HESI HEALTH ASSESSMENT TEST BANK QUESTIONS AND ANSWERS A GRADED

HESI HEALTH ASSESSMENT TEST BANK QUESTIONS AND ANSWERS A GRADED The nurse is caring for a patient with chronic lower back pain. The nurse knows that the most reliable indicator of pain in this client is: The patient is reporting "6/10" pain. The patient is refusing to get out of bed. The patient is refusing to eat breakfast. The patient's heart rate is 90 beats per minute. A Which of the following actions should the nurse take to ensure an accurate blood pressure (BP) reading? Ensure the width of the BP cuff is equal to 80% of the arm circumference. Ensure the client's back is supported and feet are flat on the ground. Take two BP readings 20 seconds apart. Ensure that the patient's arm is above heart level. B The patient's arm should be supported at heart level. Separate BP readings may need to be taken, but not one right after the other. The length of the BP bladder should equal 80% of the arm circumferen The nurse obtains which piece of data during the general survey? Client is alert and calm. Client's heart rate is 80 beats per minute. Client's body mass index (BMI) is 30. Client's lung sounds are "clear" to auscultation.