The proper technique for BP cuff inflation and deflation is
A. rapid inflation followed by rapid deflation.
B. slow inflation followed by slow deflation.
C. rapid inflation followed by slow deflation.
D. slow inflation followed by rapid deflation. C. Rapid inflation helps ensure an accurate
measurement of systolic pressure. Rapid deflation interferes with the accurate assessment of
both systolic and diastolic readings. It is recommended that the pressure manometer gauge fall
at a rate of 2 to 3 mm Hg per second.
When listening to Korotkoff sounds, you would use your stethoscope's
A. bell.
B. diaphragm. A, B
You inflate the cuff to 30 mm Hg higher than the patient's last recorded BP (taken at her last
appointment). You note the point on the manometer where
A. you first hear Korotkoff sounds.
B. the swishing sounds begin.
C. you hear the loudest sounds.
D. the sound becomes muffled.
E. the sound disappears. A, E
Wash hands with antimicrobial soap for 15-30 seconds
,Dorsal Back
Palmer Front
Diurnal cycle 24 hour cycle
Temperature Documentation T=98.6 (O)
Pulse Deficit The difference between apical and peripheral pulse rate.
apical - radial = pulse deficit
Factors that affect pulse Age, gender, circadian rhythm, blood volume, body temperature,
exercise, stress, emotion, hormonal activity, medications, pathological processes
Heart Rate and Rhythm Documentation HR=72 bpm RRR
RRR Regular Rhythm and Rate
Pulse Force or Strength 0 = absent
+1 = weak/thready
+2 = normal/expected
+3/+4 = full/bounding
Pulse Elasticity Artery feels springy instead of tough, hard, rope-like
, Respiration Documentation RR 12 regular rhythm
Respiration Measurement number of breaths within 30 seconds x2
Heart Rate Measu number of beats within 30 seconds x2
Bradycardia slow heart rate (<60 bpm)
Tachycardia fast heart rate (>100 bpm)
Blood Pressure (BP) The force of blood against arterial walls
Systolic Pressure Maximum on contraction of left ventricle
Diastolic Pressure Pressure during resting phase of cardiac cycle
Pulse Pressure (PP) Systolic - Diastolic = PP
Influences on blood pressure Age, sex, race, diurnal rhythm, weight, exercise, emotions,
stress, position
Cardiac Output (CO) stroke volume x heart rate = CO
Peripheral Vascular Resistance (PVR) BP = CO x PVR