{"id":140319,"date":"2024-09-19T06:42:36","date_gmt":"2024-09-19T06:42:36","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=140319"},"modified":"2024-09-19T06:42:38","modified_gmt":"2024-09-19T06:42:38","slug":"a-nurse-is-observing-an-assistive-personnel-ap-measure-blood-pressures-from-the-right-arms-of-a-group-of-clients","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/19\/a-nurse-is-observing-an-assistive-personnel-ap-measure-blood-pressures-from-the-right-arms-of-a-group-of-clients\/","title":{"rendered":"A nurse is observing an assistive personnel (AP) measure blood pressures from the right arms of a group of clients."},"content":{"rendered":"\n

A nurse is observing an assistive personnel (AP) measure blood pressures from the right arms of a group of clients.
The nurse should instruct the AP to measure the blood pressure in the left arm of which of the following clients?<\/p>\n\n\n\n

A.
A client who had blood drawn from the right antecubital area 1 hr ago.<\/p>\n\n\n\n

B.
A client who has a right peripherally inserted central catheter.<\/p>\n\n\n\n

C.
A client who had dialysis and is using an arteriovenous shunt in the left lower forearm.<\/p>\n\n\n\n

D.
A client who had a right hemisphere stroke.<\/p>\n\n\n\n

The Correct Answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n

The correct answer is B. A client who has a right peripherally inserted central catheter.<\/strong><\/p>\n\n\n\n

When measuring blood pressure, it is essential to consider factors that could affect the accuracy and safety of the readings. In this scenario, the nurse must ensure that the blood pressure measurement does not interfere with any existing medical conditions or interventions on the right side of the body.<\/p>\n\n\n\n

    \n
  1. Option A: A client who had blood drawn from the right antecubital area 1 hr ago.<\/strong> While this client has had a recent venipuncture, measuring blood pressure on the right arm is typically acceptable as long as there is no indication of complications such as hematoma or bleeding. Therefore, this option does not warrant a change in measurement.<\/li>\n\n\n\n
  2. Option B: A client who has a right peripherally inserted central catheter (PICC).<\/strong> Blood pressure should generally be measured on the opposite arm of a PICC line to avoid interference with the catheter and to prevent any potential complications, such as dislodgment or infection. Therefore, measuring blood pressure on the left arm is the safest option for this client.<\/li>\n\n\n\n
  3. Option C: A client who had dialysis and is using an arteriovenous shunt in the left lower forearm.<\/strong> In this case, blood pressure can be measured in the right arm since the shunt is in the left lower forearm. It\u2019s critical to avoid measuring BP in the arm with the shunt to prevent damage, but the right arm remains safe.<\/li>\n\n\n\n
  4. Option D: A client who had a right hemisphere stroke.<\/strong> Blood pressure measurement can typically be done on the unaffected arm (in this case, the left arm). However, there is no indication that this client should exclusively have their BP taken on the left arm due to any contraindications.<\/li>\n<\/ol>\n\n\n\n

    In summary, measuring blood pressure on the left arm for the client with a right PICC line is the most appropriate choice to ensure patient safety and accuracy in readings.<\/p>\n","protected":false},"excerpt":{"rendered":"

    A nurse is observing an assistive personnel (AP) measure blood pressures from the right arms of a group of clients.The nurse should instruct the AP to measure the blood pressure in the left arm of which of the following clients? A.A client who had blood drawn from the right antecubital area 1 hr ago. B.A […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-140319","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/140319","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=140319"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/140319\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=140319"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=140319"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=140319"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}