff. Which equipment should the RN instruct the client to use at home? a spyhmlmanometer c. The nurse is palpating which area? A) Posterior neck B) Axillary area C) Inguinal area D) Upper arm and more. Vital signs are stable and the chest pain has subsided since the client entered the exam room. The nurse's response to this finding would be based on which of the following? A. Upon further assessment, the nurse notes a tissue with bright red, frothy blood at the bedside. Inflate the cuff to 30mmHg above the estimated systolic level, sufficient to occlude the brachial pulse. B) Suggest a finger stick be done on one of the client's left fingers. For one client, the nurse last palpates the radial pulse at 120 mm Hg. 3. 1°C), pulse of 80 beats per minute, blood pressure of 128/80 mm Hg, weight of 142 lb (64. Infection with HIV occurs through the transfer of blood, semen, vaginal fluid, pre-ejaculate, or breast milk. Study with Quizlet and memorize flashcards containing terms like The nurse notes documentation that a client is exhibiting Cheyne-Stokes respirations. , The nurse is informed while receiving. Then, she auscultates the patient's apical pulse and counts 94 beats per minute While reviewing the patient's chart, the nurse notes the patient's most recent blood pressure screening, mammogram, and clinical breast exam were performed at. the next step for the nurse to take is to continue to apply deep palpation inferiorly to assess accurate measurement to palpate lightly to just under the diploid process. 2. Adults aged ≥ 40 years and persons at increased risk for high blood pressure should be screened annually. Fit the cuff evenly and snugly. The nurse notes that this client has high blood pressure. Asking the client to repeat "ninety-nine" as the nurse's hands move down the client's thorax Explanation: While the nurse is assessing for tactile fremitus, the client is asked to repeat "ninety-nine" or "one, two, three," or "eee, eee, eee" as the nurse's hands move down the client's thorax. What elements must be considered when selecting equipment and location of … Nursing assessment must involve careful monitoring of the blood pressure at frequent and routinely scheduled intervals. Which scenario does the nurse recognize as a role of the community-oriented nurse? Nurse working a booth at a health fair performing blood pressure and glucose screenings The transmission of sound waves through the external ear and the middle ear is known as. increased maternal blood pressure of 150/90 mm Hg b. How many mm Hg should the nurse inflate the cuff in order to auscultate the client's blood pressure? (You will find "Hot Spots" to select in the artwork below. Symptoms like fatigue, indigestion, and leg swelling may be benign or may indicate something more ominous 2. D) Hypertensive emergencies are associated with evidence of target organ damage A 56-year-old male client at a screening event has a blood pressure reading of 146/96 mm Hg. The nursing history reveals that the client's last menstrual period was five months ago, and the client is sure she is pregnant because she has been feeling the baby move. Which areas would the nurse need to assess before the woman ambulates? Degree of responsiveness, respiratory rate, fundus location Attachment, lochia color, complete blood cell count Blood pressure, pulse, reports of dizziness Height, level of. , The nurse is informed while receiving. An elderly client has an oral temperature of 96 Which action should the nurse take in regards to this. The client's disease is in which phase of its clinical course?, The nurse observes that blood pressure readings taken by a new unlicensed assistive personnel (UAP) are very different from what other nurses obtain. -Increase access to health care. The nurse detects weak pulses in the leg distal to the puncture site. When the nurse palpates tetanic contractions. Which action should the nurse now prioritize?, The nurse is monitoring a client who has given birth and is now bonding with her infant. The client should be positioned on the right sidewith a pillow or sandbag under the costal margin and supporting the biopsy site. Study with Quizlet and memorize flashcards containing terms like A nurse is discussing with a group of nursing students how to accurately measure blood pressure. It's important to know how to do it correctly, especially if your doctor has recommended that you regularly monitor yo. The nurse notes what. In this phase, contractions are typically strong, occurring every 2 to 3 minutes, and lasting 80 to 90 seconds. The nurse should document interventions implemented in responseto a client's blood pressure, such as changing the client's position. Advise the client that this is probably the. Which action by the nurse would be most appropriate? A) Assist in holding the client's arm still. Nausea and vomiting D. she states that the pain is