Vital Signs and Assessment · NCLEX Exam

When assessing a patient’s vital signs, which action is most appropriate?

  1. Documenting before measuring to save time
  2. Using different sized BP cuffs as needed for accuracy
  3. Counting pulse for 10 seconds and multiplying by 6
  4. Measuring respiratory rate by telling the patient you’re counting breath rate
Show answer and explanation

Correct answer: Using different sized BP cuffs as needed for accuracy

Use appropriate cuff size for accurate BP. Counting pulse only 10 seconds is less accurate; telling the patient you count will alter breathing pattern.

Difficulty: Medium Question 7 of 28

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