1. The nurse is preparing a client for surgery. What is the most effective method for obtaining an accurate blood pressure reading from the client?
A. Obtain a cuff that covers the upper one third of the client’s arm
B. Position the cuff approximately 4 inches above the antecubital arm
C. Use a cuff that is wide enough to cover the upper two thirds of the client’s arm
D. Identify the Korotkoff sounds, and take a systolic reading at 10 mmHg after the first sound
2. Which of the following items on a client’s presurgery laboratory results would indicate a need to contact the surgeon?
A. Platelet count of 250,000/cu.mm
B. Total cholesterol of 325 mg/dl
C. Blood ureanitrogen (BUN)) 17 mg/dl
D. Hemoglobin 9.5mg/dl
1. C. To obtain an accurate reading in an adult, the blood pressure cuff should cover the upper two thirds of the client's arm; it should be positioned approximately 2 inches above the antecubital space
2. D. The hemoglobin level is low, and the nurse needs to make sure that the surgeon has the most recent laboratory values before surgery. This client may need transfusion before surgery