better and then passes out. Note the level and rapidly deflate the cuff; wait 30 seconds Questions 1. The nurse should plan to instruct the client to perform breast self-examination. No redness is observed, and the client denies pain or tenderness. Jun 20, 2024 · The nurse shares the care of clients with assistive personnel The nurse oversees client care from admission to discharge the nurse is a liaison between the care providers and client The nurse performs all the care for a group of clients. , The nurse is informed while receiving. And that’s a big problem Some people have low blood pressure (hypotension). Laboratory values show a white blood count (WBC) of 2,500/mm3 and a platelet count of 160,000/mm3. That the best time for the examination is after a shower 3. The clinic nurse reviews Danielle's prenatal record prior to performing a nursing assessment. In the fast-paced and ever-evolving healthcare industry, it is crucial for healthcare organizations to have an effective system in place to evaluate the performance of their nursin. The nurse palpates cervical lymph nodes and finds them to be enlarged, and a lump is felt inferior to the right mandible. Locate the radial pulse Inflate the cuff rapidly (while palpating the radial or brachial pulse) to the level at which pulsations are no longer felt and inflate the cuff 30 mmHg above the palpated pressure or the patient's usual blood pressure. The nurse obtains the following vital signs: heart rate, 74 beats/min; respiratory rate, 8 breaths/min; blood pressure, 114/68 mm Hg. Which of the following images displays the measurement in mm Hg to which the nurse should inflate the cuff when obtaining the blood pressure? 120 mm Hg. The client has a thyroid medication that is to be taken on an empty stomach. Locate the radial pulse. A nurse is performing blood pressure screenings. Which of the following information about the woman should the nurse note from the woman's prenatal record before proceeding with the physical assessment? Select all that apply Weight gain Ethnicity and religion Age Type of. The nurse is performing blood pressure and blood glucose screenings for everyone who stops by the booth. A nurse is assessing a client who gave birth vaginally 12 hours ago and palpates her uterus to the right above the umbilicus. How much should the nurse inflate the cuff in order to also take the client's blood pressure? A) 30 mmHg above palpated pressure B) 20 mmHg above palpated pressure C) 10 mmHg above palpated pressure D) 40 mmHg above palpated pressure Locate the radial pulse Inflate the cuff rapidly (while palpating the radial or brachial pulse) to the level at which pulsations are no longer felt and inflate the cuff 30 mmHg above the palpated pressure or the patient's usual blood pressure. A)as a basis for the nursing process. Apply more pressure when palpating the artery Assess an artery in the other arm Use a Doppler to assess the artery A nurse is completing an assessment of several newly admitted patients to a nursing home. Assess the position, tone, and location of the fundus. The tips of four fingers, palms of both hands, or palm and fingers of one hand are not used for assessing the breasts as they may not give accurate results on examination. Center the bladder of the blood pressure cuff over the brachial artery with the lower margin 1″ above the antecubital space. Gradually flexing the head toward the mother's thigh 3. Assessment reveals temperature of 981°C), pulse of 80 beats per minute, blood pressure of 128/80 mm Hg, weight of 142 lb (64. - stimulated by baroreceptors when BP drops. Stage 2 high blood pressure a) Bring a penlight from the side of the patient's face and briefly shine the light on the pupil. Once obtained, the nurse records it with the … Perform a cardiovascular assessment, including heart sounds; apical and peripheral pulses for rate, rhythm, and amplitude; and skin perfusion (color, temperature, sensation, and … Moderate palpation should be used to assess the size, shape, and consistency of abdominal organs. optionhouse Gas and flatulence B. The nurse is assessing a client's brachial artery blood pressure. The nurse should suspect which of the following health problems? Otitis media Otitis externa Ruptured tympanic membrane Mastoiditis and more. The student nurse asks the nursing instructor why it is necessary to palpate the systolic pressure prior to the procedure. C) Tell the technician to obtain the blood sample from the client's left arm. To deselect a finding, click on the finding again Redness noted at wound borders, skin surrounding wound is warm to touch, purulent drainage noted Temp 38. Therefore, if the nurse last palpates the radial pulse at 120, she would need to inflate the cuff more than this pressure to completely stop the blood flow. In the office setting, many oscillometric devices have been validated that allow accurate BP measurement while reducing human errors associated with the auscultatory approach. 