ATI RN
ATI RN Capstone Proctored Comprehensive Assessment A Questions
Extract:
Question 1 of 5
A nurse is observing an assistive personnel (AP) measure blood pressures from the right arms of a group of clients. The nurse should instruct the AP to measure the blood pressure in the left arm of which of the following clients?
Correct Answer: D
Rationale: The correct answer is D. When a client has a peripherally inserted central catheter (PIC
C) in the right arm, blood pressure should not be taken on that side to avoid potential damage to the catheter or disrupting the infusion. It is crucial to protect the integrity and function of the PICC line by avoiding any procedures that could cause harm.
Choice A is incorrect because a right hemisphere stroke does not necessitate avoiding blood pressure measurements on the right arm.
Choice B is incorrect as using an arteriovenous shunt in the left lower forearm does not mandate avoiding blood pressure measurements on the right arm.
Choice C is incorrect because having blood drawn from the antecubital area does not impact blood pressure measurements on the contralateral arm.
In summary, the correct answer, D, is based on the need to protect the PICC line, while the other choices do not present a valid reason for avoiding blood pressure measurements on the right arm.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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