NURS 101 Exam Study Guide with
Complete Solutions
A student nurse is assessing the blood pressure of a client with the client's arm
unsupported. What are the expected errors in the obtained readings? - Answer️️ -
False High
Rationale: If the client's arm is unsupported, or if the arm is be...
A student nurse is assessing the blood pressure of a client with the client's arm
unsupported. What are the expected errors in the obtained readings? - Answer✔️✔️-
False High
Rationale: If the client's arm is unsupported, or if the arm is below the heart level, the
resulting outcome is a false high reading. Application of the stethoscope too firmly
against antecubital fossa will result in a false low diastolic reading. Repeated
assessments of blood pressure too often result in a false high systolic reading. Deflating
the cuff too slowly results in a false high diastolic reading.
The nurse is caring for a surgical client who develops a wound infection during
hospitalization. How is this type of infection classified? - Answer✔️✔️-Nosocomial
Rationale: A nosocomial infection is acquired in a health care setting. This is also
referred to as a hospital-acquired infection. It is a result of poor infection control
procedures such as a failure to wash hands between clients. A primary infection is
synonymous with initial infection. A secondary infection is made possible by a primary
infection that lowers the host's resistance and causes an infection by another kind of
organism. A superinfection is a new infection caused by an organism different from that
which caused the initial infection. The microbe responsible is usually resistant to the
treatment given for the initial infection.
When to measure vital signs - Answer✔️✔️--On admission to a healthcare facility
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