3)Auscultate the mass. A nurse is performing blood pressure screenings at a local health fair. Unit 12 - Wkst & Class Unit 13 - Wkst & Class. The nurse measures her blood pressure in the office today. During physical exam of a newborn, the nurse palpates the scrotal sac and only locates one testicle. The nurse assesses the client's oxygen saturation using a pulse oximeter by placing the probe on the client's finger. Upon assisting the client into a gown, the nurse notes that the client's sternum is depressed, especially on inspiration. Which is an expected clinical finding?, The telemetry nurse is conducting an initial cardiac assessment on a client admitted with chest pain and coronary artery disease (CAD). What is this client's pulse pressure? and more. The nurse assessed a 28-year-old woman who was experiencing dyspnea severe enough to make her seek medical attention. Advertisement Most visits to the doctor include a blood pressure reading, whether you're feeling ill or i. boink io Conducting a detailed health history, The nurse is performing an. The nurse palpates a client's auricles and notes an enlarged lymph node on one ear. The nurse's first priority while screening a client with circumferential burns on both legs is to test their peripheral pulses. Select only the hotspot that corresponds to your answer. The nurse should systematically assess all areas of the abdomen, if time and the client's condition permit, concluding with the symptomatic area. In the field of nursing, performance appraisal plays a crucial role in assessing the quality of care provided by healthcare professionals. The registered nurse (RN) is caring for a client with aplastic anemia who is hospitalized for weight loss and generalized weakness. What is a possible cause of tachycardia?, When assessing a client's uterine fundus during the fourth stage of labor, the nurse palpates a soft, uncontracted fundus. For instance, if the nurse inflates the cuff to about 160, this would ensure that even people with high pressure (greater than 120) would have their blood flow temporarily halted. Danielle has given birth three times; once at 35 weeks (twins), once at 38 weeks (singleton), and once at 41 weeks (singleton) (4. Laboratory values show a white blood count (WBC) of 2,500/mm3 and a platelet count of 160,000/mm3. What test is the nurse performing on the client? Venous occlusion test Ankle-brachial index test Allen test Trendelenburg test, A nurse palpates a weak left radial artery on a client. Find tools to manage your high blood pressure (hypertension). There are a lot of reasons for thyroid enlargement or goiter, and it can be a sign of something more serious. A nurse is observing a unlicensed assistive personnel (UAP) measure a client's blood pressure. The nurse in a community health clinic performs a comprehensive assessment on a new client. Which instruction would the nurse give to the patient? The nurse is performing an assessment on a client who is at 38 weeks' gestation and notes that the fetal heart rate (FHR) is 174 beats/minute. Early initiation of an IV access will enable timely medication administration if it is emergently needed. A nurse measures a client's blood pressure at 174/102 mmHg. How does the nurse describe this assessment finding? Peripheral vascular problems. continue with the assessment as this is a normal neonatal blood pressure reading b. pink pantie Visualization of the anus shows no inflammation, masses, or fissures. the clearance of toxins, During the abdominal assessment of a male client, the nurse palpates a large round mass in the hypogastric region. The client is very anxious and restless. What manifestations may suggest that the client has chronic hypoxia?, A client returns to the telemetry unit after an operative procedure. While reviewing the patient's chart, the nurse notes the patient's most recent blood pressure screening, mammogram, and clinical breast exam were performed at age 70. Appearance and behavior 2. The mother expresses concern that her baby will be born with an infection. A 56-year-old man whose father died at age 62 from a stroke b. The nursing student is learning about the appropriate method to use when assessing a client's blood pressure. The orer of physical skills the. Which instruction would the nurse give to the patient? The nurse is performing an assessment on a client who is at 38 weeks' gestation and notes that the fetal heart rate (FHR) is 174 beats/minute. To obtain the blood specimen, the technician places a tourniquet on the client's right arm. The fundus is firm, in the midline, and 2 fingerbreadths below the umbilicus. Gradually extending the head above the mother's symphysis pubis, One hour after a birth a nurse palpates a client's fundus to determine whether involution is taking place.
