Your patient has a pacemaker electrode and a central venous (CV)line in the right antecubital area and an arteriovenous (AV)shunt in his left lower arm.You determine that the most appropriate site to measure the blood pressure is which of the following?

Question

Quizplus · Accepted Answer

The preferred site for blood pressure measurement is the brachial pulse site,where the brachial artery runs across the antecubital fossa.The posterior thigh,where the popliteal artery runs behind the knee joint,can also be used.Blood pressure should not be measured at a site if there is pain or injury around or near the site.Surgical incisions; intravenous,central venous,or arterial lines; or areas with poor perfusion should be avoided for blood pressure measurement.Patients with AV fistulas or AV shunts should not have blood pressure measured in those extremities.The appropriate place for the patient is the right thigh.The left arm,above the AV shunt,should not be used because of the AV shunt.Options "c" and "d" are incorrect because the patient has a pacemaker electrode and a central venous (CV)line in the right antecubital area; therefore,the right arm should not be used.

Your Patient Has a Pacemaker Electrode and a Central Venous