Blood Pressure Measurement Lecture Notes

Flashcards for Blood Pressure Measurement Review

Performing __ prevents the spread of microorganisms.

Prevents the spread of microorganisms.

__ the patient ensures the right patient receives the intervention and helps prevent errors.

Ensures the right patient receives the intervention and helps prevent errors.

Discussing the procedure with the patient and assessing their ability to assist with the procedure __.

Explanation relieves anxiety and facilitates cooperation.

Instructing the patient to hold the limb still and refrain from speaking during the measurement ensures __.

Keeping the limb still and refraining from talking provide for accurate measurement of BP levels.

Validate that the patient has __ for several minutes because activity immediately before measurement can result in inaccurate results.

Activity immediately before measurement can result in inaccurate results.

__ the appropriate arm for measurement and blood pressure cuff based on the nurse's assessment.

Decision on measurement site and cuff size is based on nurse’s assessment of individual patient circumstances. Incorrect cuff size contributes to the most frequent error in measurement in non-acute care settings.

Having the patient assume a comfortable lying or sitting position with the forearm supported at the level of the heart influences __.

The position of the arm can have a major influence when the blood pressure is measured.

Exposing the brachial artery by removing garments ensures that __ does not interfere with accurate blood pressure readings.

Clothing over the artery interferes with the ability to hear sounds and can cause inaccurate blood pressure readings.

Centering the bladder of the cuff over the brachial artery ensures __.

Pressure in the cuff applied directly to the artery provides the most accurate readings.

Wrap the cuff around the arm smoothly and snugly to ensure __.

A smooth cuff and snug wrapping produce equal pressure and help promote an accurate measurement.

Inflating the cuff while continuing to palpate the artery helps identify __.

To identify the first Korotkoff sound accurately, the cuff must be inflated 20 to 30 mm Hg above the point at which the pulse can no longer be felt.

Deflate the cuff and wait 1 minute to allow __.

Allowing a brief pause before continuing permits the blood to refill and circulate through the arm.

Placing the stethoscope earpieces in your ears properly blocks __.

Proper placement blocks extraneous noise and allows sound to travel more clearly.

重圧をかけると 動脈の形や音が歪んでしまいます

重圧をかけると動脈の形や音が歪んでしまいます

Pump the pressure 20 to 30 mm Hg above the point at which the systolic pressure was palpated ensures __.

Increasing the pressure above the point where the pulse disappeared ensures a period before hearing the first sound that corresponds with the systolic pressure.

Do not __ the cuff once the air is being released to recheck the systolic pressure reading.

Reinflating the cuff while obtaining the blood pressure is uncomfortable for the patient and can cause an inaccurate reading.

Note the point at which the __ disappears to measure the diastolic pressure.

The point at which the sound disappears corresponds to the beginning of phase V Korotkoff sounds and is generally considered the diastolic pressure reading.

Deflate the cuff completely between attempts to check the blood pressure to avoid __.

False readings are likely to occur if there is congestion of blood in the limb while obtaining repeated readings.

When measurement is completed, __ to reduce the risk of infection.

Removing gloves properly reduces the risk for infection transmission and contamination of other items.

Clean the bell or diaphragm of the stethoscope with the alcohol wipe to deter __.

Appropriate cleaning deters the spread of microorganisms. Equipment should be left ready for use.