Post Opinion
Like
What Girls & Guys Said
Opinion
70Opinion
Lochia rubra on the second day postpartum d. Study with Quizlet and memorize flashcards containing terms like The nurse instructs a client in the outpatient clinic about a cardiac stress test. The PR interval is 0 b. Place a mask on the client when they leave their roomPlace the client in a negative pressure room Wear an N-95 respirator while caring for the client A nurse manager is developing strategies to care for the increasing number of clients who have obesity. Additionally, the mother baby nurse should be aware of the educational needs of the family. 7° C), pulse 93 beats/min regular rhythm and bounding, blood pressure 145/93 mm Hg, and respiratory rate 16 breaths/min. Trusted Health Informati. The nurse palpates the abdominal aorta of an adult client and find that it measures approximately 6 cm in diameter. This data then informs the nursing care plan. The blood pressure reading is 184/100 mm Hg. The nurse is monitoring a client in active labor and notes that the client is having contractions every 3 minutes that last 45 seconds. What action should the practical nurse take immediately? A) notify the registered nurse or anesthesiologist B) continue to assess the blood-pressure q5 minutes C) place the client in a lateral. What postprocedure complication would the nurse report to the health care provider? A. The nurse assesses the client's oxygen saturation using a pulse oximeter by placing the probe on the client's finger. After assessing the breasts of a female client, the nurse should explain to the client that most breast tumors occur in the. What is the best nursing action? a) Assess the blood pressure by Doppler b) Estimate the systolic pressure as 60 mmHg c) Obtain an electronic blood pressure monitor d) Record. Chest x-ray and more. Supine hypotension is a frequent cause of low blood pressure in clients who are pregnant. Bradypnea is breaths slower than 10 per minute. Study with Quizlet and memorize flashcards containing terms like What care should a nurse take when performing the hands-on assessment of the anus, rectum, and prostate?, A nurse performing transillumination by shining a light from the back of the scrotum through a mass revealing a red glow would indicate?, Strenuous activity and heavy lifting may predispose a client to the development of? and. potential areas of pressure ulcer development D. For one client, the nurse last palpates the radial pulse at 120 mm Hg. When the nurse palpates the site, the tissue feels spongy and crackles can be felt. Advise the client that this is probably the. houses for sale in duns At 8:00 a (0800), a nurse assesses a client who is scheduled for surgery at 10:00 a (1000) The nurse is observing a nursing student palpating a client's maxillary sinuses sitting, and standing positions ambulating the client around the room and then assessing blood pressure taking blood pressure on the left arm and again in 5. Explanation: When a nurse no longer palpates the popliteal pulse at 92 mmHg, the cuff should be inflated to a higher pressure before slowly deflating it to obtain an accurate blood pressure measurement. What assessment finding should immediately be reported to the health-care provider?A BILATERAL LOWER EXTREMITY NUMBNESSC. Nausea and vomiting D. Study with Quizlet and memorize flashcards containing terms like During a routine assessment the nurse notes the postpartum client is tachycardic. Client who had a first dose of captopril (Capoten) and needs to use the bathroom c. Nurse is performing a vag exam on a patient who is in labor and observes the umbilical cord protruding from the vagina 1st - During this step, the nurse palpates the client's abdomen with the palms to determine which fetal part is in the uterine fundus Monitor the client's blood pressure every hour. Restrict the total. C) Hypertensive urgency is treated with rest and benzodiazepines to lower BP. 5 Auscultate accurate Korotkoff sounds. The client reports burning during urination for the past few days. How should the nurse perform this assessment? Click the card to flip 👆. Her blood pressure (BP) has been steadily increasing from 100/70 to 140/90mmHg at today's visit In performing Leopold's maneuvers to determine the fetal lie, a nurse palpates a soft, irregular mass in the upper quadrant of the maternal abdomen The prenatal client reports her last menstrual period began on May 11, 2017 A) The client age 2 years whose respiratory rate is 16 breaths/minute B) The newborn whose axillary temperature is 988 ºC) C) The client age 7 years whose pulse is 120 