Nsg 3100 - Funds I: Exam 2

Which patient assessment result would require the nurse to assess that patient further? A- A 65 y/o man w/ a respiratory rate of 10 B- A 50 y/o man w/ a BP of 112/60 upon awakening in the morning C- A 40 y/o woman w/ a radial pulse of 68 D- a 12 y/o w/ a pulse of 92 after ambulating in the hallway {Ans: A- A 65 y/o man w/ a respiratory rate of 10}Blood pressure cuff (bladder cuff) too narrow {Ans: falsely high}When applying a wrist restraint, the nurse knows that: A- The padded side is away from the skin B- It should be removed at least once every shift C- The straps should be secured w/ a knot D- Two fingers' width should fit between the skin and the restraint {Ans: D- Two fingers' width should fit between the skin and the restraint}All of the following are contraindications to heat therapy except ______ Active hemorrhage Chronic conditions such as osteoarthritis First 24 hours after traumatic injury Noninflammatory edema {Ans: Chronic conditions such as osteoarthritis}Deflating cuff too slowly {Ans: false high diastolic reading}Blood pressure cuff (bladder cuff) too wide {Ans: falsely low}