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The Nurse Is Using a Manual Cuff to Assess the Blood

Question 25

Multiple Choice

The nurse is using a manual cuff to assess the blood pressure of a client experiencing hypertension.To best ensure accommodation for a possible auscultatory gap,the nurse should use which of the following as a guide for inflating the cuff appropriately?


A) Review the client's chart for his last blood pressure reading.
B) Ask the client what his typical blood pressure reading is when taken manually.
C) Inflate 30 mm Hg higher than where the radial pulse can no longer be palpated.
D) Take the client's blood pressure both sitting and standing and use the higher reading.

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