What happens to BP reading when the arm is above the heart?

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Introduction to Nursing Profession Quizlet Questions

Question 1 of 5

What happens to BP reading when the arm is above the heart?

Correct Answer: B

Rationale: When the arm is above the heart, the blood pressure reading will be falsely low due to the effects of gravity. Gravity causes blood to pool in the arm, reducing the pressure sensed by the blood pressure cuff. This results in an inaccurate reading. Therefore, choice B (False Low) is correct. Choice A (False High) is incorrect because blood pressure does not increase when the arm is above the heart. Choice C (Undetermined) is incorrect as the effect of gravity on blood pressure is known. Choice D (Slightly increased by 2-3 mmHg) is also incorrect as blood pressure is actually lower in this position.

Question 2 of 5

What does a lab report showing bilirubin 5 mg/dL, S. Potassium 4, and S. Sodium 140 most likely indicate?

Correct Answer: C

Rationale: The correct answer is C, biliary obstruction. A bilirubin level of 5 mg/dL indicates liver dysfunction, which can be caused by biliary obstruction. The normal range for bilirubin is 0.3-1.2 mg/dL. S. Sodium and S. Potassium levels are within normal range, ruling out hypernatremia and renal failure. Thrombocytopenia is a decrease in platelet count and is unrelated to the given lab values.

Question 3 of 5

Terlipressin was prescribed to Erlita due to bleeding esophageal varices. The nurse is preparing to administer the medication to the client. Which essential item is needed during the administration of this medication?

Correct Answer: B

Rationale: The correct answer is B: A suction setup. When administering Terlipressin for bleeding esophageal varices, the patient may experience vomiting due to the increased pressure in the portal venous system. A suction setup is essential to manage and prevent aspiration in case of vomiting. An airway (choice A) may be needed in case of airway obstruction but is not specific to Terlipressin administration. A cardiac monitor (choice C) may be used to monitor the patient's cardiac status but is not directly related to Terlipressin administration. A tracheotomy set (choice D) is unnecessary for administering Terlipressin and is used for emergency airway access, not for managing potential vomiting during medication administration.

Question 4 of 5

Chronic Obstructive Pulmonary Disease (COPD) is one of the leading causes of death worldwide and is a preventable disease. The primary cause of COPD is:

Correct Answer: D

Rationale: The correct answer is D: Cigarette smoking. Cigarette smoking is the primary cause of COPD as it leads to chronic inflammation and damage to the airways and alveoli in the lungs. This damage results in airflow limitation and breathing difficulties characteristic of COPD. High cholesterol diet (A) is not a direct cause of COPD. Bronchitis (B) is a type of COPD but not the primary cause. Asthma (C) is a separate respiratory condition with different underlying mechanisms than COPD.

Question 5 of 5

As a safety precaution in handling contaminated needles, the nurses are instructed to observe which of the following protective measures:

Correct Answer: D

Rationale: The correct answer is D: Throw the needle in a covered receptacle. This is the recommended safety measure because it ensures proper containment of the contaminated needle, reducing the risk of accidental needle sticks. Discarding the needle immediately (choice A) may lead to exposure. Covering the contaminated needle after injection (choice B) does not provide sufficient protection. Detaching the needle from the syringe and discarding it (choice C) increases the risk of needle stick injuries. Therefore, choice D is the most effective protective measure in handling contaminated needles.

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