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The Nurse Is Unable to Hear the Blood Pressure for a Patient

Question 38

Multiple Choice

The nurse is unable to hear the blood pressure for a patient who is in septic shock.What is the best option of the nurse?


A) Determine the diastolic blood pressure by palpation and notify the health care provider immediately.
B) Elevate the head of the patient's bed and obtain the patient's blood pressure with an electronic vital sign machine.
C) Assess the patient's blood pressure using a lower extremity and a thigh-sized blood pressure cuff.
D) Raise the patient's arm above the level of the heart and apply the stethoscope more firmly against the antecubital fossa.

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