Basic Care and Comfort NCLEX PN Questions Nursing Practice Question
The NA tells the nurse that the unit's small-adult BP cuff cannot be found and that the client's arm is too small to use a regular adult-sized cuff. Which direction should the nurse give to the NA?
Correct Answer: B
Rationale: Option B is the most appropriate response as it prioritizes obtaining an accurate blood pressure reading using the correct-sized cuff, ensuring patient safety and care quality.
Option A is insufficient because documenting the absence of a proper cuff does not address the immediate need for accurate BP measurement.
Option C is incorrect as using a regular cuff and adjusting the readings is unreliable and could lead to misinterpretation of the patient's condition.
Option D may compromise accuracy; while a cuff that closes around the arm might seem adequate, it can still yield misleading results, especially if the cuff is not designed for that arm size.