beats/minute D) The client age 10 years whose blood pressure is 102/62 mmHg Ans: A Feedback: Normal respiratory rate for a child 1 to 3 years of age is 20 to 40. The student nurse asks the nursing instructor why it is necessary to palpate the systolic pressure prior to the procedure. Which of the following should the nurse consult to find out what can legally be assessed and diagnosed? Study with Quizlet and memorize flashcards containing terms like A client in a physician's office has a blood pressure (BP) reading of 150/92 mm Hg. 7 Place the stethoscope ear pieces in the ears A 32-week gestation client was last seen in the prenatal clinic at 28 weeks' gestation. The nurse asks the patient to hold his hands up and supinated as if holding a tray. Bradypnea is breaths slower than 10 per minute. The nurse should include which intervention in the postoperative care plan? Performing passive range-of-motion (ROM) exercises on the client's legs once each shift Keeping a pillow between the client's legs at all times Turning the. While reviewing the patient's chart, the nurse notes the patient's most recent blood pressure screening, mammogram, and clinical breast exam were performed at age 70. jealous of childless couples Which one should the nurse see first? a. -rapid fluid administration Study with Quizlet and memorize flashcards containing terms like A client at 41 weeks gestation is admitted to the labor and delivery unit for labor induction. Perform a vaginal examination to check for cervical dilation. The best follow-up action for the nurse to take will be to a. What action would the nurse take next?, The nurse notes that the temperature of an ill client is 101°F (38 Which intervention would the nurse take to regulate the client's body temperature?, An ultrasonic. The client reports pelvic pain, chills, profuse dark, foul-smelling lochia with blood clots. When the nurse palpates the client's chest and back, they are assessing the chest and lung area to listen for any abnormal or normal respiratory sounds. As you prepare to touch the client, it is important that you: Ask permission to touch. The student nurse asks the nursing instructor why it is necessary to palpate the systolic pressure prior to the procedure. Study with Quizlet and memorize flashcards containing terms like The nurse is palpating a client's precordium. Put the following steps in order for this procedure. overall risk of developing pressure ulcers, A primiparous client at 4 hours after a vaginal delivery and manual removal of the placenta voids for the first time. 298) As part of cardiac assessment, the nurse palpates the apical pulse. The healthcare provider recently changed the medication to enalapril to manage the client's blood pressure. Which action should the nurse perform. The roles of nurses and NPs in hypertension management involve all aspects of care, including (1) detection, referral, and follow up; (2) diagnostics and medication management; (3) patient education, counseling, and skill building; (4) coordination of care; (5) clinic or office management; (6) population health management; and (7) performance. She reports the presence of bright red vaginal bleeding and denies the presence of any pain. Which nursing intervention should the nurse perform? Allow the client to ambulate with assistance. The nurse is performing a focused assessment on a client who is 2 days postpartum. Study with Quizlet and memorize flashcards containing terms like The nurse is testing the valvular competency of the saphenous system. Measurement of vital signs 3. Which rational would direct this action? 1. While assessing the peripheral vascular system of an adult client, the nurse detects cold clammy skin and loss of hair on the client's legs. " Heart Rate: "The patient's heart rate is 80 beats per minute. barr refrigeration Gently guiding the head downward 2. What should the nurse do first?, The nurse is caring for a client who was recently admitted to the cardiac. And that’s a big problem After you are diagnosed with high blood pressure, your health care provider may ask you to keep track of your blood pressure by measuring it at home. Which of the following images displays the measurement in mm Hg to which the nurse should inflate the cuff when obtaining the blood pressure? Option 1: 92 mm Hg Option 2: 102 mm Hg Option 3: 112 mm Hg The purpose of these figures is to facilitate understanding of the electrical and mechanical function of the heart within the cardiovascular system1 Structure of the Heart2 Blood Flow Through the Heart3 Conduction System of the Heart4 Circulatory System: