A nurse measures a patient's blood pressure using a cuff that is too small for the arm. How is the reading most likely affected?

Correct answer: B. It is falsely higher than the true pressure

  • A. It is falsely lower than the true pressure
  • B. It is falsely higher than the true pressure
  • C. It causes an inaccurate pulse pressure only
  • D. It has no meaningful effect on the reading

Explanation

A cuff that is too small requires greater pressure to compress the artery, producing a falsely high blood pressure reading. The cuff bladder should cover about 80% of the arm circumference.

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Covers assessment and nursing care for hypertension, coronary artery disease, angina, myocardial infarction, heart failure, valvular disease and dysrhythmias. It includes interpreting vital signs and ECG findings, managing chest pain, monitoring cardiac medicines, recognizing complications and distinguishing left-sided from right-sided heart failure.

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