Diastolic Blood Pressure Measurement
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Questions and Answers

What is the correct definition of diastolic pressure?

  • The maximum pressure during heart relaxation
  • The pressure exerted when the heart is contracting
  • The minimum pressure exerted when the heart is relaxed (correct)
  • The average pressure during the cardiac cycle

    • Which instrument is used to measure blood pressure?

  • Electrocardiogram
  • Thermometer
  • Sphygmomanometer (correct)
  • Spirometer

    • What is a key consideration when measuring blood pressure in a client?

  • The client should have both feet elevated
  • The client can cross their legs
  • The client should be lying down
  • The client's arm should be supported and palm turned upward (correct)

    • Which of the following conditions would NOT be appropriate for checking blood pressure in an arm?

    <p>High blood pressure history</p> Signup and view all the answers

    What defines a hypertensive crisis based on diastolic pressure?

    <p>Systolic 180 or higher and diastolic 120 or higher</p> Signup and view all the answers

    Which nursing pioneer is credited with the introduction of evidence-based practice through data collection and note-taking?

    <p>Florence Nightingale</p> Signup and view all the answers

    What significant organization did Clara Barton establish to support wounded soldiers?

    <p>American Red Cross</p> Signup and view all the answers

    Which of the following actions is associated with Dorothea Dix's contributions to nursing?

    <p>Advocating for mental health reform</p> Signup and view all the answers

    Who founded the National Association of Hispanic Nurses?

    <p>Ildaura Murillo-Rohde</p> Signup and view all the answers

    What was Eddie Johnson known for in relation to nursing and education?

    <p>Introducing the STEM Education Act</p> Signup and view all the answers

    Which definition best describes holistic nursing care?

    <p>Providing care that considers the whole person</p> Signup and view all the answers

    What is the primary role of advocacy in professional nursing?

    <p>Defending interests and rights of clients</p> Signup and view all the answers

    Which concept is NOT a focus of professional nursing?

    <p>Focusing on physical health exclusively</p> Signup and view all the answers

    Which aspect of effective communication emphasizes understanding the client's needs?

    <p>Intentional listening</p> Signup and view all the answers

    What is an essential responsibility of licensed nurses in relation to client safety?

    <p>Mandatory reporting</p> Signup and view all the answers

    Which of the following best describes the concept of integrity in nursing?

    <p>Maintaining strong moral principles and honesty</p> Signup and view all the answers

    What role does collaboration play in effective client care?

    <p>Respectful communication and shared ideas among team members</p> Signup and view all the answers

    What is the primary goal of change management in the context of nursing?

    <p>Improving staff workflow and client care</p> Signup and view all the answers

    Which of the following is a significant factor for effective communication in nursing?

    <p>Cultural considerations and understanding</p> Signup and view all the answers

    What does tort law in nursing primarily address?

    <p>Injury or harm due to acts of omission or commission</p> Signup and view all the answers

    Which action demonstrates professionalism in a clinical setting?

    <p>Practicing clinical skills while adhering to safety protocols</p> Signup and view all the answers

    What principle involves making decisions based on kindness and compassion?

    <p>Beneficence</p> Signup and view all the answers

    Which of the following is an example of ethical dilemmas nurses may face?

    <p>Deciding on end-of-life care options</p> Signup and view all the answers

    What is the primary focus of academic integrity in nursing education?

    <p>Ensuring competence and trustworthiness in future nurses</p> Signup and view all the answers

    Which principle emphasizes fairness and equality in actions?

    <p>Justice</p> Signup and view all the answers

    What behavior represents incivility in nursing education?

    <p>Bullying or demonstrating disrespect</p> Signup and view all the answers

    How should personal values influence nursing decisions?

    <p>Personal values must align with ethical standards of care.</p> Signup and view all the answers

    What must nurses do to adhere to legal practice?

    <p>Follow laws such as those for informed consent</p> Signup and view all the answers

    What is the best description of civility in clinical practice?

    <p>Providing constructive feedback and professional communication</p> Signup and view all the answers

    What is a necessary characteristic of the goals created during the planning phase?

    <p>They must include patient input.</p> Signup and view all the answers

    Which factor is classified as an intrinsic factor affecting blood pressure?

    <p>Age</p> Signup and view all the answers

    When should nurses assess vital signs?