Arteries. As you prepare to touch the client, it is important that you: Ask permission to touch. The client has given birth three times; once at 35 weeks (twins), once at 38 weeks (singleton) and once at 41 weeks (singleton). As you prepare to touch the client, it is important that you: Ask permission to touch. Which is an expected clinical finding?, The telemetry nurse is conducting an initial cardiac assessment on a client admitted with chest pain and coronary artery disease (CAD). In today’s fast-paced world, having a large screen cell phone is essential for many individuals who rely on their devices for work, entertainment, and socializing Well water pressure tanks are connected to water wells and perform several vital functions in water supply systems. Which nursing intervention should the nurse perform? Allow the client to ambulate with assistance. Remaining calm while examining the patient may help the. 1. Nurses commonly use simple diagnostic tools to measure a patient’s vital signs, such as stethoscopes, portable glucometers, blood pressure monitors, portable pulse oximeters and th. Adults aged ≥ 40 years and persons at increased risk for high blood pressure should be screened annually. deviation from the midline. Abnormal blood pressure readings can signify an area of concern and a need for intervention. The nurse assesses his respiratory rate at 32 breaths/min. The patient says she smokes one pack of. By doing so, the client reduces the possibility of falls related to postural hypotension The nurse is seeing a client for the first time and has just checked the client's blood pressure.
On assessment of the infant, the nurse palpates the anterior fontanel and notes that it feels soft. The nurse is assessing a client's brachial artery blood pressure. This data then informs the nursing care plan. Study with Quizlet and memorize flashcards containing terms like While examining a client, the nurse palpates the client's chest and back. chanel uzi nudr Which one should the nurse see first? a. Blood glucose 30 mg/dL. Adults aged ≥ 40 years and persons at increased risk for high blood pressure should be screened annually. increased urinary cortisol elevated serum aldosterone levels decreased serum thyroxine elevated serum aldosterone levels low urinary. A nurse has an order to obtain orthostatic blood pressure readings on a client admitted with dehydration. On assessment of the infant, the nurse palpates the anterior fontanel and notes that it feels soft. While obtaining subjective assessment data from a client with hypertension, the nurse learns that the client has a family history of hypertension and she herself has high cholesterol and lipid levels. Her mother has type 2 diabetes and her father has high blood pressure Retinal blood vessel damage. property to rent peebles Before beginning a physical assessment of a client, the nurse should fist, 2. Based on the nurse's understanding of racial differences in health and illness, which groups will the nurse target for screening? Select all that apply) Native American people b. When the nurse places on hand flat on the body surface and uses the fist of the other hand to strike the back of the hand flat on the body surface, the nurse is using firm percussion. During the assessment of a client, the nurse places a paper towel on the weighing scale before the client stands barefoot on it. Breast engorgement b. Gradually flexing the head toward the mother's thigh 3. The mother expresses concern that her baby will be born with an infection. yi op gg How many m m H g should the nurse inflate the cuff in order to auscultate the client's blood pressure? (You will find "Hot Spots" to select in the artwork below. Ensure that there will be several quiet rooms near the main gathering area Collect blood pressure cuffs of varied sizes Arrange low-cholesterol snacks for participants Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client in the second stage of labor. A novice nurse is learning the difference between community-based nursing and community-oriented nursing. Study with Quizlet and memorize flashcards containing terms like Which action by a nurse demonstrates the correct application of the principles of standard precautions?, The nurse is conducting a physical examination of the abdomen. One-half cup of broccoli and a cup of pasta contain 50 mcg, not 100 mcg of folate. The nurse gently palpates the client's symphysis pubis. Which area of the client's body should the nurse thoroughly examine to assess for the source of this finding? Cervical lymph nodes for tenderness and swelling.
