Which action should the nurse in the hypertension clinic take to obtain an accurate baseline blood pressure (BP) for a new client?

Correct Answer: B

Rationale: The correct answer is B because having the client sit in a chair with feet flat on the floor is the recommended position for accurate baseline BP measurement. This position ensures proper alignment of the heart and the cuff, reducing errors caused by arm positioning. Choice A is incorrect as deflating the cuff at a rate of 30 mm Hg per second is not related to obtaining an accurate baseline BP measurement. Choice C is incorrect as measuring BP in the supine position can lead to inaccurate readings due to changes in blood flow dynamics. Choice D is incorrect as obtaining two BP readings in the dominant arm and averaging the results may not provide an accurate baseline BP measurement due to variations in BP readings between arms.

Correct Answer: D

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

Correct Answer: B

Rationale: The correct answer is B: 1 gram of pure Hb can combine with 1.34 - 1.39 ml of oxygen. This is correct because each gram of hemoglobin can bind with approximately 1.34 - 1.39 ml of oxygen, facilitating efficient oxygen transport in the blood. A is incorrect because while a small amount of oxygen is transported as dissolved oxygen, the majority is transported bound to hemoglobin. C is incorrect because arterial pO2 reflects the oxygen content in the blood, not just the hemoglobin levels. D is incorrect because CO2 is actually 20 times more soluble than oxygen, not 200 times.

Correct Answer: C

Rationale: The correct answer is C: Using a high-flow venturi mask to deliver oxygen as prescribed. This is the best option as it directly addresses the issue of promoting adequate gas exchange in a patient with advanced COPD. The high-flow venturi mask delivers oxygen at a precise concentration, ensuring optimal oxygenation. Encouraging the patient to drink fluids (A) is important for overall health but does not directly address gas exchange. Keeping the patient in semi-Fowler's position (B) can help with breathing but is not as effective as providing supplemental oxygen. Administering a sedative (D) can further depress the respiratory system and worsen gas exchange, making it an inappropriate choice.

Correct Answer: C

Rationale: The correct answer is C: Tidal volume. Tidal volume refers to the volume of air inspired and expired during a normal breath. It represents the amount of air moved into or out of the lungs during each respiratory cycle, which typically ranges from 500 to 700 milliliters in adults. Total lung capacity (A) is the maximum volume of air the lungs can hold, including residual volume. Forced vital capacity (B) is the maximum amount of air that can be forcefully exhaled after a maximum inhalation, not related to a normal breath. Residual volume (D) is the volume of air remaining in the lungs after a maximal exhalation and is not part of a normal breath cycle.