BLOOD PRESSURE

Question 1

PURPOSE

To obtain a baseline ______ of _______ for subsequent evaluation

Answer 1

1. measurement
2. arterial blood pressure

Question 2

To determine the client’s ________ (e.g., cardiac output: stroke volume of the heart and blood vessel resistance)

Answer 2

hemodynamic status

Question 3

To identify and monitor _____ in blood pressure resulting from a ______ or ______

Answer 3

1. changes
2. disease process
3. medical therapy

Question 4

Assess signs and symptoms of ______ and ______
Factors affecting ______
Assess the client for ______ allergy

Answer 4

1. hypertension
2. hypotension
3. blood pressure
4. latex

Question 5

What are the equipment used to assess the blood pressure?

Answer 5

stethoscope
blood pressure cuff of the appropriate size
sphygmomanometer

Question 6

Preparation

Ensure that the equipment is _____and functioning properly.

Check for ____ in the ____ between the ____and the sphygmomanometer

Answer 6

1. intact
2. leaks
3. tubing
4. cuff

Question 7

Preparation

Make sure that the client has not ____ or ingested ____ within 30 minutes prior to measurement.

Answer 7

smoked
caffeine

Question 8

4.1.
The adult client should be _____ unless otherwise specified. Both feet should be ____ on the floor.

Answer 8

sitting
flat

Question 9

4.2

The elbow should be slightly _____ with the ____ of the hand facing up and the arm supported at _____.

Answer 9

~flexed
~palm
~heart level

Question 10

4.2

Expose the ______ arm

(Ma’am would it be okay if I lift your sleeves?)

Answer 10

upper

Question 11

4.4

Wrap the _____ cuff ____around the upper arm.

Answer 11

deflated
evenly

Question 12

5.
Locate the _______. Apply the center of the _____ directly over the ____.

Answer 12

1. brachial artery
2. bladder
3. artery

Question 13

5.1

For an adult, place the ______ of the cuff approximately ______ above the antecubital space.

Answer 13

lower border
2.5 cm or 1 in.

Question 14

6.

If this is the client’s initial examination, perform a _________ of systolic pressure.

Answer 14

preliminary palpatory determination

Question 15

How will you conduct the preliminary palpatory determination?

Answer 15

1st Palpate the brachial artery with the fingertips
2nd Close the valve on the bulb
3rd pump up the cuff until you no longer feel the brachial pulse
4th note the pressure on the sphygmomanometer at which pulse is no longer felt
5th release the pressure completely in the cuff and wait 1-2 minutes before making further measurements

Question 16

How will you position the stethoscope appropriately?

Answer 16

1st- cleanse the earpieces with antiseptic wipe
2nd insert the ear attachments of the steth to your ears
3rd ensure that the steth hangs freely
4th place the bell side of the amplifier of the steth to the brachial pulse
5th on the skin not clothing over the site
6th hold the diaphragm with the thumb and index finger

Question 17

How will you auscultate the clients blood pressure?

Answer 17

PUMP
RELEASE (2-3 mmHg)
Korotkoff phases (1,4,5)
DEFLATE RAPIDLY
WAIT 1 to 2 mins
REPEAT

Question 18

9th step

If this is the client’s initial examination, repeat the procedure on the client’s ____ . There should be a difference of no more than ______ between the arms. The arm found to have the _____ should be used for subsequent

Answer 18

other arm
10 mmHg
higher pressure

Question 19

10th step

Answer 19

Remove the cuff

Question 20

11th step

Answer 20

wipe the cuff with disinfectant