Which of the following images displays the measurement in mm Hg to which the nurse should inflate the cuff when obtaining the blood pressure ? Study with Quizlet and memorize flashcards containing terms like A pregnant woman at 38 weeks' gestation arrives at the emergency department. Digital rectal examination reveals a smooth, enlarged prostate. The top number ranges from 130 to 139 mm Hg or the bottom number is between 80 and 89 mm Hg. The practical nurse (PN) palpates fundal height at the umbilicus of a multiparous client who has just given birth to an 8-pound boy when dark red blood comes from the client's vagina. For one client, the nurse last palpates the radial pulse at 120 mm Hg. Client rates her pain 5/10 respirations 20 breaths/minute, and blood pressure 132/70 mmHg. The patient tells the nurse, I have had a lot of pain in my abdomen. , When assessing an individual for cardiovascular risk factors, the nurse inquires about which health conditions or lifestyle practices? Select all that apply. If the nurse places the client any closer, the nurse will be invading the client's private space and may create anxiety in the client. For which clients will the nurse ensure that signed informed consent has been given and is in the client's record? Patient is hunched in her chair, clutching her abdomen. And that’s a big problem After you are diagnosed with high blood pressure, your health care provider may ask you to keep track of your blood pressure by measuring it at home. Which of the following is a description of a thready pulse?, A nurse observes the gait of an elderly. d. woodturning lathes for sale But is there such a thin. Clinical care team members should be trained to measure blood pressure (BP) accurately and tested every 6-12 months to demonstrate competency in BP measurement skills Using a blood pressure measurement competency can help team members understand the importance of accurate BP measurement and demonstrate that they. a. ask another nurse to validate the. How will the oxygen be administered? nasal cannula simple oxygen mask Venturi mask partial rebreather mask, The nurse auscultates the lungs of a client with asthma who reports shortness of breath, sore throat, and congestion. Which finding does. How many mm Hg should the nurse inflate the cuff in order to auscultate the client's blood pressure? (You will find "Hot Spots" to select in the artwork below. Inflate the blood pressure cuff while palpating the client's brachial or radial artery. A nurse prepares to perform blood pressure screenings at a health fair in the local community center. Study with Quizlet and memorize flashcards containing terms like Which action by a nurse demonstrates the correct application of the principles of standard precautions?, The nurse is conducting a physical examination of the abdomen. Which of the following images should the nurse identify as an indication of spina bifida occulta? A nurse is teaching a client who is at 24 weeks of gestation regarding a 1-hr glucose tolerance test. Tocolytic agents are used to halt preterm labor. Diarrhea and stearrhea. Tachypnea is rapid, shallow breathing exceeding 24 breaths per minute. The nurse documents the finding and describes the. lady betty grafstein net worth MSC: Client Needs: Physiologic Integrity. what would this tell the nurse about this mass. What question might the nurse ask to assess for orthopnea?, A client is. 1. A nurse in a clinic performs an assessment on a 73-year-old client. Prepare to defibrillate the client (32%) OmittedCorrect answer 1 45. a. It should be standing vertical and at your eye level. A) Retinal blood vessel damage B) Glaucoma C) Cranial nerve damage D) Hypertensive emergency, A nurse is performing blood pressure screenings at a local health fair. How should the nurse interpret the assessment finding? a A normal finding c. The client tells the nurse that he has been training for 6 months for this mini-marathon. 4 or 5. 2 Clean the stethoscope with a 70% alcohol pad. Specifically, it relates to the amount of force needed to move your blood filled with oxygen, antibodies and nutrients th. When the nurse palpates the client's chest and back, they are assessing the chest and lung area to listen for any abnormal or normal respiratory sounds. The nurse is collating data obtained from a 56-year-old woman. C. Hypertension is defined as a systolic blood pressure greater than 140 mmHg and a diastolic pressure of more than 90 mmHg. Notify the rapid response team. A zero should precede a decimal point, as in 0. At 8 a the unlicensed assistive personnel (UAP) informs the charge nurse that a female adolescent client with acute glomerulonephritis has a blood pressure of 210/110m. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a newborn with patent ductus arteriosus. It represents a bold new idea for a country where high blood pressure is a serious health condition.