HESI Fundamentals Latest Exam Updated /2023
7) The LPN observes an unlicensed assistive personnel (UAP) taking a client's blood pressure with a cuff that is too small, but the blood pressure reading obtained is within the client's usual range. What action is most important for the nurse to implement? A. Tell the UAP to use a larger cuff at the next scheduled assessment. B. Reassess the client's blood pressure using a larger cuff. C. Have the unit educator review this procedure with the UAPs. D. Teach the UAP the correct technique for assessing blood pressure. Correct Answer: B 8) When assessing a client with wrist restraints, the nurse observes that the fingers on the right hand are blue. What action should the LPN implement first? E. Loosen the right wrist restraint. F. Apply a pulse oximeter to the right hand. G. Compare hand color bilaterally. H. Palpate the right radial pulse. Correct Answer: A
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