NU 129 Funds Exam 2 With
Complete Solution
If a patient has a mastectomy on the right arm and dialysis fistula on the
other where would you take the BP?
Thigh
Patients with findings below, which one will you see first?
HR: 80 bmp
BP: 80/50 mmHg
Temp: 98.9
Respirations: 18 RR T
Patient with BP of 80/50 mmHG
What are Vital Signs?
Temperature
Pulse
Respirations
Blood Pressure
O2
Saturation
, Pain
Two Step BP measuring
1. Palpate the *BRACHIAL* or Radial artery, inflate the blood pressure cuff
until the pulse is no longer felt, and then continue to inflate 20-30 mm Hg
more: this is the maximum pressure inflation.
2. Deflate the cuff quickly.
3. Now, you can start blood pressure so place the bell of the cleansed
stethoscope over the brachial artery using a light touch and complete seal.
4. Inflate the cuff to the maximum pressure inflation number.
5. Open the valve slightly.
6. Deflate the cuff slowly and evenly at about 2 mm Hg per second.
7. Note the points at which you hear the first appearance of Korotkoff sound
(systolic blood pressure), and the last Korotkoff sound before it goes silent
(diastolic blood pressure).
Blood Pressure (BP)
Normal : 120/80 BP
Hypertension: 140/90mmHg
Hypotension: 90/60 mmHg
Temperature
Normal: 97.5 - 99.5 F
Hyperthermia: above 100.2F (significant is 101.3F)
Complete Solution
If a patient has a mastectomy on the right arm and dialysis fistula on the
other where would you take the BP?
Thigh
Patients with findings below, which one will you see first?
HR: 80 bmp
BP: 80/50 mmHg
Temp: 98.9
Respirations: 18 RR T
Patient with BP of 80/50 mmHG
What are Vital Signs?
Temperature
Pulse
Respirations
Blood Pressure
O2
Saturation
, Pain
Two Step BP measuring
1. Palpate the *BRACHIAL* or Radial artery, inflate the blood pressure cuff
until the pulse is no longer felt, and then continue to inflate 20-30 mm Hg
more: this is the maximum pressure inflation.
2. Deflate the cuff quickly.
3. Now, you can start blood pressure so place the bell of the cleansed
stethoscope over the brachial artery using a light touch and complete seal.
4. Inflate the cuff to the maximum pressure inflation number.
5. Open the valve slightly.
6. Deflate the cuff slowly and evenly at about 2 mm Hg per second.
7. Note the points at which you hear the first appearance of Korotkoff sound
(systolic blood pressure), and the last Korotkoff sound before it goes silent
(diastolic blood pressure).
Blood Pressure (BP)
Normal : 120/80 BP
Hypertension: 140/90mmHg
Hypotension: 90/60 mmHg
Temperature
Normal: 97.5 - 99.5 F
Hyperthermia: above 100.2F (significant is 101.3F)