The nurse must check vital signs on a 2-year-old boy who is brought to the clinic for his 24-month checkup. What criteria should the nurse use in determining the appropriate-size blood pressure cuff? (Select all that apply.)
A) The cuff is labeled "toddler."
B) The cuff bladder width is approximately 40% of the circumference of the upper arm.
C) The cuff bladder length covers 80% to 100% of the circumference of the upper arm.
D) The cuff bladder covers 50% to 66% of the length of the upper arm.

Question

Quizplus · Accepted Answer

Research has demonstrated that cuff selection with a bladder width that is 40% of the arm circumference will usually have a bladder length that is 80% to 100% of the upper arm circumference. This size cuff will most accurately reflect measured radial artery pressure. The name of the cuff is a representative size that may not be suitable for any individual child. Choosing a cuff by limb circumference more accurately reflects arterial pressure than choosing a cuff by length.

The Nurse Must Check Vital Signs on a 2-Year-Old Boy