A nurse notices a student is taking a blood pressure measurement on a patient with a cuff that is too large. What should be the nurses response to the student?

Correct Answer: A

Rationale: A cuff too large underestimates blood pressure, leading to an incorrect reading , as it doesnt compress the artery properly. It wont cause significant injury or dangerous pressure , though a too-small cuff might. Korotkoff sounds remain audible but may be misread. Choice A is correct, emphasizing accuracy in measurement technique, a key teaching point for nursing students.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: D

Rationale: Respiratory distress includes grunting and nasal flaring as effort signs, raspy breathing from obstruction, and panicked look/sweating from stressall are indicators. Choice D is correct, as nurses identify these clinical signs per respiratory assessment protocols (e.g., PALS), prompting urgent intervention for airway or oxygenation problems.

Correct Answer: C

Rationale: Individual assessment is best, as pain perception varies uniquely by culture, not stereotypes . Diversity doesn't negate cultural impact . Social workers assist but nurses primarily assess. Choice C is correct, per holistic nursing practice (e.g., ANA standards), ensuring patient-centered care by understanding personal cultural influences on pain expression and management.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.