    <p>Before and after nursing interventions.</p> Signup and view all the answers

    What should the focus be during the implementation phase?

    <p>Providing care according to the established plan.</p> Signup and view all the answers

    What contributes to an increase in blood pressure according to health status?

    <p>Pain.</p> Signup and view all the answers

    Which of the following is a method to accurately measure systolic blood pressure?

    <p>Assessing the maximum pressure during heart contraction.</p> Signup and view all the answers

    Which extrinsic factor can be controlled to some extent by patients to affect their blood pressure?

    <p>Weight.</p> Signup and view all the answers

    When evaluating the effectiveness of interventions, what should be documented?

    <p>The client's response to the interventions.</p> Signup and view all the answers

    Study Notes

    Vital Signs: Diastolic Blood Pressure

    • Diastolic blood pressure is the minimum pressure exerted when the heart is relaxed.
    • Measured using a sphygmomanometer (blood pressure cuff) and stethoscope.
    • Proper technique includes using an appropriately sized cuff, keeping legs uncrossed, feet flat on the floor, and supporting the client's arm with the palm facing upward.
    • Korotkoff sounds refer to the series of sounds heard when measuring blood pressure, indicating the movement of blood through a compressed artery.
    • Avoid measuring blood pressure in arms with conditions like edema, previous breast surgery with lymph removal, fractures, or IV catheters.

    Hypertension

    • Defined as blood pressure (BP) above the expected range:
      • Stage 1: Systolic 130-139 mmHg, Diastolic 80-89 mmHg.
      • Stage 2: Systolic ≥ 140 mmHg, Diastolic ≥ 90 mmHg.
      • Hypertensive crisis: Systolic ≥ 180 mmHg, Diastolic ≥ 120 mmHg.
    • Clients are encouraged to adopt lifestyle interventions to manage hypertension.

    Hypotension

    • Refers to blood pressure below the expected range.
    • Assessment can be challenging without baseline data.

    Historical Figures in Nursing

    • Florence Nightingale: Introduced evidence-based practice through data collection and hygiene practices.
    • Clara Barton: Founded the American Red Cross and formalized nursing education.
    • Dorothea Dix: Advocated for mental health reform and served as Superintendent of Army Nurses.
    • Ildaura Murillo-Rohde: Founded the National Association of Hispanic Nurses (NAHA).
    • Eddie Johnson: First RN in Congress, supported STEM education for minorities.

    Professional Nursing Concepts

    • Holistic care addresses the physical, mental, emotional, and spiritual aspects of patients.
    • Advocacy involves defending clients' rights and interests, especially for vulnerable populations.
    • Change management focuses on improving patient care and staff workflows.
    • Effective communication includes personal engagement, intentional listening, and understanding cultural preferences.
    • Integrity and honesty are core ethical principles in nursing practice.
    • Ethical principles include autonomy, beneficence, non-maleficence, veracity, fidelity, and justice.
    • Legal responsibilities include maintaining patient confidentiality under HIPAA and managing informed consent.
    • Nurses are mandatory reporters of suspected abuse.

    Civility in Nursing Education

    • Civility promotes respectful behavior and constructive feedback, enhancing the learning environment.
    • Incivility, including bullying and unprofessional behavior, negatively impacts job satisfaction and patient care.

    Importance of Academic Integrity

    • Upholding academic integrity ensures graduates are competent and trustworthy.
    • Strong academic integrity correlates with ethical behavior in professional practice.

    Role in Academic Integrity

    • Students must actively analyze client problems, plan and implement effective interventions, and evaluate outcomes.
    • Evaluation includes documenting patient responses to care.

    Factors Affecting Vital Signs

    • Vital signs are assessed on admission, during changes in patient status, and pre/post-surgery or intervention.
    • Blood pressure can be influenced by intrinsic factors (age, genetics) and extrinsic factors (weight, stress, activity level).
    • Health status changes can cause variations in blood pressure; for example, pain and fever can increase it, while hypoglycemia and heart failure can decrease it.

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    Description

    This quiz focuses on the concept of diastolic blood pressure, including how it is measured and the proper techniques to ensure accurate readings. Topics covered include the use of sphygmomanometers, appropriate cuff sizing, and patient positioning. Test your knowledge on the essential aspects of monitoring diastolic pressure.

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